CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia

JACC Cardiovasc Imaging. 2016 Nov;9(11):1338-1348. doi: 10.1016/j.jcmg.2016.09.010.

Abstract

Cardiovascular magnetic resonance (CMR) has evolved from a pioneering research tool to an established noninvasive imaging method for detecting inducible myocardial perfusion deficits. In this consensus document, experts of different imaging techniques summarize the existing body of evidence regarding CMR perfusion as a viable complement to other established noninvasive tools for the assessment of perfusion and discuss the advantages and pitfalls of the technique. A rapid, standardized CMR perfusion protocol is described, which is safe, clinically feasible, and cost-effective for centers with contemporary magnetic resonance equipment. CMR perfusion can be recommended as a routine diagnostic tool to identify inducible myocardial ischemia.

Keywords: cardiac MRI; diagnosis; ischemic heart disease.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Area Under Curve
  • Coronary Circulation*
  • Humans
  • Magnetic Resonance Imaging* / standards
  • Myocardial Ischemia / diagnostic imaging*
  • Myocardial Ischemia / physiopathology
  • Myocardial Perfusion Imaging / methods*
  • Myocardial Perfusion Imaging / standards
  • Practice Guidelines as Topic
  • Predictive Value of Tests
  • Prognosis
  • ROC Curve