A review of the pivotal role of cardiac MRI in mitral valve regurgitation

Kushani Gajjar; Kartikeya Kashyap; Jayshiv Badlani; Ronald B Williams; Robert W W Biederman

doi:10.1111/echo.14941

A review of the pivotal role of cardiac MRI in mitral valve regurgitation

Echocardiography. 2021 Jan;38(1):128-141. doi: 10.1111/echo.14941. Epub 2020 Dec 3.

Authors

Kushani Gajjar¹, Kartikeya Kashyap¹, Jayshiv Badlani², Ronald B Williams², Robert W W Biederman^{1

2

3

4}

Affiliations

¹ Department of Cardiology, Allegheny General Hospital- Allegheny Health Network, Pittsburgh, PA, USA.
² Department of Cardiovascular Magnetic Resonance Imaging, Allegheny General Hospital- Allegheny Health Network, Pittsburgh, PA, USA.
³ Drexel University, Philadelphia, PA, USA.
⁴ Bioengineering Department, Carnegie Mellon University, Pittsburgh, PA, USA.

PMID: 33270944
DOI: 10.1111/echo.14941

Abstract

Cardiac imaging is the cornerstone of defining the etiology, quantification, and management of mitral regurgitation (MR). This continues to be even more so the case with emerging transcatheter techniques to manage MR. Transthoracic echocardiography remains the first-line imaging modality to assess MR but has limitations. Cardiac MRI(CMR) provides the advantages of quantitative nonvisual estimation, 3D volumetric data, late gadolinium, T1, and extracellular volume measurements to comprehensively assess mitral valvular pathology, cardiac remodeling, and the prognostic impact of therapies. This review describes the superiority, technical aspects and growing evidence behind CMR, and lays the roadmap for the future of CMR in MR.

Keywords: CMR; MR; cardiac MRI; mitral regurgitation; mitral valve.

Publication types

Review

MeSH terms

Echocardiography
Humans
Magnetic Resonance Imaging
Mitral Valve / diagnostic imaging
Mitral Valve Insufficiency* / diagnostic imaging
Radiography
Severity of Illness Index