CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia

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...

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Veröffentlicht in:	JACC. Cardiovascular imaging 2016-11, Vol.9 (11), p.1338-1348
Hauptverfasser:	Hendel, Robert C., MD, Friedrich, Matthias G., MD, Schulz-Menger, Jeanette, MD, Zemmrich, Claudia, MD, Bengel, Frank, MD, Berman, Daniel S., MD, Camici, Paolo G., MD, Flamm, Scott D., MD, Le Guludec, Dominique, MD, PhD, Kim, Raymond, MD, Lombardi, Massimo, MD, Mahmarian, John, MD, Sechtem, Udo, MD, Nagel, Eike, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Area Under Curve cardiac MRI Cardiovascular Coronary Circulation diagnosis Humans ischemic heart disease 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
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Zusammenfassung:	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.
ISSN:	1936-878X 1876-7591
DOI:	10.1016/j.jcmg.2016.09.010