Stress perfusion cardiovascular magnetic resonance imaging: a guide for the general cardiologist.
Christian R Hamilton-CraigMartin UganderJohn Pierre GreenwoodRebecca KozorPublished in: Heart (British Cardiac Society) (2022)
Stress cardiovascular magnetic resonance (CMR) is an emerging non-invasive imaging technique for the assessment of known or suspected ischaemic heart disease (IHD). Stress CMR provides information on myocardial perfusion, wall motion, ventricular dimensions and volumes, as well as late gadolinium enhancement (LGE) scar imaging in a single test without ionising radiation. Data from numerous multicentre randomised studies show high diagnostic and prognostic utility, its efficacy as a gatekeeper to invasive coronary angiography and use for guiding coronary revascularisation decisions. Stress CMR is cost-effective across multiple healthcare settings, yet its uptake and usage varies worldwide and is an underutilised technology. New developments include rapid acquisition protocols, automated quantification of perfusion and myocardial blood flow, and artificial intelligence-aided automated analysis and reporting. Stress CMR is becoming more accessible and standardised around the globe and is ready for 'prime time' use in the non-invasive assessment of patients with suspected IHD.
Keyphrases
- artificial intelligence
- magnetic resonance imaging
- machine learning
- magnetic resonance
- blood flow
- healthcare
- contrast enhanced
- deep learning
- stress induced
- high resolution
- clinical trial
- big data
- left ventricular
- computed tomography
- coronary artery disease
- high throughput
- heart failure
- coronary artery
- emergency department
- pulmonary embolism
- heat stress
- open label
- mass spectrometry
- cross sectional
- health insurance
- affordable care act