Basics of cardiac MRI in the assessment of cardiac disease

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The past decade has witnessed an increasingly important role for cardiac MRI in the diagnosis and management of patients with congenital and acquired heart disease. Cardiac MRI is not limited by acoustic windows or body size and offers comprehensive, noninvasive three-dimensional imaging of cardiac and extracardiac structures. In addition, cardiac MRI provides a quantitative assessment of cardiac function, flow, and myocardial perfusion and viability in a single examination while avoiding the ionizing radiation of cardiac catheterization. The benefits of cardiac MRI must be carefully evaluated against the risks of sedation or anesthesia and the procedure itself. The indications for cardiac MRI in children with heart disease include the evaluation of extracardiac vascular structures such as the great arteries, systemic and pulmonary venous systems and surgical conduits and connections, the evaluation of ventricular systolic and systolic and diastolic function, and the investigation of complex three-dimensional relationships of the heart and vascular structures. Cardiac MRI is also used to determine the effect of cardiac disease on hemodynamics and blood flow, in particular the degree of regurgitation in the setting of valvular insufficiency. Cardiac MRI is rarely used to evaluate for the presence of ischemia or infarction in childhood cardiac diseases.

Original languageEnglish (US)
Title of host publicationPediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care
PublisherSpringer-Verlag London Ltd
Pages429-442
Number of pages14
ISBN (Print)9781447146193, 9781447146186
DOIs
Publication statusPublished - Jan 1 2014

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Keywords

  • 3D imaging
  • Blood flow quantification
  • Cardiac magnetic resonance imaging
  • Cardiac-gated balanced steady-state free precession
  • Cine imaging
  • cMRI
  • Congenital heart disease
  • Diastolic function
  • MRI
  • Myocardial delayed enhancement
  • Myocardial viability
  • Systolic function
  • Tissue characterization
  • Ventricular function

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Choueiter, N. F. (2014). Basics of cardiac MRI in the assessment of cardiac disease. In Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care (pp. 429-442). Springer-Verlag London Ltd. https://doi.org/10.1007/978-1-4471-4619-3_249