Ramya Vajapey1, Brendan Eck1, Wilson Tang1, Deborah H Kwon2,3. 1. Cleveland Clinic, Heart and Vascular Institute, Cleveland, OH, USA. 2. Cleveland Clinic, Heart and Vascular Institute, Cleveland, OH, USA. kwond@ccf.org. 3. Department of Cardiovascular Medicine, Cleveland Clinic, Imaging Institute, 9500 Euclid Avenue, Desk J1-5, Cleveland, OH, 44195, USA. kwond@ccf.org.
Abstract
PURPOSE OF REVIEW: The prevalence of heart failure continues to rise, and imaging characterization of the cardiomyopathic process is important for identifying myocardial disease, initiating appropriate treatment, and improving outcomes. We aimed to summarize recent advances in cardiac magnetic resonance imaging (CMR) applications for the diagnosis, characterization, and implications on management of various cardiomyopathies. RECENT FINDINGS: Parametric mapping by CMR has emerged as an important advancement in quantification of myocardial fibrosis, increased extracellular space, and myocardial edema. In addition, improved assessment of myocardial function with myocardial strain assessment may provide early identification of patients at risk and determining responsiveness to therapeutic interventions. Novel MRI techniques and the advent of artificial intelligence may help to uncover important mechanistic insights into the cardiomyopathic process. Innovative CMR techniques continue to evolve, and it will be of interest to determine how these advances can be incorporated into clinical practice to improve diagnosis, treatment, and management of patients with cardiomyopathies.
PURPOSE OF REVIEW: The prevalence of heart failure continues to rise, and imaging characterization of the cardiomyopathic process is important for identifying myocardial disease, initiating appropriate treatment, and improving outcomes. We aimed to summarize recent advances in cardiac magnetic resonance imaging (CMR) applications for the diagnosis, characterization, and implications on management of various cardiomyopathies. RECENT FINDINGS: Parametric mapping by CMR has emerged as an important advancement in quantification of myocardial fibrosis, increased extracellular space, and myocardial edema. In addition, improved assessment of myocardial function with myocardial strain assessment may provide early identification of patients at risk and determining responsiveness to therapeutic interventions. Novel MRI techniques and the advent of artificial intelligence may help to uncover important mechanistic insights into the cardiomyopathic process. Innovative CMR techniques continue to evolve, and it will be of interest to determine how these advances can be incorporated into clinical practice to improve diagnosis, treatment, and management of patients with cardiomyopathies.
Entities:
Keywords:
Cardiac magnetic resonance; Cardiomyopathies; Heart failure; MRI; Myocardial disease
Authors: Marwa A Sabe; Sharif A Sabe; Kenya Kusunose; Scott D Flamm; Brian P Griffin; Deborah H Kwon Journal: Circulation Date: 2016-08-09 Impact factor: 29.690
Authors: Christoph Gräni; Christian Eichhorn; Loïc Bière; Venkatesh L Murthy; Vikram Agarwal; Kyoichi Kaneko; Sarah Cuddy; Ayaz Aghayev; Michael Steigner; Ron Blankstein; Michael Jerosch-Herold; Raymond Y Kwong Journal: J Am Coll Cardiol Date: 2017-10-17 Impact factor: 24.094
Authors: Ankur Gulati; Alan G Japp; Sadaf Raza; Brian P Halliday; Daniel A Jones; Simon Newsome; Nizar A Ismail; Kishen Morarji; Jahanzaib Khwaja; Nick Spath; Carl Shakespeare; Paul R Kalra; Guy Lloyd; Anthony Mathur; John G F Cleland; Martin R Cowie; Ravi G Assomull; Dudley J Pennell; Tevfik F Ismail; Sanjay K Prasad Journal: Circ Cardiovasc Imaging Date: 2018-09 Impact factor: 7.792