title: Cardiac MRI assessment of myocardial perfusion.
abstract: Coronary artery disease is the most common cause of mortality and morbidity around the globe. Assessment of myocardial perfusion to diagnose ischemia is commonly performed in symptomatic patients prior to referral for cardiac catheterization. Among other noninvasive imaging modalities, cardiac MRI (CMR) is emerging as a highly sensitive and specific test for myocardial ischemia and infarction. Resting perfusion on CMR is used to evaluate for microvascular obstruction, which is shown to predict adverse left ventricular remodeling and cardiac events after acute myocardial infarction. This article summarizes the current understanding of CMR perfusion.
authors: Division of Cardiology, Department of Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA.
authors: Yasmin S
authors: YS
authors: Hamirani
authors: Christopher M
authors: CM
authors: Kramer
mesh_terms: D003326:Coronary Circulation / Q000502:physiology*; D006801:Humans; D021621:Imaging, Three-Dimensional; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods*; D008833:Microcirculation; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology; D015203:Reproducibility of Results
keywords: 3D perfusion; cardiac MRI; fractional flow reserve; microvascular obstruction; myocardial perfusion; quantitative perfusion; rest; stress