title: Cardiac MR perfusion imaging: where we are.
abstract: To date, several clinical and multicentre studies have demonstrated the accuracy of perfusion cardiac magnetic resonance to detect ischaemia in comparison with quantitative coronary angiography, other noninvasive diagnostic techniques (single photon emission computed tomography; positron-emission tomography), and invasive haemodynamic measurements (fractional flow reserve). Moreover, the favourable safety profile and increasing availability contribute to make perfusion cardiac magnetic resonance one of the modalities of choice for the detection of myocardial ischaemia. Recently, the first evidence of the prognostic value of perfusion cardiac magnetic resonance results has also become available. This review summarises the technical and interpretation key points of perfusion cardiac magnetic resonance scan, the clinical indications, the most recent available literature about its diagnostic performance and prognostic value, and how perfusion cardiac magnetic resonance compares with other noninvasive techniques.
authors.affiliation: Department of Radiological Sciences-Institute of Radiology, Catholic University of Rome, "A. Gemelli" University Hospital, L.go Agostino Gemelli 8, 00168, Rome, Italy, riccardo.marano@rm.unicatt.it.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Marano
authors.forename: Luigi
authors.initials: L
authors.lastname: Natale
authors.forename: Amedeo
authors.initials: A
authors.lastname: Chiribiri
authors.forename: Federica
authors.initials: F
authors.lastname: Pirro
authors.forename: Valentina
authors.initials: V
authors.lastname: Silvestri
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Coppola
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Bonomo
mesh_terms: D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000503:physiopathology; D003326:Coronary Circulation; D003663:Decision Trees; D005682:Gadolinium; D006801:Humans; D008279:Magnetic Resonance Imaging; D055414:Myocardial Perfusion Imaging; D015203:Reproducibility of Results; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D005682:Gadolinium