Late gadolinium enhancement imaging in assessment of myocardial viability: techniques and clinical applications.
Assessment of myocardial viability is of ever-evolving interest in cardiovascular imaging, with major societies having incorporated viability imaging as class I or class IIa indications in their guidelines to better guide patient management. As with late gadolinium enhancement cardiac magnetic resonance (MR), assessment of residual myocardial viability or the extent of myocardial infarction is straightforward and this technique may easily be combined with other cardiac MR modules. In clinical routine functional assessment and myocardial perfusion imaging if often used in conjunction allowing for a comprehensive assessment of ischemic heart disease.
Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada; Department of Medical Imaging, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.
Laura
L
Jimenez Juan
Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada; Department of Medical Imaging, Peter Munk Cardiac Center, Toronto General Hospital, 585 University Avenue, Toronto, Ontario M5G 2N2, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Division of Cardiology, Peter Munk Cardiac Center, Toronto General Hospital, Toronto, Ontario, Canada.
Andrew M
AM
Crean
Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada; Department of Medical Imaging, Peter Munk Cardiac Center, Toronto General Hospital, 585 University Avenue, Toronto, Ontario M5G 2N2, Canada. Electronic address: bernd.wintersperger@uhn.ca.
Bernd J
BJ
Wintersperger
D003287:Contrast Media; D005682:Gadolinium; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D009203:Myocardial Infarction / Q000473:pathology; D009206:Myocardium; D014022:Tissue Survival
D003287:Contrast Media; D005682:Gadolinium
Delayed enhancement; Heart; Late gadolinium enhancement; Magnetic resonance imaging; Microvascular obstruction; Myocardial viability; Revascularization; Thrombus