CMR First-Pass Perfusion for Suspected Inducible Myocardial Ischemia.
Cardiovascular magnetic resonance (CMR) has evolved from a pioneering research tool to an established noninvasive imaging method for detecting inducible myocardial perfusion deficits. In this consensus document, experts of different imaging techniques summarize the existing body of evidence regarding CMR perfusion as a viable complement to other established noninvasive tools for the assessment of perfusion and discuss the advantages and pitfalls of the technique. A rapid, standardized CMR perfusion protocol is described, which is safe, clinically feasible, and cost-effective for centers with contemporary magnetic resonance equipment. CMR perfusion can be recommended as a routine diagnostic tool to identify inducible myocardial ischemia.
Cardiovascular Division, University of Miami, Miller School of Medicine, Miami, Florida.
Robert C
RC
Hendel
Departments of Medicine and Radiology, McGill University Health Centre, Montreal, Canada; Department of Medicine, Heidelberg University, Heidelberg, Germany; Department of Radiology, Université de Montreal, Montreal, Canada; Departments of Cardiac Sciences and Radiology, University of Calgary, Calgary, Canada.
Matthias G
MG
Friedrich
Charité Campus Buch, ECRC a Joint Institution of Universitätsmedizin Berlin and MDC and HELIOS Klinikum Berlin-Buch, Klinik und Poliklinik für Kardiologie und Nephrologie, Berlin, Germany.
Jeanette
J
Schulz-Menger
Institute for Pharmacology and Preventive Medicine, Mahlow, Germany.
Claudia
C
Zemmrich
Klinik für Nuklearmedizin, Medizinische Hochschule Hannover, Hannover, Germany.
Frank
F
Bengel
Cedars-Sinai Medical Center, West Hollywood, California.
Daniel S
DS
Berman
Vita Salute University and San Raffaele Hospital, Milan, Italy.
Paolo G
PG
Camici
Imaging, and Heart and Vascular Institutes, Cleveland Clinic, Cleveland, Ohio.
Scott D
SD
Flamm
Department of Nuclear Medicine, Bichat Hospital, AP-HP and DHU FIRE, Paris Diderot University, INSERM U1148, Paris, France.
Dominique
D
Le Guludec
Duke Cardiovascular Magnetic Resonance Center at Duke University Medical Center, Durham, North Carolina.
Raymond
R
Kim
Multimodality Cardiac Imaging Section, IRCCS Policlinico San Donato, Milan, Italy.
Massimo
M
Lombardi
Houston Methodist Hospital, Houston, Texas.
John
J
Mahmarian
Abteilung für Kardiologie, Robert-Bosch-Krankenhaus Stuttgart, Stuttgart, Germany.
Udo
U
Sechtem
Institute for Experimental and Translational Cardiovascular Imaging, University Hospital Frankfurt/Main, DZHK Centre for Cardiovascular Imaging, Frankfurt, Germany. Electronic address: eike.nagel@cardiac-imaging.org.
Eike
E
Nagel
D019540:Area Under Curve; D003326:Coronary Circulation; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000592:standards; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging* / Q000503:physiopathology; D055414:Myocardial Perfusion Imaging / Q000379:methods* / Q000592:standards; D017410:Practice Guidelines as Topic; D011237:Predictive Value of Tests; D011379:Prognosis; D012372:ROC Curve
cardiac MRI; diagnosis; ischemic heart disease