Update on MRI Techniques for Evaluation of Pericardial Disease
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PERICARDIAL DISEASE (L KLEIN AND CL JELLIS, SECTION EDITORS)
Update on MRI Techniques for Evaluation of Pericardial Disease Ossama K. Abou Hassan 1 & Deborah Kwon 1
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review Cardiovascular magnetic resonance (CMR) provides the most comprehensive imaging assessment of pericardial disease, providing a three-dimensional assessment of the pericardium, functional assessment of its impact on cardiac contractility, and pericardial tissue/fluid characterization. This review presents an update on the utility of CMR imaging in a wide variety of pericardial diseases. Recent Findings CMR provides both qualitative and quantitative assessment of the pericardium through various imaging techniques. It can also be used as a guide therapy and delineate response to treatment in pericarditis. CMR is also useful for the assessment of rare congenital disorders and in defining pericardial tumors and differentiating some non-invasively. Summary CMR is a powerful non-invasive diagnostic tool for evaluating and characterizing pericardial diseases. Ongoing optimization of imaging techniques allows for differentiation of subtypes of disease as well as progression. Ongoing research demonstrates continued expanding role of CMR in both the diagnosis and management of pericardial and cardiovascular disease. Keywords Pericardial disease . Cardiac magnetic resonance imaging
Introduction Pericardial diseases encompass a wide variety of manifestations seen in the clinical setting. Cardiovascular magnetic resonance (CMR) is recognized as the most comprehensive imaging modality for the assessment of the pericardium and its diseases. It allows for an excellent description of the anatomy, spatial situation, and structural anomalies as well as functional complications of pericardial disease [1•]. CMR provides high spatial resolution assessment of the pericardium, which enables improved diagnostic capabilities. In general, T1- and T2weighted black blood imaging allows for depiction of the pericardium and its thickness measurement. Moreover, steady-state free precession (SSFP) imaging sequences provide threedimensional assessment of pericardial disease and its impact This article is part of the Topical Collection on Pericardial Disease * Deborah Kwon [email protected] Ossama K. Abou Hassan [email protected] 1
Section of Cardiovascular Imaging, Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH 44195, USA
on myocardial function, while late gadolinium enhancement (LGE) sequences allow for assessment of the presence and severity of pericardial inflammation. This review presents an update on the utility of CMR imaging in pericardial disease.
CMR Imaging Sequences Standard Clinical Sequences Steady-state free precession (SSFP) imaging sequence produces high spatial and temporal resolution images with excellent tissue/blood contrast and is the most widely utilized seque
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