Abstract

Introduction Late gadolinium enhancement (LGE) in contrastenhanced MRI (CE-MRI) has been proven to reliably identify and quantify scar after myocardial infarction in coronary artery disease (CAD). However, LGE is not specific for ischemic damage since different fibrotic and inflammatory diseases with enlarged interstitial volume are accompanied by LGE. During recent years, many studies have been performed showing the clinical usefulness of the additional information given by LGE imaging. Different myocardial diseases seem to present with specific patterns of LGE enabling to differentiate different etiologies.

Highlights

  • Late gadolinium enhancement (LGE) in contrastenhanced MRI (CE-MRI) has been proven to reliably identify and quantify scar after myocardial infarction in coronary artery disease (CAD)

  • Different myocardial diseases seem to present with specific patterns of LGE enabling to differentiate different etiologies

  • Non-infarction LGE could well be distinguished from ischemic damage because of characteristic LGE patterns

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Summary

Introduction

Late gadolinium enhancement (LGE) in contrastenhanced MRI (CE-MRI) has been proven to reliably identify and quantify scar after myocardial infarction in coronary artery disease (CAD). LGE is not specific for ischemic damage since different fibrotic and inflammatory diseases with enlarged interstitial volume are accompanied by LGE. Many studies have been performed showing the clinical usefulness of the additional information given by LGE imaging. Different myocardial diseases seem to present with specific patterns of LGE enabling to differentiate different etiologies.

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