Abstract
Ischemic heart disease is one of the leading causes of death and disability, limiting individual’s quality of life. Cardiac magnetic resonance is radiation-free tool to image IHD patients and can depict inducible ischemia, extent and distribution of scar burden, associated complications like mitral regurgitation, thrombus, aneurysm formation, myocardial rupture, and any other incidental pathology. With increasing availability of the CMR there is an ever increasing need to interpret these images by non-imaging clinicians in order to manage patients more effectively. In this article, image interpretation for detection of ischemia, infarct and thrombus are discussed in simple easy to understand manner leaving behind intricate technical details which are of less important to the referring physicians.
Highlights
Ischemic heart disease is one of the leading causes of death and disability, limiting individual’s quality of life
Routine sequences carried out include Localisers, Half-Fourier Acquisition Single-shot Turbo spin Echo (HASTE), Steady State Free Precision cine imaging, FLASH based perfusion imaging, phase contrast velocity mapping, T1 mapping pre - and post contrast and Phase Sensitive Inversion Recovery (PSIR)/Magnitude early gadolinium enhanced and late gadolinium enhanced (LGE) imaging
Localisers and HASTE images are normally evaluated for incidental extra cardiac findings including aortic, arch, and pulmonary vasculature, lung, mediastinal and upper abdominal mass lesions (Fig. 1)
Summary
Ischemic heart disease is one of the leading causes of death and disability, limiting individual’s quality of life. Imaging in ischemic heart disease is carried out with adenosine infusion [1] under electrocardiography triggered technique and takes about 45-60 minutes. Routine sequences carried out include Localisers, Half-Fourier Acquisition Single-shot Turbo spin Echo (HASTE), Steady State Free Precision cine imaging, FLASH based perfusion imaging, phase contrast velocity mapping, T1 mapping pre - and post contrast and Phase Sensitive Inversion Recovery (PSIR)/Magnitude early gadolinium enhanced and late gadolinium enhanced (LGE) imaging. Navigated 3D coronary angiogram is used in the evaluation of coronary arteries especially their origin and course [2].
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