Ischemic cardiomyopathy (ICM) is one of the most common causes of congestive heart failure. In patients with ICM, tissue characterization with cardiac magnetic resonance imaging (CMR) allows for evaluation of myocardial abnormalities in acute and chronic settings. Myocardial edema, microvascular obstruction (MVO), intracardiac thrombus, intramyocardial hemorrhage, and late gadolinium enhancement of the myocardium are easily depicted using standard CMR sequences. In the acute setting, tissue characterization is mainly focused on assessment of ventricular thrombus and MVO, which are associated with poor prognosis. Conversely, in chronic ICM, it is important to depict late gadolinium enhancement and myocardial ischemia using stress perfusion sequences. Overall, with CMR's ability to accurately characterize myocardial tissue in acute and chronic ICM, it represents a valuable diagnostic and prognostic imaging method for treatment planning. In particular, tissue characterization abnormalities in the acute setting can provide information regarding the patients that may develop major adverse cardiac event and show the presence of ventricular thrombus; in the chronic setting, evaluation of viable myocardium can be fundamental for planning myocardial revascularization. In this review, the main findings on tissue characterization are illustrated in acute and chronic settings using qualitative and quantitative tissue characterization.

Muscogiuri, G., Ricci, F., Scafuri, S., Guglielmo, M., Baggiano, A., De Stasio, V., et al. (2022). Cardiac Magnetic Resonance Tissue Characterization in Ischemic Cardiomyopathy. JOURNAL OF THORACIC IMAGING, 37(1), 2-16 [10.1097/RTI.0000000000000621].

Cardiac Magnetic Resonance Tissue Characterization in Ischemic Cardiomyopathy

Muscogiuri G;
2022

Abstract

Ischemic cardiomyopathy (ICM) is one of the most common causes of congestive heart failure. In patients with ICM, tissue characterization with cardiac magnetic resonance imaging (CMR) allows for evaluation of myocardial abnormalities in acute and chronic settings. Myocardial edema, microvascular obstruction (MVO), intracardiac thrombus, intramyocardial hemorrhage, and late gadolinium enhancement of the myocardium are easily depicted using standard CMR sequences. In the acute setting, tissue characterization is mainly focused on assessment of ventricular thrombus and MVO, which are associated with poor prognosis. Conversely, in chronic ICM, it is important to depict late gadolinium enhancement and myocardial ischemia using stress perfusion sequences. Overall, with CMR's ability to accurately characterize myocardial tissue in acute and chronic ICM, it represents a valuable diagnostic and prognostic imaging method for treatment planning. In particular, tissue characterization abnormalities in the acute setting can provide information regarding the patients that may develop major adverse cardiac event and show the presence of ventricular thrombus; in the chronic setting, evaluation of viable myocardium can be fundamental for planning myocardial revascularization. In this review, the main findings on tissue characterization are illustrated in acute and chronic settings using qualitative and quantitative tissue characterization.
Articolo in rivista - Articolo scientifico
ischemic cardiomyopathy; myocardial viability; tissue characterization;
English
2
16
15
Muscogiuri, G., Ricci, F., Scafuri, S., Guglielmo, M., Baggiano, A., De Stasio, V., et al. (2022). Cardiac Magnetic Resonance Tissue Characterization in Ischemic Cardiomyopathy. JOURNAL OF THORACIC IMAGING, 37(1), 2-16 [10.1097/RTI.0000000000000621].
Muscogiuri, G; Ricci, F; Scafuri, S; Guglielmo, M; Baggiano, A; De Stasio, V; Di Donna, C; Spiritigliozzi, L; Chiocchi, M; Lee, S; De Cecco, C; van Assen, M; Rabbat, M; Pontone, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/378654
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