Abstract
The normal pericardium can be hardly seen as a low-intensity line within the epicardial fat on T1-weighted imaging with a thickness <3 mm. Moreover, the normal pericardium is not highly vascularized, and in the presence of chronic inflammation and fibrosis, the extracellular space of the pericardium is increased with neovascularization producing pericardial LGE. On this basis cardiac magnetic resonance (CMR) allows the study of pericardial thickness but also inflammation (pericardial edema and LGE). CMR allows the diagnosis of pericarditis and complicated pericarditis.
In case of constrictive pericarditis, CMR allows the assessment of pericardial thickness, inflammation and signs of increased ventricular interdependence (septal bounce).
A complete protocol for the evaluation of the pericardium includes cine sequences, cine real time, T1w and T2w imaging as well as LGE.
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Imazio, M., Andriani, M., Lobetti Bodoni, L., Gaita, F. (2019). Pericardial Diseases. In: Learning Cardiac Magnetic Resonance . Springer, Cham. https://doi.org/10.1007/978-3-030-11608-8_8
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DOI: https://doi.org/10.1007/978-3-030-11608-8_8
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