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Status of myocardial perfusion assessment by MRI

  • Chapter
What’s New in Cardiovascular Imaging?

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 204))

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Summary

An integrated cardiac magnetic resonance exam has the potential to serve as a “one stop shop” imaging modality for the diagnosis of coronary artery disease. The combination of consistently attainable anatomic and functional information of an MR scan may replace a series of tests currently used in cardiology, such as stress echocardiography, cardiac catheterization with X-ray angiography and nuclear medicine tests. Such a cardiac MR examination may include imaging of at least the proximal part of the coronary arteries, the assessment of cardiac function under rest and stress conditions as well as the assessment of myocardial perfusion.

There exist a number of physical principles which generate image contrast dependent on the myocardial perfusion. However, the most promising method to assess myocardial perfusion with MRI is tracking of a contrast agent bolus and evaluating the uptake as well as the wash-out of the dye within the myocardium. Scientifically this concept has been proven to assess myocardial blood flow and even has been refined towards quantitative results, but only recent advances in MR instrumentation allow rapid imaging to cover the entire heart and therefore make these approaches potentially clinically useful.

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Authors
  1. Stefan E. Fischer
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  2. Christine H. Lorenz
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Editor information

Editors and Affiliations

  1. Division of Image Processing, Department of Radiology, Department of Cardiology, Leiden University Medical Center, The Netherlands

    Johan H. C. Reiber

  2. Interuniversity Cardiology Institute of the Netherlands (ICIN), Utrecht, The Netherlands

    Johan H. C. Reiber  & Ernst E. Van Der Wall  & 

  3. Department of Cardiology, Leiden University Medical Center, The Netherlands

    Ernst E. Van Der Wall

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© 1998 Springer Science+Business Media Dordrecht

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Fischer, S.E., Lorenz, C.H. (1998). Status of myocardial perfusion assessment by MRI. In: Reiber, J.H.C., Van Der Wall, E.E. (eds) What’s New in Cardiovascular Imaging?. Developments in Cardiovascular Medicine, vol 204. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5123-8_19

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  • DOI: https://doi.org/10.1007/978-94-011-5123-8_19

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6154-4

  • Online ISBN: 978-94-011-5123-8

  • eBook Packages: Springer Book Archive

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