How we perform myocardial perfusion with cardiovascular magnetic resonance.

@article{Gebker2007HowWP,
  title={How we perform myocardial perfusion with cardiovascular magnetic resonance.},
  author={Rolf Gebker and Jurg Schwitter and Eckart Fleck and Eike Nagel},
  journal={Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance},
  year={2007},
  volume={9 3},
  pages={
          539-47
        }
}
  • R. Gebker, J. Schwitter, +1 author E. Nagel
  • Published 2007
  • Biology, Medicine
  • Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
Cardiovascular magnetic resonance first-pass perfusion imaging has developed considerably over the past decade. Several studies have shown that this technique is accurate for the detection of myocardial ischemia. In this article we outline the procedure of myocardial perfusion imaging with cardiovascular magnetic resonance as it is performed at our centers, describe the sequences that are currently used in more detail, review our process of image interpretation, and highlight potential pitfalls… 
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References

SHOWING 1-10 OF 44 REFERENCES
How we perform delayed enhancement imaging.
  • R. Kim, D. Shah, R. Judd
  • Medicine
    Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
  • 2003
TLDR
The procedure of delayed enhancement imaging performed at the center is outlined, the seg IR-FGE sequence is described in more detail, including the process for choosing sequence settings, the process of image interpretation, and potential pitfalls are highlighted.
Magnetic Resonance Perfusion Measurements for the Noninvasive Detection of Coronary Artery Disease
TLDR
The determination of MPRI with MRI yields a high diagnostic accuracy in patients with suspected CAD, and is able to differentiate ischemic and nonischemic segments.
Noninfarcted myocardium: correlation between dynamic first-pass contrast-enhanced myocardial MR imaging and quantitative coronary angiography.
TLDR
In patients without myocardial infarction, stress enhancement at dynamic MR imaging correlates more closely with quantitative coronary angiography results than does stress enhancementAt SPECT.
Improved detection of coronary artery disease by stress perfusion cardiovascular magnetic resonance with the use of delayed enhancement infarction imaging.
Combined long- and short-axis myocardial perfusion cardiovascular magnetic resonance.
TLDR
Rest-stress myocardial perfusion CMR is able to achieve complete segmental coverage of the myocardium using the combined short-long axis approach using an EPI sequence in 97% of a long series of consecutive cardiology patients, while maintaining excellent spatial resolution.
Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart. A statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association.
TLDR
Attempts to standardize these options for all cardiac imaging modalities should be based on the sound principles that have evolved from cardiac anatomy and clinical needs.
Myocardial perfusion reserve: assessment with multisection, quantitative, first-pass MR imaging.
TLDR
The myocardial perfusion reserve can be quantified with first-pass MR imaging and in patients with microvascular dysfunction, the myocardIAL perfusion Reserve matches the reduced coronary flow reserve.
Myocardial First-Pass Perfusion Magnetic Resonance Imaging: A Multicenter Dose-Ranging Study
TLDR
First-pass perfusion MRI is a safe and accurate test for identifying patients with obstructive coronary artery disease and a low dose of gadopentetate dimeglumine injection is at least as efficacious as higher doses.
Noninvasive detection of myocardial ischemia from perfusion reserve based on cardiovascular magnetic resonance.
TLDR
MR first-pass perfusion measurements yielded a high diagnostic accuracy for the detection of coronary artery disease and can be easily and reproducibly determined by a linear fit of the upslope of the signal intensity-time curves.
...
1
2
3
4
5
...