Magnetic Resonance Imaging

Cardiac magnetic resonance imaging MRI is used as both a functional and anatomical cardiac imaging test. It offers excellent soft tissue detail and the ability to quantify cardiac function. MRI scans can be performed with or without gadolinium contrast depending on what information is needed. Unlike computed tomography (CT), MRI does not use X-ray radiation, but patients with metal implants may have contraindications for MRI use because MR will heat up most metal objects. MRI exams usually take much longer than CT scans. How does MRI work? MR creates images by using powerful magnets to polarize hydrogen atoms in water (the body is made of of more than 80% water) so they face in one direction. A radiofrequency pulse is then used to ping these atoms, causing them to wobble, or resonate. The MRI coils detect this and computers can assemble images from the signals. Basic MRI scans will focus on the resonance of fat and water in two different sequences, which highlight and contrast different features in the anatomy.

SNMMI Image of the Year 68Ga-FAPI-46 PET/CT heart attack acute myocardial infarction

‘Image of the Year’ highlights the predictive power of a new PET imaging agent

The Society of Nuclear Medicine and Molecular Imaging has chosen its 2022 Image of the Year, and it’s one that is sure to interest anyone in the field of cardiac imaging.

Cardiac MRI findings can predict incident CVD years before onset

Prior imaging of the descending thoracic and abdominal aorta in study participants revealed thoracic aortic wall area (AWA), plaque prevalence and plaque volumes to be independently associated with incident CVD.

A dedicated Cardiac MRI scanner. The presence of myocardial fibrosis on cardiac MRI can help anticipate adverse arrhythmic events and  may offer a way to improve patient selection for cardiac implantable electronic devices (CIEDs). This is a dedicated cardiac MRI system at Baylor Scott White.

Could cardiac MRI become the reference standard for diagnosing heart failure?

Cardiac MRI may offer a more accurate and less invasive method for diagnosing heart failure, a new study published in the European Heart Journal shows. 

COVID-19 vaccine associated myocarditis on short-axis 1.5T MRI images of a 19-year-old man who presented with chest pain three days following the second dose of an mRNA COVID-19 vaccine.

New cardiac MRI analysis offers updated insight into long-term impact of vaccine-related myocarditis

Months after their initial myocarditis diagnosis, late gadolinium enhancement (LGE) was observed in 62% of patients on follow-up cardiac MRI.

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Water-fat separation sequence yields superior image quality compared to standard coronary MRA

The 3-T Dixon GRE magnetic resonance angiography method produced better image quality and yielded greater overall diagnostic performance, according to a new study in AJR.

A dedicated Cardiac MRI scanner. The presence of myocardial fibrosis on cardiac MRI can help anticipate adverse arrhythmic events and  may offer a way to improve patient selection for cardiac implantable electronic devices (CIEDs). This is a dedicated cardiac MRI system at Baylor Scott White.

AI tool detects CVD on cardiac MRI in 20 seconds with high precision

The algorithm is already in use at some institutions in Europe, with plans for it to be utilized globally at many more within the year.

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MRI detects heart failure risk in patients with dilated cardiomyopathy

About 40% of individuals had scarring patterns on their heart muscle visible during imaging, which was associated with a greater risk of suffering a major cardiac event.

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Cardiac MRI-derived T2 mapping may help heart failure patients

Researchers used T2 mapping taken from weekly cardiac MRIs to help identify cardiotoxicity at an early stage, according to results of a pig study published Feb. 18 in the Journal of the American College of Cardiology. The findings could help cancer patients at risk of chemo-induced heart failure.

Around the web

GE HealthCare designed the new-look Revolution Vibe CT scanner to help hospitals and health systems embrace CCTA and improve overall efficiency.

Clinicians have been using HeartSee to diagnose and treat coronary artery disease since the technology first debuted back in 2018. These latest updates, set to roll out to existing users, are designed to improve diagnostic performance and user access.

The cardiac technologies clinicians use for CVD evaluations have changed significantly in recent years, according to a new analysis of CMS data. While some modalities are on the rise, others are being utilized much less than ever before.