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.

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.

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T2 mapping may uncover cardiotoxic marker early enough to prevent heart failure

T2 mapping derived from weekly cardiac MRIs helped researchers identify cardiotoxicity at an early and reversible stage, a finding which may have implications for cancer patients at risk of chemotherapy-induced heart failure.

Example of spectral, or dual-energy CT, confirming a pulmonary embolism (PE). Image courtesy of Philips Healthcare

MRA vs CTA for evaluating pulmonary embolism: Does the chosen modality impact downstream imaging utilization?

MR angiography (MRA) is a relatively new alternative to CT angiography (CTA) for the evaluation of suspected pulmonary embolism (PE) and it even has one major advantage over CTA: it does not expose patients to ionizing radiation.

Around the web

The new technology shows early potential to make a significant impact on imaging workflows and patient care. 

Richard Heller III, MD, RSNA board member and senior VP of policy at Radiology Partners, offers an overview of policies in Congress that are directly impacting imaging.
 

The two companies aim to improve patient access to high-quality MRI scans by combining their artificial intelligence capabilities.