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Stress CMR in Known or Suspected CAD: Diagnostic and Prognostic Role
- Source :
- BioMed Research International, Vol 2021 (2021), BioMed Research International
- Publication Year :
- 2021
- Publisher :
- Hindawi Limited, 2021.
-
Abstract
- The recently published 2019 guidelines on chronic coronary syndromes (CCS) focus on the need for noninvasive imaging modalities to accurately establish the diagnosis of coronary artery disease (CAD) and assess the risk of clinical scenario occurrence. Appropriate patient management should rely on controlling symptoms, improving prognosis, and guiding each therapeutic strategy as well as monitoring disease progress. Among the noninvasive imaging modalities, cardiovascular magnetic resonance (CMR) has gained broad acceptance in past years due to its unique features in providing a complete assessment of CAD through data on cardiac anatomy and function and myocardial viability, with high spatial and temporal resolution and without ionizing radiation. In detail, evaluation of the presence and extent of myocardial ischemia through stress CMR (S-CMR) has shown a high rule-in power in detecting functionally significant coronary artery stenosis in patients suspected of CCS. Moreover, S-CMR technique may add significant prognostic value, as demonstrated by different studies which have progressively evidenced the valuable power of this multiparametric imaging modality in predicting adverse cardiac events. The latest scientific progress supports a greater expansion of S-CMR with improvement of quantitative myocardial perfusion analysis, myocardial strain, and native mapping within the same examination. Although further study is warranted, these techniques, which are currently mostly restricted to the research field, are likely to become increasingly prevalent in the clinical setting with the scope of increasing accuracy in the selection of patients to be sent to invasive revascularization. This review investigates the diagnostic and prognostic role of S-CMR in the context of CAD, by analysing a strong, long-standing, scientific evidence together with an appraisal of new advanced techniques which may potentially enrich CAD management in the next future.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Myocardial Ischemia
MEDLINE
Magnetic Resonance Imaging, Cine
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
Context (language use)
CAD
Review Article
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary Angiography
Revascularization
Ventricular Function, Left
General Biochemistry, Genetics and Molecular Biology
030218 nuclear medicine & medical imaging
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
Image Processing, Computer-Assisted
Humans
Medicine
cardiovascular diseases
Intensive care medicine
Tomography, Emission-Computed, Single-Photon
Modalities
Modality (human–computer interaction)
General Immunology and Microbiology
medicine.diagnostic_test
business.industry
Magnetic resonance imaging
General Medicine
medicine.disease
business
Magnetic Resonance Angiography
Human
Subjects
Details
- Language :
- English
- ISSN :
- 23146141 and 23146133
- Volume :
- 2021
- Database :
- OpenAIRE
- Journal :
- BioMed Research International
- Accession number :
- edsair.doi.dedup.....3850b5822650fb65d3a7667b07a3efd1