학술논문

Qualitative and Quantitative Stress Perfusion Cardiac Magnetic Resonance in Clinical Practice: A Comprehensive Review
Document Type
article
Source
Diagnostics. 13(3)
Subject
Clinical Research
Atherosclerosis
Heart Disease - Coronary Heart Disease
Cardiovascular
Biomedical Imaging
Heart Disease
4.1 Discovery and preclinical testing of markers and technologies
4.2 Evaluation of markers and technologies
Detection
screening and diagnosis
Good Health and Well Being
stress imaging
cardiac magnetic resonance imaging
myocardial ischemia
coronary artery disease
coronary microvascular dysfunction
Language
Abstract
Stress cardiovascular magnetic resonance (CMR) imaging is a well-validated non-invasive stress test to diagnose significant coronary artery disease (CAD), with higher diagnostic accuracy than other common functional imaging modalities. One-stop assessment of myocardial ischemia, cardiac function, and myocardial viability qualitatively and quantitatively has been proven to be a cost-effective method in clinical practice for CAD evaluation. Beyond diagnosis, stress CMR also provides prognostic information and guides coronary revascularisation. In addition to CAD, there is a large body of literature demonstrating CMR's diagnostic performance and prognostic value in other common cardiovascular diseases (CVDs), especially coronary microvascular dysfunction (CMD). This review focuses on the clinical applications of stress CMR, including stress CMR scanning methods, practical interpretation of stress CMR images, and clinical utility of stress CMR in a setting of CVDs with possible myocardial ischemia.