In the last years, cardiac
MRI techniques have progressively improved. No other noninvasive imaging modality provides the same degree of
contrast and
temporal resolution for the assessment of cardiovascular anatomy and pathology.
Contraindications MRI are the same as for other
magnetic resonance techniques.
The primary advantage of
MRI is extremely high
contrast resolution between different tissue types, including blood. Moreover,
MRI is a true
3 dimensional imaging modality and images can be obtained in any
oblique plane along the true
cardiac axes while preserving high temporal and
spatial resolution with precise demonstration of cardiac anatomy without the administration of
contrast media.
Due to these properties,
MRI can precisely characterize cardiac function and quantify cavity volumes, ejection fraction, and left ventricular
mass. In addition, cardiac
MRI has the ability to quantify
flow (see
flow quantification), including bulk
flow in vessels, pressure
gradients across stenosis, regurgitant fractions and shunt fractions. Valve morphology and area can be determined and the severity of stenosis quantified. In certain disease states, such as myocardial infarction, the
contrast resolution of
MRI is further improved by the addition of extrinsic
contrast agents (see
myocardial late enhancement).
A dedicated cardiac
coil, and a
field strength higher than 1
Tesla is recommended to have sufficient signal. Cardiac
MRI acquires ECG
gating.
Cardiac gating (ECGs) obtained within the
MRI scanner, can be degraded by the superimposed
electrical potential of flowing blood in the
magnetic field. Therefore, excellent contact between the skin and ECG leads is necessary. For male patients, the skin at the lead sites can be shaved. A good cooperation of the patient is necessary because breath holding at the end of expiration is practiced during the most
sequences.
See also
Displacement Encoding with Stimulated Echoes.
For Ultrasound Imaging (USI) see
Cardiac Ultrasound at
Medical-Ultrasound-Imaging.com.
See also the related poll results: '
In 2010 your scanner will probably work with a field strength of' and '
MRI will have replaced 50% of x-ray exams by'