Key result
MRI and MRA are important alternative imaging modalities for evaluating patients with acute chest pain due to pulmonary embolism, aortic dissection, and myocardial infarction when CTA is contraindicated.
MRI and MRA serve as critical alternative imaging modalities for evaluating acute chest pain when CTA is contraindicated.
Supports MRI/MRA consideration when CTA contraindicated; leaves open prospective validation for acute protocols.
This article reviews the magnetic resonance imaging (MRI) and angiography (MRA) techniques, imaging findings, and evidence for evaluating patients with acute chest pain due to acute pulmonary embolus (PE), aortic dissection (AD), and myocardial infarction (MI). When computed tomographic angiography (CTA) is contraindicated, MRI and MRA are important alternative imaging modalities for diagnosis and management of patients with acute PE, AD, and MI. Familiarity with the techniques, imaging findings, and evidence is critical to safely and appropriately managing patients presenting with acute chest pain.
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François et al. (2013) conducted a review in Acute chest pain. Magnetic resonance imaging (MRI) and angiography (MRA) was evaluated. MRI and MRA are important alternative imaging modalities for evaluating patients with acute chest pain due to pulmonary embolism, aortic dissection, and myocardial infarction when CTA is contraindicated.
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