What question did this study set out to answer?

To review physiological and pathophysiological alterations in myocardial T1 and extracellular volume (ECV) values and evaluate their diagnostic potential in routine clinical CMR.

October 21, 2018European Journal of RadiologyOpen Access

Cardiac magnetic resonance T1 mapping. Part 2: Diagnostic potential and applications

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Why the study?

Does myocardial T1 and ECV mapping provide additional or superior diagnostic information to standard CMR imaging for identifying and differentiating myocardial diseases?

Comparison

Cardiac magnetic resonance longitudinal… vs Standard CMR imaging and late gadolinium…

Design

Review

Authors

URUrsula ReiterMedical University of Graz CRClemens ReiterMedical University of Graz CKCorina KräuterMedical University of Graz

Discussion

Member takes

Implication

T1/ECV overlaps limit added diagnostic value over standard CMR; leaves open need for comparative validation studies.

Key Points

To review physiological and pathophysiological alterations in myocardial T1 and extracellular volume (ECV) values and evaluate their diagnostic potential in routine clinical CMR.
Narrative review synthesizing evidence on myocardial longitudinal relaxation time (T1) and ECV mapping across left ventricular phenotypes.
Assessment of native T1 mapping as a non-contrast alternative to late gadolinium enhancement (LE) imaging in clinical practice.
Native T1 and ECV mapping provide non-invasive characterization of myocardial disease, though values frequently overlap across different left ventricular disease phenotypes.
T1 mapping provides incremental diagnostic utility over standard CMR protocols and offers a viable contrast-free alternative to late gadolinium enhancement.

Structured PICO

Does myocardial T1 and ECV mapping provide additional or superior diagnostic information to standard CMR imaging for identifying and differentiating myocardial diseases?

Intervention

Cardiac magnetic resonance (CMR) longitudinal relaxation time (T1) and extracellular volume (ECV) mapping

Comparator

Standard CMR imaging and late gadolinium enhancement (LE) imaging

Outcome

Diagnostic potential for non-invasive identification and differentiation of myocardial diseasessurrogate

This review summarizes the diagnostic potential of CMR T1 and ECV mapping for identifying and differentiating myocardial diseases compared to standard CMR.

Cite This Study

Reiter et al. (2018) studied this question.

synapsesocial.com/papers/6a72dd7e439a8a41ba1ae6db https://doi.org/10.1016/j.ejrad.2018.10.013

Topics

Cardiac MRI Cardiomyopathy Women and heart disease

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Cardiac magnetic resonance T1 mapping. Part 2: Diagnostic potential and applications

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Cardiac magnetic resonance T1 mapping. Part 2: Diagnostic potential and applications

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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