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Cardiac MRI

Cardiac MRI (Magnetic Resonance Imaging) is a strong, non-invasive imaging technique that provides high resolution, three-dimensional images of the heart and surrounding vasculature. This technique is routinely used for the detailed evaluation of cardiac anatomy, function, myocardial tissue characterization as well as contributing to accurate diagnosis and treatment decisions.

Use cases for cardiac MRI include:

1. Assessment of cardiomyopathies: Differentiate ischemic vs. non-ischemic heart diseases; evaluates myocardial fibrosis, and quantifies ventricular volumes and function

2. Congenital heart disease: Provides detailed images of congenital defects for surgical planning and follow risy at a higher risk.

3. Valvular heart disease: Evaluate valve morphology, flow pattern, and regurgitation.

4. Myocardial viability and perfusion: Determine the extent of myocardial infarction and guide re-vascularization strategies in patients with ischaemic heart disease

5. Evaluation of pericardium and vascular structures: to assess for pericardial thickening, effusion, aortic dilation/aneurysms, or aortic abnormalities

These benefits of cardiac MRI make the technology well suited for repeated and sequential assessments of patients due t o the non-invasive implications of its use, lack of ionizing radiation, and better soft tissue contrast. Advanced imaging techniques such as late gadolinium enhancement (LGE), T1/T2 mapping, and 4D flow imaging can provide additional information regarding the composition of myocardial tissue, composition of fibrosis, and the dynamics of blood flow.

Cardiac MRI contributes to interventional planning, risk stratification, and monitoring, all of which can supplement the evaluation associated with echocardiography and CT imaging. With continued advancements in imaging technologies and better qualifications, further clinical uses will be ascertained.

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