2014 Korean Guidelines for Appropriate Utilization of Cardiovascular Magnetic Resonance Imaging: A Joint Report of the Korean Society of Cardiology and the Korean Society of Radiology

Abstract

Cardiac magnetic resonance (CMR) imaging is now widely used in several fields of cardiovascular disease assessment due to recent technical developments. CMR can give physicians information that cannot be found with other imaging modalities. However, there is no guideline which is suitable for Korean people for the use of CMR. Therefore, we have prepared a Korean guideline for the appropriate utilization of CMR to guide Korean physicians, imaging specialists, medical associates and patients to improve the overall medical system performances. By addressing CMR usage and creating these guidelines we hope to contribute towards the promotion of public health. This guideline is a joint report of the Korean Society of Cardiology and the Korean Society of Radiology.

Native T1 Mapping Demonstrating Apical Thrombi in Eosinophilic Myocarditis Associated with Churg-Strauss Syndrome

“…CMR imaging is a very useful tool to diagnose cardiomyopathies, such as eosinophilic myocarditis5) There are a few known CMR findings of eosinophilic myocarditis 6)7). Subendocardial enhancement on LGE images is a characteristic CMR imaging feature, which seems to be present in both necrotic and thrombotic stages of eosinophilic myocarditis 6)7)8)9)10).…”

Cardiac Magnetic Resonance Scar Imaging for Sudden Cardiac Death Risk Stratification in Patients with Non-Ischemic Cardiomyopathy

“…Even if there is a practical utility of this parameter for risk stratification in patients with cardiomyopathy, CMR is not yet widely accepted among clinicians as a routine screening test for risk assessment in patients with NICM. Recently, Korean guidelines for appropriate utilization of CMR have been published, which recommends myocardial scar evaluation with CMR to determine candidates of ICD or cardiac resynchronization therapy (CRT) therapy in HF patients (Level of evidence, A; Appropriateness criteria, A) ( 53 ). On the basis of these recommendations, expanding the clinical applications of CMR would be beneficial for the management of patients with NICM.…”

Imaging Cardiovascular Calcification

“…However, assessment of the coronary arteries by cardiac magnetic resonance is still challenging, because of the small size of the vessels, prolonged acquisition time, and complex motions caused by cardiac contractions and respiration 81. The carotid artery is large, superficial, and clinically important as a major source of ischemic stroke.…”