Black blood MRI has diagnostic and prognostic value in the assessment of patients with pulmonary hypertension

Swift, Andrew J.; Rajaram, Smitha; Marshall, Helen; Condliffe, Robin; Capener, David; Hill, Catherine; Davies, Christine; Hurdman, Judith; Elliot, Charlie; Wild, Jim M.; Kiely, David G.

doi:10.1007/s00330-011-2306-0

Cited by 42 publications

(40 citation statements)

References 27 publications

(30 reference statements)

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“…There is some evidence that follow-up CMR studies may have utility in the long-term management of PAH by identifying RV failure prior to the development of clinical features [64,66,112,113].…”

Section: The World Health Organization Functional Class (Who-fc) (Webmentioning

confidence: 99%

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

et al. 2015

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Guidelines summarize and evaluate all available evidence on a particular issue at the time of the writing process, with the aim of assisting health professionals in selecting the best management strategies for an individual patient with a given condition, taking into account the impact on outcome, as well as the risk–benefit ratio of particular diagnostic or therapeutic means. Guidelines and recommendations should help health professionals to make decisions in their daily practice. However, the final decisions concerning an individual patient must be made by the responsible health professional(s) in consultation with the patient and caregiver as appropriate.

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Section: The World Health Organization Functional Class (Who-fc) (Webmentioning

confidence: 99%

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

et al. 2015

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“…Double inversion recovery "black blood" MRI suppresses the signal from flowing blood, and slow-flowing blood causes incomplete suppression, resulting in pulmonary blood flow artifact (PFA). Swift et al 33 looked into the diagnostic utility and prognostic value of a PFA scoring system in patients with PH by RHC. They found that PFA >1 demonstrated a high sensitivity (86%) and specificity (85%) for diagnosis of PH, with a good correlation with PVR, mPAP, and CI.…”

Section: Resultsmentioning

confidence: 99%

Right Ventricular Reverse Remodeling after Pulmonary Endarterectomy: Magnetic Resonance Imaging and Clinical and Right Heart Catheterization Assessment

et al. 2014

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The objective of this study was to assess the effect of pulmonary endarterectomy (PEA) on right ventricular (RV) reverse remodeling using magnetic resonance imaging (MRI) and to correlate MRI findings with clinical and hemodynamic outcomes postsurgery. We performed a retrospective analysis in 72 patients undergoing PEA surgery in whom MRI and right heart catheterization (RHC) were performed preoperation and 3 months postoperation. RV volumes and mass were assessed by MRI. Continuous variables were expressed as means, changes were compared with a paired t test, and associations between the variables were explored using Pearson correlation coefficients. The mean age was 57 years, and 51% were male. Both RV end-diastolic volume (EDV; 176-117 mL; P < 0.001) and RV end-systolic volume (ESV; 129-64 mL; P < 0.001) reduced significantly following PEA. Preoperative pulmonary artery pressure (PAP) correlated moderately with ESV (r ¼ 0.46, P < 0.001). Postoperatively, PAP correlated with EDV (r ¼ 0.45, P < 0.001) and ESV (r ¼ 0.44, P < 0.001). Moderate correlation was present between hemodynamic parameters: PAP, pulmonary vascular resistance, and right atrial pressure with pre-and postoperation endsystolic and end-diastolic RV mass (P < 0.001). RHC and MRI measurements of cardiac output and RV volumes were significantly different (P < 0.001). In conclusion, RV reverse remodeling, as measured by improvement in RV volumes and mass by MRI, was observed for 3 months in patients who underwent PEA surgery. This is the largest series of patients with pre-and post-PEA MRI assessment so far reported. MRI detects changes in parameters reflecting cardiac remodeling and pulmonary clearance, but measurements are significantly different from those of RHC.

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“…Istnieją dowody na to, że powtarzane badania CMR mogą mieć zastosowanie w długoterminowej obserwacji pacjentów z PAH poprzez identyfikowanie niewydolności RV przed ujawnieniem się objawów klinicznych [64,66,112,113].…”

Section: Parametry Kliniczne Badania Obrazowe I Parametry Hemodynamiunclassified

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

Galiè¹,

Humbert²,

Vachiéry³

et al. 2015

Kardiol Pol

386

528

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Black blood MRI has diagnostic and prognostic value in the assessment of patients with pulmonary hypertension

Cited by 42 publications

References 27 publications

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

Right Ventricular Reverse Remodeling after Pulmonary Endarterectomy: Magnetic Resonance Imaging and Clinical and Right Heart Catheterization Assessment

2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension

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