Prognostic Value of Stress Cardiac Magnetic Resonance Imaging in Patients With Known or Suspected Coronary Artery Disease: A Systematic Review and Meta-Analysis

Lipinski, Michael J.; McVey, Courtney; Berger, Jeffrey S.; Kramer, Christopher M.; Salerno, Michael

doi:10.1016/s0735-1097(13)60809-8

Cited by 50 publications

(79 citation statements)

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“…A negative stress study is associated with a low risk of cardiovascular death or myocardial infarct, whereas a positive study or delayed gadolinium enhancement is predictive of an increased risk. 34 The Clinical Evaluation of MRI in Coronary Heart Disease study confirmed a higher sensitivity with cMRI than was found with SPECT, independent of the patient's gender. 35 Subanalysis of the original study indicated that cMRI is a cost-effective test and supported more widespread use of the modality.…”

Section: Cardiac Mr Perfusion Imagingmentioning

confidence: 70%

Cardiac CT for myocardial ischaemia detection and characterization—comparative analysis

Bucher¹,

Cecco²,

Schoepf³

et al. 2014

BJR

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The assessment of patients presenting with symptoms of myocardial ischaemia remains one of the most common and challenging clinical scenarios faced by physicians. Current imaging modalities are capable of three-dimensional, functional and anatomical views of the heart and as such offer a unique contribution to understanding and managing the pathology involved. Evidence has accumulated that visual anatomical coronary evaluation does not adequately predict haemodynamic relevance and should be complemented by physiological evaluation, highlighting the importance of functional assessment. Technical advances in CT technology over the past decade have progressively moved cardiac CT imaging into the clinical workflow. In addition to anatomical evaluation, cardiac CT is capable of providing myocardial perfusion parameters. A variety of CT techniques can be used to assess the myocardial perfusion. The single energy firstpass CT and dual energy first-pass CT allow static assessment of myocardial blood pool. Dynamic cardiac CT imaging allows quantification of myocardial perfusion through time-resolved attenuation data. CT-based myocardial perfusion imaging (MPI) is showing promising diagnostic accuracy compared with the current reference modalities. The aim of this review is to present currently available myocardial perfusion techniques with a focus on CT imaging in light of recent clinical investigations. This article provides a comprehensive overview of currently available CT approaches of static and dynamic MPI and presents the results of corresponding clinical trials.

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Section: Cardiac Mr Perfusion Imagingmentioning

confidence: 70%

Cardiac CT for myocardial ischaemia detection and characterization—comparative analysis

Bucher¹,

Cecco²,

Schoepf³

et al. 2014

BJR

View full text Add to dashboard Cite

show abstract

“…Previous studies for detection of CAV using CMR Myocardial perfusion imaging by CMR has been validated as a versatile noninvasive clinical tool for the diagnostic classification and risk-stratification of patients with CAD (reviewed in [14]). Fewer studies however, investigated the role of stress perfusion CMR for the detection of CAV.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Bio-Imaging Using Myocardial Perfusion Reserve Index During Cardiac Magnetic Resonance Imaging and High-Sensitive Troponin T for the Prediction of Outcomes in Heart Transplant Recipients

Hofmann

Voss

Erbel

et al. 2014

American Journal of Transplantation

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“…Over the past several years, multiple studies have demonstrated that stress perfusion CMR has excellent prognostic characteristics and may help guide risk stratification of patients with known or suspected CAD [14,15]. According to a recent meta-analysis of 19 intermediate-term follow-up studies using stress CMR, including 15 studies with vasodilator stress perfusion CMR, patients with ischemia had a higher incidence of nonfatal MI [odds ratio (OR): 5.4], cardiovascular death (OR: 5.9) and the combined endpoint (OR: 6.5) than those with a negative stress perfusion CMR study [14].…”

Section: Prognostic Value Of Perfusion Cmrmentioning

confidence: 99%

“…Stress perfusion CMR offers several advantages over SPECT, including a high spatial resolution and no radiation exposure. Stress perfusion CMR yields high diagnostic accuracy for the detection of CAD [3][4][5][6][7][8][9][10][11][12][13], and its prognostic value has also been documented [14,15].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Myocardial Ischemia Using Stress Perfusion Cardiovascular Magnetic Resonance

Yamada

Ishida

Kitagawa

et al. 2018

Cardiovasc Imaging Asia

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Coronary artery disease (CAD) is a major cause of mortality and morbidity throughout the world, and its prevalence is expected to increase worldwide. Myocardial ischemia is a strong predictor of future adverse outcomes in patients with suspected CAD. The detection of ischemia is an important part of the diagnostic strategy for patients with suspected CAD. Stress myocardial perfusion cardiovascular magnetic resonance (CMR) is a noninvasive diagnostic approach for the detection of myocardial ischemia. CMR offers several advantages over single-photon emission computed tomography, such as high spatial resolution and no radiation exposure. Stress perfusion CMR offers high diagnostic performance for the detection of CAD and prognostic value in patients with suspected CAD. In this review, we describe how to perform stress perfusion CMR and interpret its findings. We also discuss recent updates concerning the diagnostic and prognostic value of stress perfusion CMR in patients with suspected CAD.

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Prognostic Value of Stress Cardiac Magnetic Resonance Imaging in Patients With Known or Suspected Coronary Artery Disease: A Systematic Review and Meta-Analysis

Cited by 50 publications

References 0 publications

Cardiac CT for myocardial ischaemia detection and characterization—comparative analysis

Cardiac CT for myocardial ischaemia detection and characterization—comparative analysis

Comprehensive Bio-Imaging Using Myocardial Perfusion Reserve Index During Cardiac Magnetic Resonance Imaging and High-Sensitive Troponin T for the Prediction of Outcomes in Heart Transplant Recipients

Assessment of Myocardial Ischemia Using Stress Perfusion Cardiovascular Magnetic Resonance

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