Trends and Prospects in Cardiac MRI

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nuclear Medicine & Radiology".

Deadline for manuscript submissions: 20 September 2024 | Viewed by 3016

Special Issue Editor


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Guest Editor
Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy
Interests: heart failure; non-invasive cardiovascular imaging; preventive cardiology

Special Issue Information

Dear Colleagues,

Over the last 15 years, cardiovascular magnetic resonance (CMR) imaging has progressively evolved to become an indispensable tool in cardiology. It is the gold standard for assessing myocardial function, volumes, and scarring, and has become an indispensable tool in the evaluation of congenital heart disease, heart failure, cardiac masses, pericardial disease, and coronary artery disease. Additionally, CMR imaging is unique in its comprehensive tissue characterization, including the assessment of myocardial edema, myocardial siderosis, myocardial perfusion, and diffuse myocardial fibrosis. Recent innovations in CMR scanner technology and parallel imaging techniques have facilitated the generation of T1 and T2 parametric mapping in order to explore tissue characteristics. In addition, the emergence of strain imaging has enabled cardiologists to evaluate cardiac function beyond conventional metrics and progress in computer processing capabilities, and cloud infrastructure has supported the growth of artificial intelligence in CMR imaging. Accordingly, this Special Issue encourages scientists to present their new findings (from well-established clinical indications to new scenarios), discuss future roles and potential controversies, and identify challenges and questions for future research. We encourage researchers to submit their contributions, either in the form of original research, review articles, or meta-analysis.

Dr. Paola Gargiulo
Guest Editor

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Keywords

  • cardiac magnetic resonance
  • cardiomyopathies
  • heart failure
  • myocardial fibrosis
  • tissue composition
  • hybrid imaging
  • artificial intelligence

Published Papers (2 papers)

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Review

14 pages, 3211 KiB  
Review
CMR Mapping: The 4th-Era Revolution in Cardiac Imaging
by Nazario Carrabba, Mattia Alexis Amico, Andrea Igoren Guaricci, Maria Cristina Carella, Viviana Maestrini, Sara Monosilio, Patrizia Pedrotti, Fabrizio Ricci, Lorenzo Monti, Stefano Figliozzi, Camilla Torlasco, Andrea Barison, Andrea Baggiano, Alessandra Scatteia, Gianluca Pontone and Santo Dellegrottaglie
J. Clin. Med. 2024, 13(2), 337; https://doi.org/10.3390/jcm13020337 - 07 Jan 2024
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Abstract
Cardiac magnetic resonance (CMR) imaging has witnessed substantial progress with the advent of parametric mapping techniques, most notably T1 and T2 mapping. These advanced techniques provide valuable insights into a wide range of cardiac conditions, including ischemic heart disease, cardiomyopathies, inflammatory cardiomyopathies, heart [...] Read more.
Cardiac magnetic resonance (CMR) imaging has witnessed substantial progress with the advent of parametric mapping techniques, most notably T1 and T2 mapping. These advanced techniques provide valuable insights into a wide range of cardiac conditions, including ischemic heart disease, cardiomyopathies, inflammatory cardiomyopathies, heart valve disease, and athlete’s heart. Mapping could be the first sign of myocardial injury and oftentimes precedes symptoms, changes in ejection fraction, and irreversible myocardial remodeling. The ability of parametric mapping to offer a quantitative assessment of myocardial tissue properties addresses the limitations of conventional CMR methods, which often rely on qualitative or semiquantitative data. However, challenges persist, especially in terms of standardization and reference value establishment, hindering the wider clinical adoption of parametric mapping. Future developments should prioritize the standardization of techniques to enhance their clinical applicability, ultimately optimizing patient care pathways and outcomes. In this review, we endeavor to provide insights into the potential contributions of CMR mapping techniques in enhancing the diagnostic processes across a range of cardiac conditions. Full article
(This article belongs to the Special Issue Trends and Prospects in Cardiac MRI)
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19 pages, 1985 KiB  
Review
Cardiac Magnetic Resonance in HCM Phenocopies: From Diagnosis to Risk Stratification and Therapeutic Management
by Roberto Licordari, Giancarlo Trimarchi, Lucio Teresi, Davide Restelli, Francesca Lofrumento, Alessia Perna, Mariapaola Campisi, Cesare de Gregorio, Patrizia Grimaldi, Danila Calabrò, Francesco Costa, Antonio Giovanni Versace, Antonio Micari, Giovanni Donato Aquaro and Gianluca Di Bella
J. Clin. Med. 2023, 12(10), 3481; https://doi.org/10.3390/jcm12103481 - 16 May 2023
Cited by 4 | Viewed by 1567
Abstract
Hypertrophic cardiomyopathy (HCM) is a genetic heart disease characterized by the thickening of the heart muscle, which can lead to symptoms such as chest pain, shortness of breath, and an increased risk of sudden cardiac death. However, not all patients with HCM have [...] Read more.
Hypertrophic cardiomyopathy (HCM) is a genetic heart disease characterized by the thickening of the heart muscle, which can lead to symptoms such as chest pain, shortness of breath, and an increased risk of sudden cardiac death. However, not all patients with HCM have the same underlying genetic mutations, and some have conditions that resemble HCM but have different genetic or pathophysiological mechanisms, referred to as phenocopies. Cardiac magnetic resonance (CMR) imaging has emerged as a powerful tool for the non-invasive assessment of HCM and its phenocopies. CMR can accurately quantify the extent and distribution of hypertrophy, assess the presence and severity of myocardial fibrosis, and detect associated abnormalities. In the context of phenocopies, CMR can aid in the differentiation between HCM and other diseases that present with HCM-like features, such as cardiac amyloidosis (CA), Anderson–Fabry disease (AFD), and mitochondrial cardiomyopathies. CMR can provide important diagnostic and prognostic information that can guide clinical decision-making and management strategies. This review aims to describe the available evidence of the role of CMR in the assessment of hypertrophic phenotype and its diagnostic and prognostic implications. Full article
(This article belongs to the Special Issue Trends and Prospects in Cardiac MRI)
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