Cardiovasc Imaging Asia.  2018 Apr;2(2):65-75. 10.22468/cvia.2017.00178.

Assessment of Myocardial Ischemia Using Stress Perfusion Cardiovascular Magnetic Resonance

• Yamada A
• Ishida M
• Kitagawa K
• Sakuma H

• KMID: 2524865
• DOI: http://doi.org/10.22468/cvia.2017.00178

Abstract

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.

Keyword

Magnetic resonance imaging; Myocardial perfusion imaging; Coronary artery disease; Myocardial ischemia