Interventional cardiovascular magnetic resonance: state-of-the-art
Abstract Transcatheter cardiovascular interventions increasingly rely on advanced imaging. X-ray fluoroscopy provides excellent visualization of catheters and devices, but poor visualization of anatomy. In contrast, magnetic resonance imaging (MRI) provides excellent visualization of anatomy and can...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | Journal of Cardiovascular Magnetic Resonance |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12968-023-00956-7 |
| _version_ | 1797740721715806208 |
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| author | Toby Rogers Adrienne E. Campbell-Washburn Rajiv Ramasawmy D. Korel Yildirim Christopher G. Bruce Laurie P. Grant Annette M. Stine Aravindan Kolandaivelu Daniel A. Herzka Kanishka Ratnayaka Robert J. Lederman |
| author_facet | Toby Rogers Adrienne E. Campbell-Washburn Rajiv Ramasawmy D. Korel Yildirim Christopher G. Bruce Laurie P. Grant Annette M. Stine Aravindan Kolandaivelu Daniel A. Herzka Kanishka Ratnayaka Robert J. Lederman |
| author_sort | Toby Rogers |
| collection | DOAJ |
| description | Abstract Transcatheter cardiovascular interventions increasingly rely on advanced imaging. X-ray fluoroscopy provides excellent visualization of catheters and devices, but poor visualization of anatomy. In contrast, magnetic resonance imaging (MRI) provides excellent visualization of anatomy and can generate real-time imaging with frame rates similar to X-ray fluoroscopy. Realization of MRI as a primary imaging modality for cardiovascular interventions has been slow, largely because existing guidewires, catheters and other devices create imaging artifacts and can heat dangerously. Nonetheless, numerous clinical centers have started interventional cardiovascular magnetic resonance (iCMR) programs for invasive hemodynamic studies or electrophysiology procedures to leverage the clear advantages of MRI tissue characterization, to quantify cardiac chamber function and flow, and to avoid ionizing radiation exposure. Clinical implementation of more complex cardiovascular interventions has been challenging because catheters and other tools require re-engineering for safety and conspicuity in the iCMR environment. However, recent innovations in scanner and interventional device technology, in particular availability of high performance low-field MRI scanners could be the inflection point, enabling a new generation of iCMR procedures. In this review we review these technical considerations, summarize contemporary clinical iCMR experience, and consider potential future applications. |
| first_indexed | 2024-03-12T14:16:28Z |
| format | Article |
| id | doaj.art-60f0c08643854e7dab31158734fa5933 |
| institution | Directory Open Access Journal |
| issn | 1532-429X |
| language | English |
| last_indexed | 2024-03-12T14:16:28Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiovascular Magnetic Resonance |
| spelling | doaj.art-60f0c08643854e7dab31158734fa59332023-08-20T11:14:40ZengBMCJournal of Cardiovascular Magnetic Resonance1532-429X2023-08-0125112110.1186/s12968-023-00956-7Interventional cardiovascular magnetic resonance: state-of-the-artToby Rogers0Adrienne E. Campbell-Washburn1Rajiv Ramasawmy2D. Korel Yildirim3Christopher G. Bruce4Laurie P. Grant5Annette M. Stine6Aravindan Kolandaivelu7Daniel A. Herzka8Kanishka Ratnayaka9Robert J. Lederman10Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthCardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of HealthAbstract Transcatheter cardiovascular interventions increasingly rely on advanced imaging. X-ray fluoroscopy provides excellent visualization of catheters and devices, but poor visualization of anatomy. In contrast, magnetic resonance imaging (MRI) provides excellent visualization of anatomy and can generate real-time imaging with frame rates similar to X-ray fluoroscopy. Realization of MRI as a primary imaging modality for cardiovascular interventions has been slow, largely because existing guidewires, catheters and other devices create imaging artifacts and can heat dangerously. Nonetheless, numerous clinical centers have started interventional cardiovascular magnetic resonance (iCMR) programs for invasive hemodynamic studies or electrophysiology procedures to leverage the clear advantages of MRI tissue characterization, to quantify cardiac chamber function and flow, and to avoid ionizing radiation exposure. Clinical implementation of more complex cardiovascular interventions has been challenging because catheters and other tools require re-engineering for safety and conspicuity in the iCMR environment. However, recent innovations in scanner and interventional device technology, in particular availability of high performance low-field MRI scanners could be the inflection point, enabling a new generation of iCMR procedures. In this review we review these technical considerations, summarize contemporary clinical iCMR experience, and consider potential future applications.https://doi.org/10.1186/s12968-023-00956-7Interventional cardiovascular magnetic resonanceiCMRMagnetic resonance imagingInvasive cardiovascular magnetic resonanceCardiac catheterizationElectrophysiology |
| spellingShingle | Toby Rogers Adrienne E. Campbell-Washburn Rajiv Ramasawmy D. Korel Yildirim Christopher G. Bruce Laurie P. Grant Annette M. Stine Aravindan Kolandaivelu Daniel A. Herzka Kanishka Ratnayaka Robert J. Lederman Interventional cardiovascular magnetic resonance: state-of-the-art Journal of Cardiovascular Magnetic Resonance Interventional cardiovascular magnetic resonance iCMR Magnetic resonance imaging Invasive cardiovascular magnetic resonance Cardiac catheterization Electrophysiology |
| title | Interventional cardiovascular magnetic resonance: state-of-the-art |
| title_full | Interventional cardiovascular magnetic resonance: state-of-the-art |
| title_fullStr | Interventional cardiovascular magnetic resonance: state-of-the-art |
| title_full_unstemmed | Interventional cardiovascular magnetic resonance: state-of-the-art |
| title_short | Interventional cardiovascular magnetic resonance: state-of-the-art |
| title_sort | interventional cardiovascular magnetic resonance state of the art |
| topic | Interventional cardiovascular magnetic resonance iCMR Magnetic resonance imaging Invasive cardiovascular magnetic resonance Cardiac catheterization Electrophysiology |
| url | https://doi.org/10.1186/s12968-023-00956-7 |
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