MRT bei Myokarditis

Translated title of the contribution: MRI for myocarditis

M. Gutberlet*, C. Lücke, C. Krieghoff, L. Hildebrand, P. Lurz, J. Steiner, J. Adam, I. Eitel, H. Thiele, M. Grotthoff, L. Lehmkuhl

*Corresponding author for this work
6 Citations (Scopus)

Abstract

Cardiovascular magnetic resonance imaging (CMRI) has become the primary tool for the non-invasive assessment in patients with suspected myocarditis, especially after exclusion of acute coronary syndrome (ACS) for the differential diagnosis. Various MRI parameters are available which have different accuracies. Volumetric and functional ventricular assessment and the occurrence of pericardial effusion alone demonstrate only a poor sensitivity and specificity. The calculation of the T2-ratio (edema assessment), the early or global relative myocardial enhancement (gRE) and the late gadolinium enhancement (LGE), which represents irreversibly injured myocardium, are more specific parameters. All MRI parameters demonstrate the best accuracy in infarct-like acute myocarditis, whereas in chronic myocarditis sensitivity and specificity are less accurate. Therefore, a multisequential (at least two out of three parameters are positive) approach is recommended. The assessment of the value of newer, more quantitative MRI sequences, such as T1 and T2-mapping is still under investigation.

Translated title of the contributionMRI for myocarditis
Original languageGerman
JournalRadiologe
Volume53
Issue number1
Pages (from-to)30-37
Number of pages8
ISSN0033-832X
DOIs
Publication statusPublished - 01.2013

Research Areas and Centers

  • Centers: Cardiological Center Luebeck (UHZL)

DFG Research Classification Scheme

  • 205-12 Cardiology, Angiology

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