Current Cardiovascular Imaging Reports

, Volume 4, Issue 2, pp 149-158

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

CMR for Assessment of Diastolic Function

  • Jos J. M. WestenbergAffiliated withDepartment of Radiology, Leiden University Medical Center Email author 


Prevalence of heart failure with preserved left ventricular ejection fraction amounts to 50% of all cases with heart failure. Diagnosis assessment requires evidence of left ventricular diastolic dysfunction. Currently, echocardiography is the method of choice for diastolic function testing in clinical practice. Various applications are in use and recommended criteria are followed for classifying the severity of dysfunction. Cardiovascular magnetic resonance (CMR) offers a variety of alternative applications for evaluation of diastolic function, some superior to echocardiography in accuracy and reproducibility, some being complementary. In this article, the role of the available CMR applications for diastolic function testing in clinical practice and research is reviewed and compared to echocardiography.


Magnetic resonance imaging Diastolic function Left ventricle Mitral valve Velocity-encoding Tagging Pulmonary venous flow Three-dimensional Image processing Flow Myocardial wall motion Strain