Current Cardiovascular Imaging Reports

, Volume 6, Issue 2, pp 117–127 | Cite as

A Critical Review of Different Imaging Methods for the Assessment of Myocardial Ischemia

Cardiac Magnetic Resonance (E Nagel, Section Editor)


Coronary artery disease (CAD) continues to be a major cause of morbidity and mortality in industrialized countries. Myocardial ischemia imaging is increasingly being performed to detect obstructive CAD, guide therapy, and provide prognostic information. There are several imaging modalities available to assess the presence and extent of myocardial ischemia, such as single-photon emission computed tomography (SPECT), positron emission tomography (PET), stress echocardiography, and cardiovascular magnetic resonance imaging (CMR). This review discusses the various imaging methods, providing an overview of the specific benefits and drawbacks, and reviews recent literature on the diagnostic and prognostic value of each technique.


Coronary artery disease Myocardial ischemia Non-invasive imaging Single-photon emission computed tomography Positron emission tomography Echocardiography Cardiovascular magnetic resonance imaging Computed tomography Fractional flow reserve Diagnostic accuracy Prognosis 



No potential conflicts of interest relevant to this article were reported.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Caroline Jaarsma
    • 1
    • 2
    • 3
  • Eike Nagel
    • 4
  • Simon Schalla
    • 1
    • 2
    • 3
  1. 1.Department of CardiologyMaastricht University Medical CenterMaastrichtThe Netherlands
  2. 2.Department of RadiologyMaastricht University Medical CenterMaastrichtThe Netherlands
  3. 3.Cardiovascular Research InstituteMaastrichtThe Netherlands
  4. 4.Division of Imaging Sciences and Medical Engineering, King’s College London, The Rayne InstituteSt. Thomas’ HospitalLondonUK

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