Multimodality Imaging for the Assessment of Pericardial Diseases

  • Michael Chetrit
  • Bo Xu
  • Beni R. Verma
  • Allan L. KleinEmail author
Echocardiography (JM Gardin and AH Waller, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Echocardiography


Purpose of Review

The diagnosis of pericardial syndromes, while occasionally straightforward, includes a wide range of pathologies and is often a well-recognized clinical challenge. The aim of this review is to highlight the key role of the various imaging modalities for the diagnosis and management of the spectrum of pericardial diseases.

Recent Findings

Cardiac imaging has become an integral part of the diagnostic process often beginning with echocardiography and supported by advanced imaging modalities including computed tomography, magnetic resonance imaging, and positive emission tomography. These modalities go beyond the simple identification of the pericardium, to identifying increased pericardial thickness, active pericardial edema and inflammation, and its effect on cardiac hemodynamics.


Multimodality imaging has significantly facilitated the diagnosis and long-term management of patients with pericardial diseases. The role of these imaging modalities in overall prognosis and prevention remains to be investigated.


Acute pericarditis Constrictive pericarditis Tamponade Effusive constrictive Transient constrictive Pericardial effusion 


Compliance with Ethical Standards

Conflict of Interest

Michael Chetrit, Bo Xu, and Beni R. Verma declare that they have no conflict of interest. Allan L. Klein has received honoraria from Sobi and a research grant from Kiniksa.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Michael Chetrit
    • 1
    • 2
  • Bo Xu
    • 1
    • 2
  • Beni R. Verma
    • 1
    • 2
  • Allan L. Klein
    • 1
    • 2
    Email author
  1. 1.Heart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial DiseaseCleveland ClinicClevelandUSA
  2. 2.Pericardial Disease Center, Department of Cardiovascular MedicineCleveland ClinicClevelandUSA

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