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Cardiac Magnetic Resonance for Myocardial Inflammation: Current State and Future Directions

  • Cardiac Magnetic Resonance (E. Nagel and V. Puntmann, Section Editors)
  • Published:
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Abstract

Purpose of Review

This paper summarizes the evolution of cardiac magnetic resonance for the diagnosis of myocarditis and the evidence supporting its use, and possible future directions for development.

Recent Findings

The development of non-invasive imaging techniques, with the possibility of tissue characterization by magnetic resonance imaging, has revolutionized the diagnosis of myocarditis.

Summary

Endomyocardial biopsy (EMB) remains the gold standard in the diagnosis of myocardial inflammation. Cardiac magnetic resonance has emerged as the non-invasive diagnostic technique of choice. Classic Lake Louise criteria, including evaluation of edema, hyperemia, and myocardial necrosis, have become obsolete due to their low negative predictive value, among other limitations. Emerging parametric mapping techniques have been incorporated into the new criteria.

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Authors and Affiliations

  1. University Hospital Ramón Y Cajal, Madrid, Spain

    Cristina García Sebastián, Rocío Hinojar Baydés, José Luis Zamorano Gómez & Covadonga Fernández-Golfín Lobán

  2. Instituto Ramón Y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain

    Rocío Hinojar Baydés, José Luis Zamorano Gómez & Covadonga Fernández-Golfín Lobán

  3. CIBERCV, Instituto de Salud Carlos III (ISCIII), Madrid, Spain

    José Luis Zamorano Gómez & Covadonga Fernández-Golfín Lobán

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  1. Cristina García Sebastián
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  2. Rocío Hinojar Baydés
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Correspondence to Cristina García Sebastián.

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García Sebastián, C., Hinojar Baydés, R., Zamorano Gómez, J.L. et al. Cardiac Magnetic Resonance for Myocardial Inflammation: Current State and Future Directions. Curr Cardiovasc Imaging Rep 15, 29–36 (2022). https://doi.org/10.1007/s12410-022-09566-w

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