Myocardial Perfusion

  • J. Bogaert
  • K. Goetschalckx
Part of the Medical Radiology book series (MEDRAD)


Coronary plaque formation impeding myocardial perfusion is the most frequent cause of myocardial ischemia. Myocardial perfusion imaging by MRI is rapidly gaining acceptance as a useful clinical tool to assess the hemodynamic significance of coronary artery stenoses, and to depict myocardial ischemia. MRI techniques have significantly advanced over the last years, enabling to accurately study first-pass myocardial perfusion providing visual, semiquantitative or quantitative data on myocardial blood flow patterns. This chapter focuses on how imaging techniques, in particular MRI, can be used to study myocardial perfusion. The main emphasis of this chapter is on the challenges MRI faces to appropriately study the first-pass of a contrast agent through the heart, and on the solutions and approaches that have been developed to tackle the issues. In a second part, the approaches for image interpretation and to deduct (semi-)quantitative measures of myocardial perfusion are highlighted, and the clinical use and relevance of MRI in daily practice is discussed.


Myocardial Perfusion Myocardial Perfusion Imaging Myocardial Blood Flow Perfusion Defect Coronary Flow Reserve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The authors would like to thank Dr Nidal Al-Saadi for his contribution to the first edition of this chapter.


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© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Department of Radiology and Medical Imaging Research Center (MIRC), University Hospitals GasthuisbergCatholic University of LeuvenLeuvenBelgium
  2. 2.Department of Cardiovascular Diseases, University Hospitals GasthuisbergCatholic University of LeuvenLeuvenBelgium

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