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1 From the Department of Radiology, Evanston Northwestern Healthcare, 2650 Ridge Ave, Evanston, IL 60201; and Feinberg School of Medicine, Northwestern University, Chicago, Ill. Received September 29, 2003; revision requested November 11; revision received December 8; accepted January 21, 2004. Supported in part by NIH 5R01HL060708 and 8R01EB002079. Address correspondence to the author (e-mail: redelman@enh.org).
The use of magnetic resonance (MR) imaging for cardiac diagnosis is expanding, aided by the administration of paramagnetic contrast agents for a growing number of clinical applications. This overview of the literature considers the principles and applications of cardiac MR imaging with an emphasis on the use of contrast media. Clinical applications of contrast material–enhanced MR imaging include the detection and characterization of intracardiac masses, thrombi, myocarditis, and sarcoidosis. Suspected myocardial ischemia and infarction, respectively, are diagnosed by using dynamic first-pass and delayed contrast enhancement. Promising new developments include blood pool contrast media, labeling of myocardial precursor cells, and contrast-enhanced imaging at very high fields.
© RSNA, 2004
Index terms: Gadolinium • Iron • Magnetic resonance (MR), contrast media • Manganese • Myocardium, MR, 511.121411, 511.121412, 511.121413, 511.121416, 511.12143 • Reviews
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