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The Role of Cardiovascular Magnetic Resonance Imaging in the Assessment of Mitral Regurgitation.

Authors :
Botis I
Bazmpani MA
Daios S
Ziakas A
Kamperidis V
Karamitsos TD
Source :
Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2024 Mar 19; Vol. 14 (6). Date of Electronic Publication: 2024 Mar 19.
Publication Year :
2024

Abstract

Mitral regurgitation (MR), a primary cause of valvular disease in adults, affects millions and is growing due to an ageing population. Cardiovascular magnetic resonance (CMR) has emerged as an essential tool, offering insights into valvular and myocardial pathology when compared to the primary imaging modality, echocardiography. This review highlights CMR's superiority in high-resolution volumetric assessment and tissue characterization, including also advanced techniques like late gadolinium enhancement imaging, parametric mapping, feature tracking and 4D flow analysis. These techniques provide a deeper understanding of MR's pathophysiology and its effect on cardiac chambers, enabling CMR to surpass echocardiography in predicting hard clinical outcomes and left ventricular (LV) remodelling post mitral valve surgery. Despite its advantages, CMR's application faces limitations like cost, lack of standardization, and susceptibility to arrhythmia artifacts. Nonetheless, as technological advancements continue and new evidence emerges, CMR's role in MR assessment is set to expand, offering a more nuanced and personalized approach to cardiac care. This review emphasizes the need for further research and standardized protocols to maximize CMR's potential in MR management.

Details

Language :
English
ISSN :
2075-4418
Volume :
14
Issue :
6
Database :
MEDLINE
Journal :
Diagnostics (Basel, Switzerland)
Publication Type :
Academic Journal
Accession number :
38535064
Full Text :
https://doi.org/10.3390/diagnostics14060644