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No consensus exists on how to quantify late gadolinium enhancement (LGE) even though it is now the gold standard for the assessment of focal myocardial fibrosis. SCMR official reporting recommendations suggest that LGE be defined as signal intensity 2SD above remote myocardium. However, 3, 4, 5 or 6 SD, manual quantification and the Full Width Half Maximum (FWHM) technique are also used, with the FWHM technique reported to be accurate in an animal infarct model.

The Full Width Half Maximum technique is superior for LGE quantification regardless of its aetiology