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Accurate analysis of T2-weighted magnetic resonance images (MRI) is crucial for myocardial edema (ME) assessment. In view of frequent artifacts from motion, slow flow and field inhomogenities affecting infarcted and remote myocardium (ReM), several approaches can be used to evaluate ME: 1) visual assessment, 2) signal intensity (SI) > 2 SDs of ReM or 3) normalizing myocardial SI to that of a skeletal muscle: T2 Ratio. Currently, there is no standardized approach to a (semi-) quantitative edema assessment using T2-weighted imaging.

Standardizing T2 measurements for the quantitative assessment of regional myocardial edema