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Advanced cardiac MRI techniques for evaluation of left‐sided valvular heart disease
Author(s) -
Blanken Carmen P.S.,
Farag Emile S.,
Boekholdt S. Matthijs,
Leiner Tim,
Kluin Jolanda,
Nederveen Aart J.,
Ooij Pim,
Planken R. Nils
Publication year - 2018
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.26204
Subject(s) - medicine , valvular heart disease , ventricle , magnetic resonance imaging , valvular regurgitation , stenosis , mitral regurgitation , radiology , mitral valve , blood flow , aortic valve , regurgitation (circulation) , hemodynamics , cardiology
The most common types of left‐sided valvular heart disease (VHD) in the Western world are aortic valve stenosis, aortic valve regurgitation, and mitral valve regurgitation. Comprehensive clinical evaluation entails both hemodynamic analysis and structural as well as functional characterization of the left ventricle. Cardiac magnetic resonance imaging (MRI) is an established diagnostic modality for assessment of left‐sided VHD and is progressively gaining ground in modern‐day clinical practice. Detailed flow visualization and quantification of flow‐related biomarkers in VHD can be obtained using 4D flow MRI, an imaging technique capable of measuring blood flow in three orthogonal directions over time. In addition, recent MRI sequences enable myocardial tissue characterization and strain analysis. In this review we discuss the emerging potential of state‐of‐the‐art MRI including 4D flow MRI, tissue mapping, and strain quantification for the diagnosis and prognosis of left‐sided VHD. Level of Evidence : 1 Technical Efficacy Stage : 1 J. Magn. Reson. Imaging 2018. J. MAGN. RESON. IMAGING 2018;48:318–329.