Interventional cardiovascular magnetic resonance: state-of-the-art

Journal of Cardiovascular Magnetic Resonance

Review

Rajiv Ramasawmy¹  Annette M. Stine¹  Robert J. Lederman¹  Adrienne E. Campbell-Washburn¹  Laurie P. Grant¹  D. Korel Yildirim¹  Christopher G. Bruce¹  Daniel A. Herzka¹  Aravindan Kolandaivelu²  Kanishka Ratnayaka³  Toby Rogers⁴ 

[1]Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Building 10/Room 2C713, 9000 Rockville Pike, 20892-1538, Bethesda, MD, USA

[2]Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Building 10/Room 2C713, 9000 Rockville Pike, 20892-1538, Bethesda, MD, USA

[3]Johns Hopkins Hospital, Baltimore, MD, USA

[4]Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Building 10/Room 2C713, 9000 Rockville Pike, 20892-1538, Bethesda, MD, USA

[5]Rady Children’s Hospital, San Diego, CA, USA

[6]Cardiovascular Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Building 10/Room 2C713, 9000 Rockville Pike, 20892-1538, Bethesda, MD, USA

[7]Section of Interventional Cardiology, MedStar Washington Hospital Center, 110 Irving St NW, Suite 4B01, 20011, Washington, DC, USA

关键词: Interventional cardiovascular magnetic resonance;    iCMR;    Magnetic resonance imaging;    Invasive cardiovascular magnetic resonance;    Cardiac catheterization;    Electrophysiology;   

DOI  :  10.1186/s12968-023-00956-7

 received in 2023-02-11, accepted in 2023-07-25,  发布年份 2023

来源: Springer

【 摘 要 】

Transcatheter cardiovascular interventions increasingly rely on advanced imaging. X-ray fluoroscopy provides excellent visualization of catheters and devices, but poor visualization of anatomy. In contrast, magnetic resonance imaging (MRI) provides excellent visualization of anatomy and can generate real-time imaging with frame rates similar to X-ray fluoroscopy. Realization of MRI as a primary imaging modality for cardiovascular interventions has been slow, largely because existing guidewires, catheters and other devices create imaging artifacts and can heat dangerously. Nonetheless, numerous clinical centers have started interventional cardiovascular magnetic resonance (iCMR) programs for invasive hemodynamic studies or electrophysiology procedures to leverage the clear advantages of MRI tissue characterization, to quantify cardiac chamber function and flow, and to avoid ionizing radiation exposure. Clinical implementation of more complex cardiovascular interventions has been challenging because catheters and other tools require re-engineering for safety and conspicuity in the iCMR environment. However, recent innovations in scanner and interventional device technology, in particular availability of high performance low-field MRI scanners could be the inflection point, enabling a new generation of iCMR procedures. In this review we review these technical considerations, summarize contemporary clinical iCMR experience, and consider potential future applications.

【 授权许可】

CC BY   
© Society for Cardiovascular Magnetic Resonance 2023

【 图 表 】

Fig. 2

12888_2023_5113_Article_IEq7.gif

12888_2023_5113_Article_IEq4.gif

Fig. 1

Fig. 3