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Erschienen in: Current Cardiovascular Imaging Reports 4/2024

22.02.2024 | Review

Role of Cardiac MRI in Pericardial Diseases

verfasst von: Chris Anthony, Emmanuel Akintoye, Tom Kai Ming Wang, Allan Klein

Erschienen in: Current Cardiovascular Imaging Reports | Ausgabe 4/2024

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Abstract

Purpose of Review

To explore and highlight the important role that Cardiac MRI (CMR) plays as an imaging tool that not only facilitates the diagnosis of pericardial disease but is increasingly used to guide initiation of treatment and gauge adequacy of response to therapy in patients with acute and recurrent pericarditis is a specific focus of this review. An emphasis will be placed on the sequences that are currently utilized and novel sequences that could potentially be utilized for the diagnosis of pericarditis and pericardial disease.

Recent Findings

This article focuses on the CMR characteristics of the most encountered pericardial diseases and novel CMR techniques that may play an adjunctive role in the diagnosis, management, prognosis and the assessment of adequacy of response to therapy in patients with acute pericarditis.

Summary

CMR has emerged as a powerful tool in the diagnosis of pericardial disease. This is a review of the current and future roles that CMR-based sequences play in not only the diagnosis of pericardial disease, but also in evaluating the need for medical therapy and gauging adequacy of response to therapy in this cohort.
Literatur
2.
Zurück zum Zitat Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: the Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015;36:2921–64.CrossRefPubMed Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: the Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015;36:2921–64.CrossRefPubMed
4.
Zurück zum Zitat Puntmann VO, Valbuena S, Hinojar R, et al. Society for cardiovascular magnetic resonance (SCMR) expert consensus for CMR imaging endpoints in clinical research: part I - analytical validation and clinical qualification. J Cardiovasc Magn Reson. 2018;20:67.CrossRefPubMedPubMedCentral Puntmann VO, Valbuena S, Hinojar R, et al. Society for cardiovascular magnetic resonance (SCMR) expert consensus for CMR imaging endpoints in clinical research: part I - analytical validation and clinical qualification. J Cardiovasc Magn Reson. 2018;20:67.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Morgenstern D, Kley J, Lisko J, Shivers L, Mikolich B, Mikolich JR. Chest pain in patients under age 40: are we getting it right? J Am Coll Cardiol. 2015;65:A1298–8.CrossRef Morgenstern D, Kley J, Lisko J, Shivers L, Mikolich B, Mikolich JR. Chest pain in patients under age 40: are we getting it right? J Am Coll Cardiol. 2015;65:A1298–8.CrossRef
6.
Zurück zum Zitat Bogaert J, Francone M. Cardiovascular magnetic resonance in pericardial diseases. J Cardiovasc Magn Reson. 2009;11:1–14.CrossRef Bogaert J, Francone M. Cardiovascular magnetic resonance in pericardial diseases. J Cardiovasc Magn Reson. 2009;11:1–14.CrossRef
7.
Zurück zum Zitat Chetrit M, Xu B, Kwon DH, et al. Imaging-guided therapies for pericardial diseases. JACC Cardiovasc Imaging. 2020;13:1422–37. This scientific paper represent relevant literature from the last three years on the role of MRI in myo-pericardial diseaseCrossRefPubMed Chetrit M, Xu B, Kwon DH, et al. Imaging-guided therapies for pericardial diseases. JACC Cardiovasc Imaging. 2020;13:1422–37. This scientific paper represent relevant literature from the last three years on the role of MRI in myo-pericardial diseaseCrossRefPubMed
8.
Zurück zum Zitat Spodick DH. Macrophysiology, microphysiology, and anatomy of the pericardium: a synopsis. Am Heart J. 1992;124:1046–51.CrossRefPubMed Spodick DH. Macrophysiology, microphysiology, and anatomy of the pericardium: a synopsis. Am Heart J. 1992;124:1046–51.CrossRefPubMed
9.
10.
Zurück zum Zitat Yared K, Baggish AL, Picard MH, Hoffmann U, Hung J. Multimodality imaging of pericardial diseases. JACC Cardiovasc Imaging. 2010;3:650–60.CrossRefPubMed Yared K, Baggish AL, Picard MH, Hoffmann U, Hung J. Multimodality imaging of pericardial diseases. JACC Cardiovasc Imaging. 2010;3:650–60.CrossRefPubMed
11.
Zurück zum Zitat Wang ZJ, Reddy GP, Gotway MB, Yeh BM, Hetts SW, Higgins CB. CT and MR imaging of pericardial disease. Radiographics. 2003;23:S167–80.CrossRefPubMed Wang ZJ, Reddy GP, Gotway MB, Yeh BM, Hetts SW, Higgins CB. CT and MR imaging of pericardial disease. Radiographics. 2003;23:S167–80.CrossRefPubMed
12.
Zurück zum Zitat Bolen MA, Rajiah P, Kusunose K, et al. Cardiac MR imaging in constrictive pericarditis: multiparametric assessment in patients with surgically proven constriction. Int J Cardiovasc Imaging. 2015;31:859–66.CrossRefPubMed Bolen MA, Rajiah P, Kusunose K, et al. Cardiac MR imaging in constrictive pericarditis: multiparametric assessment in patients with surgically proven constriction. Int J Cardiovasc Imaging. 2015;31:859–66.CrossRefPubMed
13.
Zurück zum Zitat Aldweib N, Farah V, Biederman RWW. Clinical utility of cardiac magnetic resonance imaging in pericardial diseases. Curr Cardiol Rev. 2018;14:200–12.CrossRefPubMedPubMedCentral Aldweib N, Farah V, Biederman RWW. Clinical utility of cardiac magnetic resonance imaging in pericardial diseases. Curr Cardiol Rev. 2018;14:200–12.CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Klein AL, Abbara S, Agler DA, et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013;26:965–1012.e15.CrossRefPubMed Klein AL, Abbara S, Agler DA, et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013;26:965–1012.e15.CrossRefPubMed
15.
Zurück zum Zitat Kojima S, Yamada N, Goto Y. Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. N Engl J Med. 1999;341:373–4.CrossRefPubMed Kojima S, Yamada N, Goto Y. Diagnosis of constrictive pericarditis by tagged cine magnetic resonance imaging. N Engl J Med. 1999;341:373–4.CrossRefPubMed
16.
Zurück zum Zitat Palumbo P, Ruscitti P, Cannizzaro E, et al. Unenhanced cardiac magnetic resonance may improve detection and prognostication of an occult heart involvement in asymptomatic patients with systemic sclerosis. Sci Rep. 2022;12:5125.CrossRefPubMedPubMedCentralADS Palumbo P, Ruscitti P, Cannizzaro E, et al. Unenhanced cardiac magnetic resonance may improve detection and prognostication of an occult heart involvement in asymptomatic patients with systemic sclerosis. Sci Rep. 2022;12:5125.CrossRefPubMedPubMedCentralADS
17.
Zurück zum Zitat Zurick AO, Bolen MA, Kwon DH, et al. Pericardial delayed hyperenhancement with CMR imaging in patients with constrictive pericarditis undergoing surgical pericardiectomy: a case series with histopathological correlation. JACC Cardiovasc Imaging. 2011;4:1180–91.CrossRefPubMed Zurick AO, Bolen MA, Kwon DH, et al. Pericardial delayed hyperenhancement with CMR imaging in patients with constrictive pericarditis undergoing surgical pericardiectomy: a case series with histopathological correlation. JACC Cardiovasc Imaging. 2011;4:1180–91.CrossRefPubMed
18.
Zurück zum Zitat Brett NJ, Roper D, Slaughter RE, Hamilton-Craig C. CMR in the diagnosis of acute pericarditis. J Cardiovasc Magn Reson. 2011;13:O35.CrossRefPubMedCentral Brett NJ, Roper D, Slaughter RE, Hamilton-Craig C. CMR in the diagnosis of acute pericarditis. J Cardiovasc Magn Reson. 2011;13:O35.CrossRefPubMedCentral
19.
Zurück zum Zitat Mahrholdt H, Wagner A, Deluigi CC, et al. Presentation, patterns of myocardial damage, and clinical course of viral myocarditis. Circulation. 2006;114:1581–90.CrossRefPubMed Mahrholdt H, Wagner A, Deluigi CC, et al. Presentation, patterns of myocardial damage, and clinical course of viral myocarditis. Circulation. 2006;114:1581–90.CrossRefPubMed
20.
Zurück zum Zitat Taylor AM, Dymarkowski S, Verbeken EK, Bogaert J. Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: initial results. Eur Radiol. 2006;16:569–74.CrossRefPubMed Taylor AM, Dymarkowski S, Verbeken EK, Bogaert J. Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: initial results. Eur Radiol. 2006;16:569–74.CrossRefPubMed
21.
Zurück zum Zitat Cremer PC, Tariq MU, Karwa A, et al. Quantitative assessment of pericardial delayed hyperenhancement predicts clinical improvement in patients with constrictive pericarditis treated with anti-inflammatory therapy. Circ Cardiovasc Imaging. 2015;8:e003125. This scientific paper represent relevant literature on the role of MRI in myo-pericardial diseaseCrossRefPubMed Cremer PC, Tariq MU, Karwa A, et al. Quantitative assessment of pericardial delayed hyperenhancement predicts clinical improvement in patients with constrictive pericarditis treated with anti-inflammatory therapy. Circ Cardiovasc Imaging. 2015;8:e003125. This scientific paper represent relevant literature on the role of MRI in myo-pericardial diseaseCrossRefPubMed
22.
Zurück zum Zitat Yelgec NS, Dymarkowski S, Ganame J, Bogaert J. Value of MRI in patients with a clinical suspicion of acute myocarditis. Eur Radiol. 2007;17:2211–7.CrossRefPubMed Yelgec NS, Dymarkowski S, Ganame J, Bogaert J. Value of MRI in patients with a clinical suspicion of acute myocarditis. Eur Radiol. 2007;17:2211–7.CrossRefPubMed
23.
Zurück zum Zitat Imazio M, Trinchero R. Myopericarditis: etiology, management, and prognosis. Int J Cardiol. 2008;127:17–26.CrossRefPubMed Imazio M, Trinchero R. Myopericarditis: etiology, management, and prognosis. Int J Cardiol. 2008;127:17–26.CrossRefPubMed
24.
Zurück zum Zitat Spodick DH. Risk prediction in pericarditis: who to keep in hospital? Heart. 2008;94:398–9.CrossRefPubMed Spodick DH. Risk prediction in pericarditis: who to keep in hospital? Heart. 2008;94:398–9.CrossRefPubMed
25.
Zurück zum Zitat Kumar A, Sato K, Verma BR, et al. Quantitative assessment of pericardial delayed hyperenhancement helps identify patients with ongoing recurrences of pericarditis. Open Heart. 2018;5:e000944.CrossRefPubMedPubMedCentral Kumar A, Sato K, Verma BR, et al. Quantitative assessment of pericardial delayed hyperenhancement helps identify patients with ongoing recurrences of pericarditis. Open Heart. 2018;5:e000944.CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Kumar A, Sato K, Yzeiraj E, et al. Quantitative pericardial delayed hyperenhancement informs clinical course in recurrent pericarditis. JACC Cardiovasc Imaging. 2017;10:1337–46.CrossRefPubMed Kumar A, Sato K, Yzeiraj E, et al. Quantitative pericardial delayed hyperenhancement informs clinical course in recurrent pericarditis. JACC Cardiovasc Imaging. 2017;10:1337–46.CrossRefPubMed
27.
Zurück zum Zitat Cremer P, Tariq M, Karwa A, Schuster A, Kwon D, Klein AL. Abstract 13844: quantitative analysis of pericardial inflammation with cardiac magnetic resonance imaging (CMR) predicts outcome in patients with constrictive pericarditis. Circulation. 2014;130:A13844–4. Cremer P, Tariq M, Karwa A, Schuster A, Kwon D, Klein AL. Abstract 13844: quantitative analysis of pericardial inflammation with cardiac magnetic resonance imaging (CMR) predicts outcome in patients with constrictive pericarditis. Circulation. 2014;130:A13844–4.
28.
Zurück zum Zitat Young PM, Glockner JF, Williamson EE, et al. MR imaging findings in 76 consecutive surgically proven cases of pericardial disease with CT and pathologic correlation. Int J Cardiovasc Imaging. 2012;28:1099–109.CrossRefPubMed Young PM, Glockner JF, Williamson EE, et al. MR imaging findings in 76 consecutive surgically proven cases of pericardial disease with CT and pathologic correlation. Int J Cardiovasc Imaging. 2012;28:1099–109.CrossRefPubMed
29.
Zurück zum Zitat Cremer PC, Kumar A, Kontzias A, et al. Complicated pericarditis: understanding risk factors and pathophysiology to inform imaging and treatment. J Am Coll Cardiol. 2016;68:2311–28. This scientific paper represent relevant literature on the role of MRI in myo-pericardial diseaseCrossRefPubMed Cremer PC, Kumar A, Kontzias A, et al. Complicated pericarditis: understanding risk factors and pathophysiology to inform imaging and treatment. J Am Coll Cardiol. 2016;68:2311–28. This scientific paper represent relevant literature on the role of MRI in myo-pericardial diseaseCrossRefPubMed
30.
Zurück zum Zitat Thavendiranathan P, Verhaert D, Walls MC, et al. Simultaneous right and left heart real-time, free-breathing CMR flow quantification identifies constrictive physiology. JACC Cardiovasc Imaging. 2012;5:15–24.CrossRefPubMedPubMedCentral Thavendiranathan P, Verhaert D, Walls MC, et al. Simultaneous right and left heart real-time, free-breathing CMR flow quantification identifies constrictive physiology. JACC Cardiovasc Imaging. 2012;5:15–24.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Alter P, Figiel JH, Rupp TP, Bachmann GF, Maisch B, Rominger MB. MR, CT, and PET imaging in pericardial disease. Heart Fail Rev. 2013;18:289–306.CrossRefPubMed Alter P, Figiel JH, Rupp TP, Bachmann GF, Maisch B, Rominger MB. MR, CT, and PET imaging in pericardial disease. Heart Fail Rev. 2013;18:289–306.CrossRefPubMed
32.
Zurück zum Zitat Restrepo CS, Vargas D, Ocazionez D, Martínez-Jiménez S, Cuellar SLB, Gutierrez FR. Primary pericardial tumors. RadioGraphics. 2013;33:1613–30.CrossRefPubMed Restrepo CS, Vargas D, Ocazionez D, Martínez-Jiménez S, Cuellar SLB, Gutierrez FR. Primary pericardial tumors. RadioGraphics. 2013;33:1613–30.CrossRefPubMed
33.
Zurück zum Zitat Choi JW, Moon WJ. Gadolinium deposition in the brain: current updates. Korean J Radiol. 2019;20:134–47.CrossRefPubMed Choi JW, Moon WJ. Gadolinium deposition in the brain: current updates. Korean J Radiol. 2019;20:134–47.CrossRefPubMed
Metadaten
Titel
Role of Cardiac MRI in Pericardial Diseases
verfasst von
Chris Anthony
Emmanuel Akintoye
Tom Kai Ming Wang
Allan Klein
Publikationsdatum
22.02.2024
Verlag
Springer US
Erschienen in
Current Cardiovascular Imaging Reports / Ausgabe 4/2024
Print ISSN: 1941-9066
Elektronische ISSN: 1941-9074
DOI
https://doi.org/10.1007/s12410-024-09591-x

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