Additive value of 3T cardiovascular magnetic resonance coronary angiography for detecting coronary artery disease

Autor: Lijun Zhang, Xiantao Song, Li Dong, Jianan Li, Ruiyu Dou, Zhanming Fan, Jing An, Debiao Li
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Journal of Cardiovascular Magnetic Resonance, Vol 20, Iss 1, Pp 1-8 (2018)
Druh dokumentu: article
ISSN: 1532-429X
DOI: 10.1186/s12968-018-0450-2
Popis: Abstract Background The purpose of the work was to evaluate the incremental diagnostic value of free-breathing, contrast-enhanced, whole-heart, 3 T cardiovascular magnetic resonance coronary angiography (CE-MRCA) to stress/rest myocardial perfusion imaging (MPI) and late gadolinium enhancement (LGE) imaging for detecting coronary artery disease (CAD). Methods Fifty-one patients with suspected CAD underwent a comprehensive cardiovascular magnetic resonance (CMR) examination (CE-MRCA, MPI, and LGE). The additive diagnostic value of MRCA to MPI and LGE was evaluated using invasive x-ray coronary angiography (XA) as the standard for defining functionally significant CAD (≥ 50% stenosis in vessels > 2 mm in diameter). Results 90.2% (46/51) patients (54.0 ± 11.5 years; 71.7% men) completed CE-MRCA successfully. On per-patient basis, compared to MPI/LGE alone or MPI alone, the addition of MRCA resulted in higher sensitivity (100% vs. 76.5%, p
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