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Cardiac MR Imaging: State of the Technology¹

¹ From the Department of Radiological Sciences, David Geffen School of Medicine, University of California Los Angeles, 10945 Le Conte Ave, Suite 3371, Los Angeles, CA 90095-7206 (J.P.F., K.N., O.R.), and Siemens Medical Solutions, Los Angeles, Calif (V.D., G.L.). Received November 2, 2004; revision requested January 3, 2005; revision received June 24; accepted July 20; final version accepted November 23; final review by J.P.F. May 16, 2006. Address correspondence to J.P.F. (e-mail: pfinn{at}mednet.ucla.edu).

Recent developments in magnetic resonance (MR) imaging of the heart have refocused attention on the potential of MR and continue to attract intense interest within the radiology and cardiology communities. Improvements in speed, image quality, reliability, and range of applications have evolved to the point where cardiac MR imaging is increasingly seen as a practical clinical tool. As is often the case with MR imaging, not all of the most powerful techniques are necessarily easy to master or understand, and many—nonspecialists and specialists alike—are challenged to stay abreast. This review covers some of the major milestones that have led to the current state of cardiac MR and attempts to put into context some concepts that, although technical, have a real impact on the diagnostic power of cardiac MR imaging. Topics discussed include functional imaging, myocardial viability and perfusion imaging, flow quantification, and coronary artery imaging. A review such as this can only scratch the surface of what is a dynamic interdisciplinary field, but the hope is that sufficient information and insight are provided to stimulate the motivated reader to take his or her interest to the next level.

© RSNA, 2006

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