Cardiovascular MRI: 150 Multiple-Choice Questions and by Peter G. Danias

By Peter G. Danias

Cardiovascular magnetic resonance imaging (CMR) has turn into an important a part of noninvasive diagnostic cardiac imaging. a pragmatic consultant for Cardiovascular Magnetic Resonance Imaging offers a entire and reader-friendly academic instrument for physicians commencing to paintings with CMR and cardiology and radiology trainees getting ready for the Board certification exam. attractive to trainees, this article conveys educating issues with a number of selection questions which are supported by way of concise reviews, supplying a whole rationalization of the right kind solution and pertinent updated bibliography. situations deal with a huge spectrum of scientific difficulties, together with ischemic, valvular, myopathic, pericardial, aortic and congenital center diseases.

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6. Alfakih K, Reid S, Jones T, and Sivananthan M. Assessment of ventricular function and mass by cardiac magnetic resonance imaging. Eur Radiol, 2004;14(10):1813–1822. 7. Marcu CB, Beek AM, and Van Rossum AC. Cardiovascular magnetic resonance imaging for the assessment of right heart involvement in cardiac and pulmonary disease. Heart Lung Circ, 2006;15(6):362–370. 8. Myerson SG, Bellenger NG, and Pennell DJ. Assessment of left ventricular mass by cardiovascular magnetic resonance. Hypertension, 2002;39(3):750–755.

In Fig. 2A (diastolic frame), there is a signal void in the left ventricular outflow tract (arrows). This is consistent with aortic regurgitation [1–5]. The size of the jet does not translate into severity of the valvular insufficiency, because it depends on many technical parameters and mainly on the echo time (TE) of the imaging sequence that was used [3]. There is no evidence of severe aortic stenosis (systolic signal void from high velocities in the aortic root), or subvalvular aortic stenosis (systolic signal void in the left ventricular outflow tract).

In this short-axis image (Fig. 8) the left and right ventricles (LV and RV, respectively) are easily identified. The white arrowheads indicate the left hemidiaphragm. The liver and stomach (S) are identified as subdiaphragmatic structures. No artifact would present like this. The aorta is usually not inside the field of view in the shortaxis orientation. 32 Cardiovascular MRI: 150 Multiple-Choice Questions and Answers 12. 9 is a transverse slice obtained with a black blood sequence at the base of the heart.

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