The often touted advantages of MR guidance remain largely unrealized for cardiovascular interventional procedures in patients. Many procedures have been simulated in animal models. We argue these opportunities for clinical interventional MR will be met in the near future. This paper reviews technical and clinical considerations and offers advice on how to implement a clinical-grade intervention...

Department of Internal Medicine/Cardiology, Charité, Campus Virchow Clinicum, Humboldt University and German Heart Institute, Berlin, Germany 2 Center for Cardiovascular MR, Cardiovascular Division, BarnesJewish Hospital at Washington University Medical Center, St. Louis, Missouri Internal Medicine III, Cardiology, University Hospital, Cologne, Germany Cardiology Section, The Wake Forrest Unive...

Pulsatile blood flow through the cavities of the heart and great vessels is time-varying and multidirectional. Access to all regions, phases and directions of cardiovascular flows has formerly been limited. Four-dimensional (4D) flow cardiovascular magnetic resonance (CMR) has enabled more comprehensive access to such flows, with typical spatial resolution of 1.5×1.5×1.5 - 3×3×3 mm(3), typical ...

In addition, the workup of these patients is challenging because of the high prevalence of advanced disease, various overlapping expression of abnormalities, their rapid progression over time, their atypical presentation (eg, atypical symptoms caused by autonomous neuropathy), and the overweight frequently encountered in patients with type 2 diabetes mellitus, as well as limited exercise capaci...

The pericardium and pericardial diseases in particular have received, in contrast to other topics in the field of cardiology, relatively limited interest. Today, despite improved knowledge of pathophysiology of pericardial diseases and the availability of a wide spectrum of diagnostic tools, the diagnostic challenge remains. Not only the clinical presentation may be atypical, mimicking other ca...

Catheter ablation is a first line treatment for many cardiac arrhythmias and is generally performed under x-ray fluoroscopy guidance. However, current techniques for ablating complex arrhythmias such as atrial fibrillation and ventricular tachycardia are associated with suboptimal success rates and prolonged radiation exposure. Pre-procedure 3D CMR has improved understanding of the anatomic bas...

Because cardiovascular magnetic resonance (CMR) methods are repidly increasing in clinical importance, it is clear that in the era of healthcare reform, the cemfication of physician competence is essential. Fortunately, unlike nuclear cardiology in the United States, where a governmental agency, the Nuclear Regulatory Commission, is responsible for ensuring safety, t!!us playing a major role in...

Abstract—Heart failure–induced cardiovascular morbidity and mortality constitute a major health problem worldwide and result from diverse pathogeneses, including coronary artery disease, nonischemic cardiomyopathies, and arrhythmias. Assessment of cardiovascular performance is important for early diagnosis and accurate management of patients at risk of heart failure. During the past decade, car...

We report a case of malignant melanoma metastasis to the heart presenting as complete heart block. The highlight of the case is to demonstrate that silent cardiac metastasis is not uncommon and CMR has the potential to characterize these cardiac metastases and should be used routinely as a screening tool for those cancers with a high chance of cardiac involvement.

This review provides an overview of Marfan syndrome with an emphasis on cardiovascular complications and cardiovascular imaging. Both pre- and post-operative imaging is addressed with an explanation of surgical management. All relevant imaging modalities are discussed with a particular focus on cardiovascular MR.