MAGNETIC RESONANCE IMAGING

MAGNETIC RESONANCE IMAGING is a topic covered in the Harrison's Manual of Medicine.

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Delineates cardiac structures with high resolution without ionizing radiation. Excellent technique to quantitate LV mass, to characterize the pericardium, great vessels, anatomic relationships in congenital heart disease, abnormal cardiac masses, and to evaluate valvular heart disease as a complement to echocardiography. MRI with delayed gadolinium enhancement (avoid in pts with renal insufficiency) differentiates ischemic from nonischemic cardiomyopathy and is useful in assessing myocardial viability. Pharmacologic stress testing with MR identifies significant CAD and detects subendocardial ischemia with higher sensitivity than SPECT imaging.

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