Atrial fibrillation cardiac MRI: Difference between revisions
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==Overview== | ==Overview== | ||
Cardiac [[magnetic resonance imaging]] may be used to assess the structure and the function of the [[atria]] in patients with [[atrial fibrillation]]. | [[heart|Cardiac]] [[magnetic resonance imaging]] may be used to assess the structure and the function of the [[atria]] in [[patients]] with [[atrial fibrillation]]. Recent studies suggest that late gadolinium enhancement (LGE) [[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) is a powerful tool to detect [[atrium|atrial]] [[fibrosis]] and [[atrial fibrillation]] related remodelings. Detection of [[atrium|atrial]] [[fibrosis]] with late gadolinium enhancement (LGE) [[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) can be helpful for [[patient]] selection for [[ablation]] [[treatment]]. Moreover, this [[diagnosis|diagnostic]] tool can be use to detect [[thrombosis]] within the [[atrium]]. | ||
==Cardiac MRI== | |||
*Recent studies suggest that late gadolinium enhancement (LGE) [[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) is a powerful tool to detect [[atrium|atrial]] [[fibrosis]] and [[atrial fibrillation]] related remodelings.<ref name="pmid23619986">{{cite journal| author=Higuchi K, Akkaya M, Akoum N, Marrouche NF| title=Cardiac MRI assessment of atrial fibrosis in atrial fibrillation: implications for diagnosis and therapy. | journal=Heart | year= 2014 | volume= 100 | issue= 7 | pages= 590-6 | pmid=23619986 | doi=10.1136/heartjnl-2013-303884 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23619986 }} </ref><ref name="pmid30297256">{{cite journal| author=Zghaib T, Nazarian S| title=New Insights Into the Use of Cardiac Magnetic Resonance Imaging to Guide Decision Making in Atrial Fibrillation Management. | journal=Can J Cardiol | year= 2018 | volume= 34 | issue= 11 | pages= 1461-1470 | pmid=30297256 | doi=10.1016/j.cjca.2018.07.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30297256 }} </ref><ref name="pmid31310173">{{cite journal| author=Lee DK, Shim J, Choi JI, Kim YH, Oh YW, Hwang SH| title=Left Atrial Fibrosis Assessed with Cardiac MRI in Patients with Paroxysmal and Those with Persistent Atrial Fibrillation. | journal=Radiology | year= 2019 | volume= 292 | issue= 3 | pages= 575-582 | pmid=31310173 | doi=10.1148/radiol.2019182629 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=31310173 }} </ref> | |||
*Detection of [[atrium|atrial]] [[fibrosis]] with late gadolinium enhancement (LGE) [[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) can be helpful for [[patient]] selection for [[ablation]] [[treatment]].<ref name="pmid30297256">{{cite journal| author=Zghaib T, Nazarian S| title=New Insights Into the Use of Cardiac Magnetic Resonance Imaging to Guide Decision Making in Atrial Fibrillation Management. | journal=Can J Cardiol | year= 2018 | volume= 34 | issue= 11 | pages= 1461-1470 | pmid=30297256 | doi=10.1016/j.cjca.2018.07.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30297256 }} </ref> | |||
*Moreover this [[diagnosis|diagnostic]] tool can be use to detect [[thrombosis]] within the [[atrium]]. Based on a analysis study done on 582 [[patients]] from seven publications cine-[[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) has a pooled [[Sensitivity (tests)|sensitivity]] and [[specificity (tests)|specificity]] of 91.00% and 93.00%, respectively.<ref name="pmid29374292">{{cite journal| author=Chen J, Zhang H, Zhu D, Wang Y, Byanju S, Liao M| title=Cardiac MRI for detecting left atrial/left atrial appendage thrombus in patients with atrial fibrillation : Meta-analysis and systematic review. | journal=Herz | year= 2019 | volume= 44 | issue= 5 | pages= 390-397 | pmid=29374292 | doi=10.1007/s00059-017-4676-9 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29374292 }} </ref> | |||
*Based on a study done on [[patients]] with [[atrial fibrillation|permanent atrial fibrillation]], [[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) was more reliable in detecting the [[atrium]] size, structure, and contractile function, compared to [[Echocardiography|trans-thoracic echocardiography]]. <ref name="pmid24247925">{{cite journal| author=Agner BF, Kühl JT, Linde JJ, Kofoed KF, Åkeson P, Rasmussen BV | display-authors=etal| title=Assessment of left atrial volume and function in patients with permanent atrial fibrillation: comparison of cardiac magnetic resonance imaging, 320-slice multi-detector computed tomography, and transthoracic echocardiography. | journal=Eur Heart J Cardiovasc Imaging | year= 2014 | volume= 15 | issue= 5 | pages= 532-40 | pmid=24247925 | doi=10.1093/ehjci/jet239 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24247925 }} </ref> | |||
*Cine-[[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) is able to evaluate the effect of [[ablation]] in [[atrial fibrillation]] cases.<ref name="pmid30297256">{{cite journal| author=Zghaib T, Nazarian S| title=New Insights Into the Use of Cardiac Magnetic Resonance Imaging to Guide Decision Making in Atrial Fibrillation Management. | journal=Can J Cardiol | year= 2018 | volume= 34 | issue= 11 | pages= 1461-1470 | pmid=30297256 | doi=10.1016/j.cjca.2018.07.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30297256 }} </ref> | |||
*Detection of abnormal [[atrium|left atrial]] function in late gadolinium enhancement (LGE) [[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) is associated with worse [[prognosis]].<ref name="pmid30297256">{{cite journal| author=Zghaib T, Nazarian S| title=New Insights Into the Use of Cardiac Magnetic Resonance Imaging to Guide Decision Making in Atrial Fibrillation Management. | journal=Can J Cardiol | year= 2018 | volume= 34 | issue= 11 | pages= 1461-1470 | pmid=30297256 | doi=10.1016/j.cjca.2018.07.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30297256 }} </ref> | |||
==ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance<ref name="pmid20479157">{{cite journal| author=American College of Cardiology Foundation Task Force on Expert Consensus Documents. Hundley WG, Bluemke DA, Finn JP, Flamm SD, Fogel MA et al.| title=ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. | journal=Circulation | year= 2010 | volume= 121 | issue= 22 | pages= 2462-508 | pmid=20479157 | doi=10.1161/CIR.0b013e3181d44a8f | pmc=PMC3034132 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20479157 }} </ref> (DO NOT EDIT)== | ==ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance<ref name="pmid20479157">{{cite journal| author=American College of Cardiology Foundation Task Force on Expert Consensus Documents. Hundley WG, Bluemke DA, Finn JP, Flamm SD, Fogel MA et al.| title=ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. | journal=Circulation | year= 2010 | volume= 121 | issue= 22 | pages= 2462-508 | pmid=20479157 | doi=10.1161/CIR.0b013e3181d44a8f | pmc=PMC3034132 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20479157 }} </ref> (DO NOT EDIT)== | ||
{{cquote| | {{cquote| | ||
*[[heart|Cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) may be used for assessing [[atrium|left atrial]] structure and function in [[patients]] with [[atrial fibrillation]]. | |||
*The writing committee recognizes that evolving techniques utilizing late gadolinium enhancement (LGE) may have high utility for identifying evidence of [[fibrosis|fibrotic tissue]] within the [[atria|atrial wall]] or an adjoining structure. | |||
*Standardization of protocols and further studies are needed to determine if [[heart|cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) provides a reliable effective method for detecting [[thrombi]] in the [[left atrial appendage]] in [[patients]] with [[atrial fibrillation]]. | |||
*[[heart|Cardiac]] [[magnetic resonance imaging]] ([[magnetic resonance imaging|MRI]]) is recommended for identifying [[pulmonary vein]] [[anatomy]] prior to or after [[electrophysiology]] procedures without need for [[patient]] exposure to ionizing [[radiation]]. | |||
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[[CME Category::Cardiology]] | |||
[[Category:Electrophysiology]] | [[Category:Electrophysiology]] | ||
Latest revision as of 05:36, 25 October 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Cardiac magnetic resonance imaging may be used to assess the structure and the function of the atria in patients with atrial fibrillation. Recent studies suggest that late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) is a powerful tool to detect atrial fibrosis and atrial fibrillation related remodelings. Detection of atrial fibrosis with late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) can be helpful for patient selection for ablation treatment. Moreover, this diagnostic tool can be use to detect thrombosis within the atrium.
Cardiac MRI
- Recent studies suggest that late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) is a powerful tool to detect atrial fibrosis and atrial fibrillation related remodelings.[1][2][3]
- Detection of atrial fibrosis with late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) can be helpful for patient selection for ablation treatment.[2]
- Moreover this diagnostic tool can be use to detect thrombosis within the atrium. Based on a analysis study done on 582 patients from seven publications cine-cardiac magnetic resonance imaging (MRI) has a pooled sensitivity and specificity of 91.00% and 93.00%, respectively.[4]
- Based on a study done on patients with permanent atrial fibrillation, cardiac magnetic resonance imaging (MRI) was more reliable in detecting the atrium size, structure, and contractile function, compared to trans-thoracic echocardiography. [5]
- Cine-cardiac magnetic resonance imaging (MRI) is able to evaluate the effect of ablation in atrial fibrillation cases.[2]
- Detection of abnormal left atrial function in late gadolinium enhancement (LGE) cardiac magnetic resonance imaging (MRI) is associated with worse prognosis.[2]
ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance[6] (DO NOT EDIT)
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References
- ↑ Higuchi K, Akkaya M, Akoum N, Marrouche NF (2014). "Cardiac MRI assessment of atrial fibrosis in atrial fibrillation: implications for diagnosis and therapy". Heart. 100 (7): 590–6. doi:10.1136/heartjnl-2013-303884. PMID 23619986.
- ↑ 2.0 2.1 2.2 2.3 Zghaib T, Nazarian S (2018). "New Insights Into the Use of Cardiac Magnetic Resonance Imaging to Guide Decision Making in Atrial Fibrillation Management". Can J Cardiol. 34 (11): 1461–1470. doi:10.1016/j.cjca.2018.07.007. PMID 30297256.
- ↑ Lee DK, Shim J, Choi JI, Kim YH, Oh YW, Hwang SH (2019). "Left Atrial Fibrosis Assessed with Cardiac MRI in Patients with Paroxysmal and Those with Persistent Atrial Fibrillation". Radiology. 292 (3): 575–582. doi:10.1148/radiol.2019182629. PMID 31310173.
- ↑ Chen J, Zhang H, Zhu D, Wang Y, Byanju S, Liao M (2019). "Cardiac MRI for detecting left atrial/left atrial appendage thrombus in patients with atrial fibrillation : Meta-analysis and systematic review". Herz. 44 (5): 390–397. doi:10.1007/s00059-017-4676-9. PMID 29374292.
- ↑ Agner BF, Kühl JT, Linde JJ, Kofoed KF, Åkeson P, Rasmussen BV; et al. (2014). "Assessment of left atrial volume and function in patients with permanent atrial fibrillation: comparison of cardiac magnetic resonance imaging, 320-slice multi-detector computed tomography, and transthoracic echocardiography". Eur Heart J Cardiovasc Imaging. 15 (5): 532–40. doi:10.1093/ehjci/jet239. PMID 24247925.
- ↑ American College of Cardiology Foundation Task Force on Expert Consensus Documents. Hundley WG, Bluemke DA, Finn JP, Flamm SD, Fogel MA; et al. (2010). "ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents". Circulation. 121 (22): 2462–508. doi:10.1161/CIR.0b013e3181d44a8f. PMC 3034132. PMID 20479157.