Sarcoidosis MRI: Difference between revisions
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* Wall thinning | * Wall thinning | ||
* [[Heart failure]] | * [[Heart failure]] | ||
* [[Late gadolinium enhancement]] (delayed enhancement) evaluates scar/[[fibrosis]] and can differentiate chronic versus active disease. Some studies also suggest that monitoring [[gadolinium]] enhancement may be helpful in the assessment of response to treatment with [[steroids]]<ref>Abrishami B, O'Connel C, Sharma O: Cardiac sarcoidosis with presentation of large left atrial mass. Current opinion in pulmonary medicine 2004, 10(5):397-400.</ref>Youssef G, Beanlands RS, Birnie DH, Nery PB: Cardiac sarcoidosis: applications of imaging in diagnosis and directing treatment. Heart (British Cardiac Society) 2011, 97(24):2078-2087.</ref><ref>Yeboah J, Lee C, Sharma OP: Cardiac sarcoidosis: a review 2011. Current opinion in pulmonary medicine 2011, 17(5):308-315.</ref>. | * [[Late gadolinium enhancement]] (delayed enhancement) evaluates scar/[[fibrosis]] and can differentiate chronic versus active disease. Some studies also suggest that monitoring [[gadolinium]] enhancement may be helpful in the assessment of response to treatment with [[steroids]]<ref>Abrishami B, O'Connel C, Sharma O: Cardiac sarcoidosis with presentation of large left atrial mass. Current opinion in pulmonary medicine 2004, 10(5):397-400.</ref><ref>Youssef G, Beanlands RS, Birnie DH, Nery PB: Cardiac sarcoidosis: applications of imaging in diagnosis and directing treatment. Heart (British Cardiac Society) 2011, 97(24):2078-2087.</ref><ref>Yeboah J, Lee C, Sharma OP: Cardiac sarcoidosis: a review 2011. Current opinion in pulmonary medicine 2011, 17(5):308-315.</ref>. | ||
Revision as of 16:16, 29 April 2018
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Sarcoidosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Sarcoidosis MRI On the Web |
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American Roentgen Ray Society Images of Sarcoidosis MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Roshan Dinparasti Saleh
Overview
Currently, cardiac MRI(CMR) is the technique of choice in diagnosis of subclinical or clinical cardiac sarcoidosis. It is fast, accurate, and noninvasive.
MRI
T1-weighted MR shows :
- wall motion abnormalities
- Hypertrophy due to infiltration
- Wall thinning
- Heart failure
- Late gadolinium enhancement (delayed enhancement) evaluates scar/fibrosis and can differentiate chronic versus active disease. Some studies also suggest that monitoring gadolinium enhancement may be helpful in the assessment of response to treatment with steroids[1][2][3].
References
- ↑ Abrishami B, O'Connel C, Sharma O: Cardiac sarcoidosis with presentation of large left atrial mass. Current opinion in pulmonary medicine 2004, 10(5):397-400.
- ↑ Youssef G, Beanlands RS, Birnie DH, Nery PB: Cardiac sarcoidosis: applications of imaging in diagnosis and directing treatment. Heart (British Cardiac Society) 2011, 97(24):2078-2087.
- ↑ Yeboah J, Lee C, Sharma OP: Cardiac sarcoidosis: a review 2011. Current opinion in pulmonary medicine 2011, 17(5):308-315.