PMID- 24066194 OWN - NLM STAT- MEDLINE DCOM- 20140513 LR - 20220321 IS - 1947-6108 (Electronic) IS - 1947-6094 (Print) IS - 1947-6108 (Linking) VI - 9 IP - 3 DP - 2013 Jul-Sep TI - Cardiac MRI for myocardial ischemia. PG - 123-31 AB - Proper assessment of the physiologic impact of coronary artery stenosis on the LV myocardium can affect patient prognosis and treatment decisions. Cardiac magnetic resonance imaging (CMR) assesses myocardial perfusion by imaging the myocardium during a first-pass transit of an intravenous gadolinium bolus, with spatial and temporal resolution substantially higher than nuclear myocardial perfusion imaging. Coupled with late gadolinium enhancement (LGE) imaging for infarction during the same imaging session, CMR with vasodilating stress perfusion imaging can qualitatively and quantitatively assess the myocardial extent of hypoperfusion from coronary stenosis independent of infarcted myocardium. This approach has been validated experimentally, and multiple clinical trials have established its diagnostic robustness when compared to stress single-photon emission computed tomography. In specialized centers, dobutamine stress CMR has been shown to have incremental diagnostic value above stress echocardiography due to its high imaging quality and ability to image the heart with no restriction of imaging window. This paper reviews the technical aspects, diagnostic utility, prognostic values, challenges to clinical adaptation, and future developments of stress CMR imaging. FAU - Daly, Caroline AU - Daly C AD - St. James Hospital, Dublin, Ireland. FAU - Kwong, Raymond Y AU - Kwong RY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Methodist Debakey Cardiovasc J JT - Methodist DeBakey cardiovascular journal JID - 101508600 SB - IM MH - Coronary Circulation MH - Coronary Vessels/pathology/physiopathology MH - Humans MH - Magnetic Resonance Imaging, Cine/*methods MH - Myocardial Ischemia/*diagnosis MH - Myocardium/*pathology PMC - PMC3782318 OTO - NOTNLM OT - CMR OT - cardiac magnetic resonance imaging OT - coronary artery stenosis OT - dobutamine stress CMR OT - myocardial ischemia OT - perfusion COIS- Conflict of Interest Disclosure: The authors have completed and submitted the Methodist DeBakey Cardiovascular Journal Conflict of Interest Statement and none were reported. EDAT- 2013/09/26 06:00 MHDA- 2014/05/14 06:00 PMCR- 2013/07/01 CRDT- 2013/09/26 06:00 PHST- 2013/09/26 06:00 [entrez] PHST- 2013/09/26 06:00 [pubmed] PHST- 2014/05/14 06:00 [medline] PHST- 2013/07/01 00:00 [pmc-release] AID - MDCVJ_0903n [pii] AID - 10.14797/mdcj-9-3-123 [doi] PST - ppublish SO - Methodist Debakey Cardiovasc J. 2013 Jul-Sep;9(3):123-31. doi: 10.14797/mdcj-9-3-123.