Magnetic Resonance Imaging

Cardiac magnetic resonance imaging MRI is used as both a functional and anatomical cardiac imaging test. It offers excellent soft tissue detail and the ability to quantify cardiac function. MRI scans can be performed with or without gadolinium contrast depending on what information is needed. Unlike computed tomography (CT), MRI does not use X-ray radiation, but patients with metal implants may have contraindications for MRI use because MR will heat up most metal objects. MRI exams usually take much longer than CT scans. How does MRI work? MR creates images by using powerful magnets to polarize hydrogen atoms in water (the body is made of of more than 80% water) so they face in one direction. A radiofrequency pulse is then used to ping these atoms, causing them to wobble, or resonate. The MRI coils detect this and computers can assemble images from the signals. Basic MRI scans will focus on the resonance of fat and water in two different sequences, which highlight and contrast different features in the anatomy.

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Ron Blankstein, MD, FACC, FASNC, MSCCT, FASPC, associate director, cardiovascular imaging program, director, cardiac computed tomography, Brigham and Women’s Hospital, and a professor of medicine and radiology, Harvard Medical School, explains a few of the recent advancements in cardiac MRI, nuclear imaging and computed tomography.

Exploring major breakthroughs in cardiac imaging

Ron Blankstein, MD, director of cardiac computed tomography for Brigham and Women’s Hospital, details recent developments in cardiac MRI, nuclear imaging and CT.

CMR of a patient showing evidence of myocardial hypertrophy

MRI results help cardiologists predict heart failure risk

"This breakthrough suggests that heart MRI could potentially replace invasive diagnostic tests," one specialist said. 

Some of the abandon leads and various shapes and positions on the wires from the study. None of these patients had any safety issues related the abandoned leads. Image courtesy of RSNA

MRI in patients with abandoned pacemaker and ICD leads

Abandoned metal wire leads for pacemakers and ICDs did not present a serious safety issue in a study of 80 patients, but a handful of patients did experience a significant change in the composite of capture threshold, sensing or lead impedance.

The American Society of Nuclear Cardiology (ASNC) is asking Congress to repeal the appropriate use software provision mandate, which physicians say is an obstacle to efficient care.

ASNC asks Congress to officially repeal the AUC mandate for advanced medical imaging

Medicare rescinded the provision in the 2024 Medicare Physician Fee Schedule, but the law remains on the books. 

Emily Lau, MD, Mass General Hospital, discusses sex differences in cardiovascular presentations of women.

CVD presents differently in women than it does in men—guidelines should reflect that

Emily Lau, MD, a women's health expert with Massachusetts General Hospital, thinks major changes are needed in how we diagnose CVD in women. "Our guidelines need to be more precise and offer sex-specific recommendations," she says.

Researchers have developed and validated a new artificial intelligence (AI) model capable of producing four-chamber cardiac MR (CMR) images in seconds, publishing their findings in European Radiology Experimental.

AI creates accurate 4D heart scans in seconds

New data out of England provides cardiologists and radiologists with another reminder of AI's potential to transform healthcare. 

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New imaging protocols proposed to curb rise of cardiovascular infections

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, University Of Toronto, explains why vendors and hospitals are increasingly discussing lowing their carbon footprint by starting with radiology. 

What does radiology have to do with climate change?

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

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