Browsing by Author "Emrich, Tilman"

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    Late Gadolinium Enhancement Cardiac Magnetic Resonance Imaging: From Basic Concepts to Emerging Methods
    (2022) Holtackers, Robert J.; Emrich, Tilman; Botnar, René Michael; Kooi, M. Eline; Wildberger, Joachim E.; Kreitner, K.-F.
    Late gadolinium enhancement (LGE) is a widely used cardiac magnetic resonance imaging (MRI) technique to diagnose a broad range of ischemic and non-ischemic cardiomyopathies. Since its development and validation against histology already more than two decades ago, the clinical utility of LGE and its span of applications have increased considerably. Methods In this review we will present the basic concepts of LGE imaging and its diagnostic and prognostic value, elaborate on recent developments and emerging methods, and finally discuss future prospects. Results Continuous developments in 3D imaging methods, motion correction techniques, water/fat-separated imaging, dark-blood methods, and scar quantification improved the performance and further expanded the clinical utility of LGE imaging. Conclusion LGE imaging is the current noninvasive reference standard for the assessment of myocardial viability. Improvements in spatial resolution, scar-to-blood contrast, and water/fat-separated imaging further strengthened its position. Key Points: LGE MRI is the reference standard for the noninvasive assessment of myocardial viability LGE MRI is used to diagnose a broad range of non-ischemic cardiomyopathies in everyday clinical practice. Improvements in spatial resolution and scar-to-blood contrast further strengthened its position Continuous developments improve its performance and further expand its clinical utility Citation Format Holtackers RJ, Emrich T, Botnar RM etal. Late Gadolinium Enhancement Cardiac Magnetic Resonance Imaging: From Basic Concepts to Emerging Methods. Fortschr Röntgenstr 2022; DOI: 10.1055/a-1718-4355.