Coronary Magnetic Resonance Angiography in Chronic Coronary Syndromes

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dc.contributor.authorHajhosseiny, Reza
dc.contributor.authorMunoz, Camila
dc.contributor.authorCruz, Gastao
dc.contributor.authorKhamis, Ramzi
dc.contributor.authorKim, Won Yong
dc.contributor.authorPrieto, Claudia
dc.contributor.authorBotnar, Rene M.
dc.date.accessioned2024-01-10T14:23:36Z
dc.date.available2024-01-10T14:23:36Z
dc.date.issued2021
dc.description.abstractCardiovascular disease is the leading cause of mortality worldwide, with atherosclerotic coronary artery disease (CAD) accounting for the majority of cases. X-ray coronary angiography and computed tomography coronary angiography (CCTA) are the imaging modalities of choice for the assessment of CAD. However, the use of ionising radiation and iodinated contrast agents remain drawbacks. There is therefore a clinical need for an alternative modality for the early identification and longitudinal monitoring of CAD without these associated drawbacks. Coronary magnetic resonance angiography (CMRA) could be a potential alternative for the detection and monitoring of coronary arterial stenosis, without exposing patients to ionising radiation or iodinated contrast agents. Further advantages include its versatility, excellent soft tissue characterisation and suitability for repeat imaging. Despite the early promise of CMRA, widespread clinical utilisation remains limited due to long and unpredictable scan times, onerous scan planning, lower spatial resolution, as well as motion related image quality degradation. The past decade has brought about a resurgence in CMRA technology, with significant leaps in image acceleration, respiratory and cardiac motion estimation and advanced motion corrected or motion-resolved image reconstruction. With the advent of artificial intelligence, great advances are also seen in deep learning-based motion estimation, undersampled and super-resolution reconstruction promising further improvements of CMRA. This has enabled high spatial resolution (1 mm isotropic), 3D whole heart CMRA in a clinically feasible and reliable acquisition time of under 10 min. Furthermore, latest super-resolution image reconstruction approaches which are currently under evaluation promise acquisitions as short as 1 min. In this review, we will explore the recent technological advances that are designed to bring CMRA closer to clinical reality.
dc.description.funderEPSRC
dc.description.funderBHF programme
dc.description.funderKing's BHF Centre for Research Excellence
dc.description.funderWellcome EPSRC Centre for Medical Engineering
dc.description.funderDepartment of Health through the National Institute for Health Research (NIHR) comprehensive Biomedical Research Centre award
dc.description.funderKing's College London
dc.description.funderKing's College Hospital NHS Foundation Trust
dc.description.funderNIHR MedTech Cooperative for Cardiovascular Disease at Guy's and St Thomas' NHS Foundation Trust
dc.fechaingreso.objetodigital2024-05-03
dc.format.extent17 páginas
dc.fuente.origenWOS
dc.identifier.doi10.3389/fcvm.2021.682924
dc.identifier.issn2297-055X
dc.identifier.pubmedidMEDLINE:34485397
dc.identifier.urihttps://doi.org/10.3389/fcvm.2021.682924
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80117
dc.identifier.wosidWOS:000693055000001
dc.information.autorucFacultad de Ingeniería; Prieto Vasquez, Claudia Del Carmen; S/I; 14195
dc.language.isoen
dc.nota.accesoSin adjunto
dc.publisherFRONTIERS MEDIA SA
dc.rightsregistro bibliográfico
dc.subjectcoronary angiography
dc.subjectCMRA
dc.subjectCCS
dc.subjectatherosclerosis
dc.subjectplaque
dc.subjectmagnetic resonance imaging
dc.subjectFRACTIONAL FLOW RESERVE
dc.subjectCOMPUTED-TOMOGRAPHY ANGIOGRAPHY
dc.subjectIMAGE-BASED NAVIGATORS
dc.subjectHIGH-INTENSITY SIGNALS
dc.subjectSINGLE-BREATH-HOLD
dc.subjectRESPIRATORY MOTION
dc.subjectMR-ANGIOGRAPHY
dc.subjectMEDICAL THERAPY
dc.subjectARTERY-DISEASE
dc.subjectCONTRAST AGENT
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleCoronary Magnetic Resonance Angiography in Chronic Coronary Syndromes
dc.typeartículo de revisión
dc.volumen8
sipa.codpersvinculados14195
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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