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Cardiac Function

  • Chapter
Clinical Cardiac MRI

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Visualization and quantification of the cardiac pump activity by means of imaging techniques has become an essential part in the diagnosis of many cardiac diseases. This pump activity comprises a repetitive filling and emptying phase whereby one phase or both phases may be impaired by the underlying cardiac disease. Among the different available imaging modalities, MRI has become a preferred one to assess cardiac function because of its noninvasiveness, and the accuracy and reproducibility of the measurements. Moreover, cardiac function assessment by MRI is part of a more comprehensive approach including other facets such as myocardial perfusion imaging and tissue characterization. This chapter is written from the point of view of the imager, starting with a description of the mechanisms of cardiac contraction and relaxation, and how these lead to myocardial deformation and ventricular volume changes throughout the cardiac cycle. Next, it is discussed how imaging techniques can be used to assess these processes at different levels, and what major hurdles need to be passed to achieve reliable estimates of cardiac function parameters. Finally, normal reference values obtained by current MRI sequences are provided at the end of the chapter.

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  1. Department of Radiology and Medical Imaging Research Center (MIRC), University Hospitals Gasthuisberg, Catholic University of Leuven, Herestraat 49, 3000, Leuven, Belgium

    J. Bogaert

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  1. University Hospital Leuven, Dept. Radiology, Katholieke Universiteit Leuven, Herestraat 49, Leuven, 3000, Belgium

    Jan Bogaert

  2. University Hospital Leuven, Dept. Radiology, Katholieke Universiteit Leuven, Herestraat 49, Leuven, 3000, Belgium

    Steven Dymarkowski

  3. Hospital for Children, Cardio-respiratory Unit, Great Ormond Street, Great Ormond Street, London, WC1N 3JH, United Kingdom

    Andrew M. Taylor

  4. Hospital for Children, Cardio-respiratory Unit, Great Ormond Street, Great Ormond Street, London, WC1N 3JH, United Kingdom

    Vivek Muthurangu

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Bogaert, J. (2011). Cardiac Function. In: Bogaert, J., Dymarkowski, S., Taylor, A., Muthurangu, V. (eds) Clinical Cardiac MRI. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_335

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