Editorial for "Impact of Temporal Resolution and Methods for Correction on Cardiac Magnetic Resonance Perfusion Quantification"

Stanislas Rapacchi (1) , Magalie Viallon (2, 3) , Pierre Croisille (3, 4)

1 CRMBM - Centre de résonance magnétique biologique et médicale
2 CHU ST-E - Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne]
3 RMN et optique : De la mesure au biomarqueur
4 Hôpital Louis Pradel

Cardiac perfusion MRI is proving to be a valuable noninvasive assessment tool in the armamentarium for patients with suspected coronary artery disease or microvascular disease, both for initial diagnosis and for follow-up to therapeutic decision. In particular, it has recently been shown to be comparable and more cost-effective than invasive fractional flow reserve for therapeutic guidance of patients with suspected CAD 1. This is especially true since the long-awaited results of the ISCHEMIA study challenge invasive management of coronary artery disease and demonstrate the value of optimal medical treatment 2. The Orbita study also masterfully demonstrated that an invasive approach is not the ultimate solution to propose to symptomatic coronary patients 3. In this context of decreasing radicality and slowing down of the therapeutic approach with an increasing role of an optimized medical approach, it is clear that dynamic cardiac perfusion MRI with contrast imaging therefore promises to become the cornerstone of regular follow-up that will be proposed in future guidelines.

Domaines: Imagerie; Physique Médicale [physics.med-ph]; Cardiologie et système cardiovasculaire

Stanislas Rapacchi, Magalie Viallon, Pierre Croisille. Editorial for "Impact of Temporal Resolution and Methods for Correction on Cardiac Magnetic Resonance Perfusion Quantification". Journal of Magnetic Resonance Imaging, In press, ⟨10.1002/jmri.28402⟩. ⟨hal-03836653⟩