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Utilities and Limitations of Cardiac Magnetic Resonance Imaging in Dilated Cardiomyopathy

Authors
 Min Jae Cha  ;  Yoo Jin Hong  ;  Chan Ho Park  ;  Yoon Jin Cha  ;  Tae Hoon Kim  ;  Cherry Kim  ;  Chul Hwan Park 
Citation
 KOREAN JOURNAL OF RADIOLOGY, Vol.24(12) : 1200-1220, 2023-12 
Journal Title
KOREAN JOURNAL OF RADIOLOGY
ISSN
 1229-6929 
Issue Date
2023-12
MeSH
Cardiomyopathy, Dilated* / diagnostic imaging ; Cardiomyopathy, Dilated* / pathology ; Contrast Media ; Gadolinium ; Humans ; Magnetic Resonance Imaging ; Magnetic Resonance Imaging, Cine / methods ; Myocardial Ischemia* ; Predictive Value of Tests ; Ventricular Function, Left
Keywords
Cardiomyopathy, Dilated ; Heart failure ; Magnetic resonance imaging ; Myocardium ; Ventricular dysfunction
Abstract
Dilated cardiomyopathy (DCM) is one of the most common types of non-ischemic cardiomyopathy. DCM is characterized by left ventricle (LV) dilatation and systolic dysfunction without coronary artery disease or abnormal loading conditions. DCM is not a single disease entity and has a complex historical background of revisions and updates to its definition because of its diverse etiology and clinical manifestations. In cases of LV dilatation and dysfunction, conditions with phenotypic overlap should be excluded before establishing a DCM diagnosis. The differential diagnoses of DCM include ischemic cardiomyopathy, valvular heart disease, burned-out hypertrophic cardiomyopathy, arrhythmogenic cardiomyopathy, and non-compaction. Cardiac magnetic resonance (CMR) imaging is helpful for evaluating DCM because it provides precise measurements of cardiac size, function, mass, and tissue characterization. Comprehensive analyses using various sequences, including cine imaging, late gadolinium enhancement imaging, and T1 and T2 mapping, may help establish differential diagnoses, etiological work-up, disease stratification, prognostic determination, and follow-up procedures in patients with DCM phenotypes. This article aimed to review the utilities and limitations of CMR in the diagnosis and assessment of DCM.
Files in This Item:
T202307042.pdf Download
DOI
10.3348/kjr.2023.0531
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-3598-2529
Park, Chul Hwan(박철환) ORCID logo https://orcid.org/0000-0002-0004-9475
Cha, Yoon Jin(차윤진) ORCID logo https://orcid.org/0000-0002-5967-4064
Hong, Yoo Jin(홍유진) ORCID logo https://orcid.org/0000-0002-7276-0944
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197531
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