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Novel approaches in cardiac imaging for non-invasive assessment of left heart myocardial fibrosis

Mandoli, Giulia Elena ; D’ascenzi, Flavio ; Vinco, Giulia ; Benfari, Giovanni ; Ricci, Fabrizio LU ; Focardi, Marta ; Cavigli, Luna ; Pastore, Maria Concetta ; Sisti, Nicolò and De Vivo, Oreste , et al. (2021) In Frontiers in Cardiovascular Medicine 8.
Abstract

In the past, the identification of myocardial fibrosis was only possible through invasive histologic assessment. Although endomyocardial biopsy remains the gold standard, recent advances in cardiac imaging techniques have enabled non-invasive tissue characterization of the myocardium, which has also provided valuable insights into specific disease processes. The diagnostic accuracy, incremental yield and prognostic value of speckle tracking echocardiography, late gadolinium enhancement and parametric mapping modules by cardiac magnetic resonance and cardiac computed tomography have been validated against tissue samples and tested in broad patient populations, overall providing relevant clinical information to the cardiologist. This... (More)

In the past, the identification of myocardial fibrosis was only possible through invasive histologic assessment. Although endomyocardial biopsy remains the gold standard, recent advances in cardiac imaging techniques have enabled non-invasive tissue characterization of the myocardium, which has also provided valuable insights into specific disease processes. The diagnostic accuracy, incremental yield and prognostic value of speckle tracking echocardiography, late gadolinium enhancement and parametric mapping modules by cardiac magnetic resonance and cardiac computed tomography have been validated against tissue samples and tested in broad patient populations, overall providing relevant clinical information to the cardiologist. This review describes the patterns of left ventricular and left atrial fibrosis, and their characterization by advanced echocardiography, cardiac magnetic resonance and cardiac computed tomography, allowing for clinical applications in sudden cardiac death and management of atrial fibrillation.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cardiac magnetic resonance, Echocardiography, Fibrosis, Myocardial strain, Speckle tracking
in
Frontiers in Cardiovascular Medicine
volume
8
article number
614235
publisher
Frontiers Media S. A.
external identifiers
  • scopus:85107776296
  • pmid:33937354
ISSN
2297-055X
DOI
10.3389/fcvm.2021.614235
language
English
LU publication?
yes
id
f9465aca-c418-40bc-916b-3d4a1b26c659
date added to LUP
2021-07-20 10:25:05
date last changed
2024-07-13 16:01:19
@article{f9465aca-c418-40bc-916b-3d4a1b26c659,
  abstract     = {{<p>In the past, the identification of myocardial fibrosis was only possible through invasive histologic assessment. Although endomyocardial biopsy remains the gold standard, recent advances in cardiac imaging techniques have enabled non-invasive tissue characterization of the myocardium, which has also provided valuable insights into specific disease processes. The diagnostic accuracy, incremental yield and prognostic value of speckle tracking echocardiography, late gadolinium enhancement and parametric mapping modules by cardiac magnetic resonance and cardiac computed tomography have been validated against tissue samples and tested in broad patient populations, overall providing relevant clinical information to the cardiologist. This review describes the patterns of left ventricular and left atrial fibrosis, and their characterization by advanced echocardiography, cardiac magnetic resonance and cardiac computed tomography, allowing for clinical applications in sudden cardiac death and management of atrial fibrillation.</p>}},
  author       = {{Mandoli, Giulia Elena and D’ascenzi, Flavio and Vinco, Giulia and Benfari, Giovanni and Ricci, Fabrizio and Focardi, Marta and Cavigli, Luna and Pastore, Maria Concetta and Sisti, Nicolò and De Vivo, Oreste and Santoro, Ciro and Mondillo, Sergio and Cameli, Matteo}},
  issn         = {{2297-055X}},
  keywords     = {{Cardiac magnetic resonance; Echocardiography; Fibrosis; Myocardial strain; Speckle tracking}},
  language     = {{eng}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Cardiovascular Medicine}},
  title        = {{Novel approaches in cardiac imaging for non-invasive assessment of left heart myocardial fibrosis}},
  url          = {{http://dx.doi.org/10.3389/fcvm.2021.614235}},
  doi          = {{10.3389/fcvm.2021.614235}},
  volume       = {{8}},
  year         = {{2021}},
}