(Circulation. 1999;99:763-770.)
© 1999 American Heart Association, Inc.
Clinical Investigation and Reports |
Noninvasive Diagnosis of Ischemia-Induced Wall Motion Abnormalities With the Use of High-Dose Dobutamine Stress MRI
Comparison With Dobutamine Stress Echocardiography
From the Department of Internal Medicine/Cardiology, German Heart Institute and Charité Campus Virchow, Humboldt University, Berlin, Germany.
Correspondence to Eike Nagel, MD, Internal Medicine/Cardiology, Deutsches Herzzentrum Berlin und Charité Campus Virchow, Humboldt University, Augustenburger Platz 1, D-13353 Berlin, FRG. E-mail eike.nagel{at}charite.de
Background—The analysis of wall motion abnormalities with dobutamine stress echocardiography (DSE) is an established method for the detection of myocardial ischemia. With ultrafast magnetic resonance tomography, identical stress protocols as used for echocardiography can be applied.
Methods and Results—In 208 consecutive patients (147 men, 61
women) with suspected coronary artery disease, DSE with
harmonic imaging and dobutamine stress magnetic resonance
(DSMR) (1.5 T) were performed before cardiac
catheterization. DSMR images were acquired during short
breath-holds in 3 short-axis views and a 4- and a 2-chamber view
(gradient echo technique). Patients were examined at rest and during a
standard dobutamine-atropine scheme until submaximal heart
rate was reached. Regional wall motion was assessed in a 16-segment
model. Significant coronary heart disease was defined as 
50%
diameter stenosis. Eighteen patients could not be examined by
DSMR (claustrophobia 11 and adipositas 6) and 18 patients by DSE (poor
image quality). Four patients did not reach target heart rate. In 107
patients, coronary artery disease was found. With DSMR,
sensitivity was increased from 74.3% to 86.2% and specificity from
69.8% to 85.7% (both P<0.05) compared with DSE.
Analysis for women yielded similar results.
Conclusions—High-dose dobutamine magnetic resonance tomography can be performed with a standard dobutamine/atropine stress protocol. Detection of wall motion abnormalities by DSMR yields a significantly higher diagnostic accuracy in comparison to DSE.
Key Words: magnetic resonance imaging • echocardiography • coronary artery disease
This article has been cited by other articles:
 |
|
 |
|
  O. Bruder, S. Schneider, D. Nothnagel, T. Dill, V. Hombach, J. Schulz-Menger, E. Nagel, M. Lombardi, A. C. van Rossum, A. Wagner, et al. EuroCMR (European Cardiovascular Magnetic Resonance) Registry: Results of the German Pilot Phase J. Am. Coll. Cardiol., October 6, 2009; 54(15): 1457 - 1466. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F Alpendurada, J Wong, and D J Pennell Practical applications of cardiovascular magnetic resonance Heart Asia, March 31, 2009; 2009(3): 16 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. L. Wallace, T. M. Morgan, T. F. Walsh, E. Dall'Armellina, W. Ntim, C. A. Hamilton, and W. G. Hundley Dobutamine cardiac magnetic resonance results predict cardiac prognosis in women with known or suspected ischemic heart disease. J. Am. Coll. Cardiol. Img., March 1, 2009; 2(3): 299 - 307. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Korosoglou, D. Lossnitzer, D. Schellberg, A. Lewien, A. Wochele, T. Schaeufele, M. Neizel, H. Steen, E. Giannitsis, H. A. Katus, et al. Strain-Encoded Cardiac MRI as an Adjunct for Dobutamine Stress Testing: Incremental Value to Conventional Wall Motion Analysis Circ Cardiovasc Imaging, March 1, 2009; 2(2): 132 - 140. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Sicari, P. Nihoyannopoulos, A. Evangelista, J. Kasprzak, P. Lancellotti, D. Poldermans, J.-U. Voigt, J. L. Zamorano, and on behalf of the European Association of Echocardi Stress Echocardiography Expert Consensus Statement--Executive Summary: European Association of Echocardiography (EAE) (a registered branch of the ESC) Eur. Heart J., February 1, 2009; 30(3): 278 - 289. [Full Text] [PDF]
|
|
|
|
 |
|
 F. Crea, P. G. Camici, R. De Caterina, and G. A. Lanza CHAPTER 17 Chronic Ischaemic Heart Disease ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Hoeks and D. Poldermans CHAPTER 34 Non-cardiac Surgery in Cardiac Patients ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W P Bandettini and A E Arai Advances in clinical applications of cardiovascular magnetic resonance imaging Heart, November 1, 2008; 94(11): 1485 - 1495. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Y. Kwong, H. Sattar, H. Wu, G. Vorobiof, V. Gandla, K. Steel, S. Siu, and K. A. Brown Incidence and Prognostic Implication of Unrecognized Myocardial Scar Characterized by Cardiac Magnetic Resonance in Diabetic Patients Without Clinical Evidence of Myocardial Infarction Circulation, September 2, 2008; 118(10): 1011 - 1020. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Gebker, C. Jahnke, R. Manka, A. Hamdan, B. Schnackenburg, E. Fleck, and I. Paetsch Additional Value of Myocardial Perfusion Imaging During Dobutamine Stress Magnetic Resonance for the Assessment of Coronary Artery Disease Circ Cardiovasc Imaging, September 1, 2008; 1(2): 122 - 130. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Bluemke, S. Achenbach, M. Budoff, T. C. Gerber, B. Gersh, L. D. Hillis, W. G. Hundley, W. J. Manning, B. F. Printz, M. Stuber, et al. Noninvasive Coronary Artery Imaging: Magnetic Resonance Angiography and Multidetector Computed Tomography Angiography: A Scientific Statement From the American Heart Association Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention, and the Councils on Clinical Cardiology and Cardiovascular Disease in the Young Circulation, July 29, 2008; 118(5): 586 - 606. [Full Text] [PDF]
|
|
|
|
 |
|
 R. Sicari, P. Nihoyannopoulos, A. Evangelista, J. Kasprzak, P. Lancellotti, D. Poldermans, J.-U. Voigt, J. L. Zamorano, and on behalf of the European Association of Echocardi Stress echocardiography expert consensus statement: European Association of Echocardiography (EAE) (a registered branch of the ESC) Eur J Echocardiogr, July 1, 2008; 9(4): 415 - 437. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. D. Potter, P. A. Araoz, K. P. McGee, W. S. Harmsen, J. N. Mandrekar, and T. M. Sundt III Low-dose dobutamine cardiac magnetic resonance imaging with myocardial strain analysis predicts myocardial recoverability after coronary artery bypass grafting. J. Thorac. Cardiovasc. Surg., June 1, 2008; 135(6): 1342 - 1347. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Stangl, V. Witzel, G. Baumann, and K. Stangl Current diagnostic concepts to detect coronary artery disease in women Eur. Heart J., March 2, 2008; 29(6): 707 - 717. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. K. Courtney, N. R. Munce, K. J. Anderson, A. S. Thind, G. Leung, P. E. Radau, F. S. Foster, I. A. Vitkin, R. S. Schwartz, A. J. Dick, et al. Innovations in imaging for chronic total occlusions: a glimpse into the future of angiography's blind-spot Eur. Heart J., March 1, 2008; 29(5): 583 - 593. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Hausleiter, T. Meyer, M. Hadamitzky, M. Zankl, P. Gerein, K. Dorrler, A. Kastrati, S. Martinoff, and A. Schomig Non-invasive coronary computed tomographic angiography for patients with suspected coronary artery disease: the Coronary Angiography by Computed Tomography with the Use of a Submillimeter resolution (CACTUS) trial Eur. Heart J., December 2, 2007; 28(24): 3034 - 3041. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. E. Karagiannis, J. Roelandt, M. Qazi, S. Krishnan, H. H.H. Feringa, R. Vidakovic, G. Karatasakis, D. V. Cokkinos, and D. Poldermans Automated coupled-contour and robust myocardium tracking in stress echocardiography Eur J Echocardiogr, December 1, 2007; 8(6): 431 - 437. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Hoffmann, A. C. Borges, J. D. Kasprzak, S. von Bardeleben, C. Firschke, C. Greis, M. Engelhardt, H. Becher, and J. L. Vanoverschelde Analysis of myocardial perfusion or myocardial function for detection of regional myocardial abnormalities. An echocardiographic multicenter comparison study using myocardial contrast echocardiography and 2D echocardiography Eur J Echocardiogr, December 1, 2007; 8(6): 438 - 448. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Merkle, J. Wohrle, O. Grebe, T. Nusser, M. Kunze, H. A Kestler, M. Kochs, and V. Hombach Assessment of myocardial perfusion for detection of coronary artery stenoses by steady-state, free-precession magnetic resonance first-pass imaging Heart, November 1, 2007; 93(11): 1381 - 1385. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. A. Fleisher, J. A. Beckman, K. A. Brown, H. Calkins, E. L. Chaikof, K. E. Fleischmann, W. K. Freeman, J. B. Froehlich, E. K. Kasper, J. R. Kersten, et al. ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery J. Am. Coll. Cardiol., October 23, 2007; 50(17): e159 - e242. [Full Text] [PDF]
|
|
|
|
|
|
L. A. Fleisher, J. A. Beckman, K. A. Brown, H. Calkins, E. L. Chaikof, K. E. Fleischmann, W. K. Freeman, J. B. Froehlich, E. K. Kasper, J. R. Kersten, et al. ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Circulation, October 23, 2007; 116(17): e418 - e500. [Full Text] [PDF]
|
|
|
|
|
|
K. R. Nandalur, B. A. Dwamena, A. F. Choudhri, M. R. Nandalur, and R. C. Carlos Diagnostic Performance of Stress Cardiac Magnetic Resonance Imaging in the Detection of Coronary Artery Disease: A Meta-Analysis J. Am. Coll. Cardiol., October 2, 2007; 50(14): 1343 - 1353. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. C. Wu, F. M. Bengel, and S. S. Gambhir Cardiovascular Molecular Imaging Radiology, August 1, 2007; 244(2): 337 - 355. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. D. Banas, S. Baldwa, G. Suzuki, J. M. Canty Jr., and J. A. Fallavollita Determinants of contractile reserve in viable, chronically dysfunctional myocardium Am J Physiol Heart Circ Physiol, June 1, 2007; 292(6): H2791 - H2797. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Jahnke, E. Nagel, R. Gebker, T. Kokocinski, S. Kelle, R. Manka, E. Fleck, and I. Paetsch Prognostic Value of Cardiac Magnetic Resonance Stress Tests: Adenosine Stress Perfusion and Dobutamine Stress Wall Motion Imaging Circulation, April 3, 2007; 115(13): 1769 - 1776. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Jahnke, I. Paetsch, R. Gebker, A. Bornstedt, E. Fleck, and E. Nagel Accelerated 4D Dobutamine Stress MR Imaging with k-t BLAST: Feasibility and Diagnostic Performance Radiology, October 25, 2006; (2006) 2413051522. [Abstract] [Full Text]
|
|
|
|
|
|
R. Y. Kwong, A. K. Chan, K. A. Brown, C. W. Chan, H. G. Reynolds, S. Tsang, and R. B. Davis Impact of Unrecognized Myocardial Scar Detected by Cardiac Magnetic Resonance Imaging on Event-Free Survival in Patients Presenting With Signs or Symptoms of Coronary Artery Disease Circulation, June 13, 2006; 113(23): 2733 - 2743. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Paetsch, C. Jahnke, V. A. Ferrari, F. E. Rademakers, P. A. Pellikka, W. G. Hundley, D. Poldermans, J. J. Bax, K. Wegscheider, E. Fleck, et al. Determination of interobserver variability for identifying inducible left ventricular wall motion abnormalities during dobutamine stress magnetic resonance imaging Eur. Heart J., June 2, 2006; 27(12): 1459 - 1464. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Hoffmann The demystification of magnetic resonance imaging? Eur. Heart J., June 2, 2006; 27(12): 1394 - 1395. [Full Text] [PDF]
|
|
|
|
|
|
Authors/Task Force Members, K. Fox, M. A. A. Garcia, D. Ardissino, P. Buszman, P. G. Camici, F. Crea, C. Daly, G. De Backer, P. Hjemdahl, et al. Guidelines on the management of stable angina pectoris: executive summary: The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology Eur. Heart J., June 1, 2006; 27(11): 1341 - 1381. [Full Text] [PDF]
|
|
|
|
|
|
C. M. Kramer When Two Tests Are Better Than One: Adding Late Gadolinium Enhancement to First-Pass Perfusion Cardiovascular Magnetic Resonance J. Am. Coll. Cardiol., April 18, 2006; 47(8): 1639 - 1640. [Full Text] [PDF]
|
|
|
|
|
|
S. E. Petersen, B. A. Jung, F. Wiesmann, J. B. Selvanayagam, J. M. Francis, J. Hennig, S. Neubauer, and M. D. Robson Myocardial Tissue Phase Mapping with Cine Phase-Contrast MR Imaging: Regional Wall Motion Analysis in Healthy Volunteers Radiology, March 1, 2006; 238(3): 816 - 826. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. J. Shaw, C. N. Bairey Merz, C. J. Pepine, S. E. Reis, V. Bittner, S. F. Kelsey, M. Olson, B. D. Johnson, S. Mankad, B. L. Sharaf, et al. Insights From the NHLBI-Sponsored Women's Ischemia Syndrome Evaluation (WISE) Study: Part I: Gender Differences in Traditional and Novel Risk Factors, Symptom Evaluation, and Gender-Optimized Diagnostic Strategies J. Am. Coll. Cardiol., February 7, 2006; 47(3_Suppl_S): S4 - S20. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Hoffmann, S. von Bardeleben, J. D. Kasprzak, A. C. Borges, F. ten Cate, C. Firschke, S. Lafitte, N. Al-Saadi, S. Kuntz-Hehner, G. Horstick, et al. Analysis of Regional Left Ventricular Function by Cineventriculography, Cardiac Magnetic Resonance Imaging, and Unenhanced and Contrast-Enhanced Echocardiography: A Multicenter Comparison of Methods J. Am. Coll. Cardiol., January 3, 2006; 47(1): 121 - 128. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Paetsch, C. Jahnke, E. Fleck, and E. Nagel Current clinical applications of stress wall motion analysis with cardiac magnetic resonance imaging Eur J Echocardiogr, October 1, 2005; 6(5): 317 - 326. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Sipola, K. Lauerma, P. Jaaskelainen, M. Laakso, K. Peuhkurinen, H. Manninen, H. J. Aronen, and J. Kuusisto Cine MR Imaging of Myocardial Contractile Impairment in Patients with Hypertrophic Cardiomyopathy Attributable to Asp175Asn Mutation in the {alpha}-Tropomyosin Gene Radiology, September 1, 2005; 236(3): 815 - 824. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Rickers, N. M. Wilke, M. Jerosch-Herold, S. A. Casey, P. Panse, N. Panse, J. Weil, A. G. Zenovich, and B. J. Maron Utility of Cardiac Magnetic Resonance Imaging in the Diagnosis of Hypertrophic Cardiomyopathy Circulation, August 9, 2005; 112(6): 855 - 861. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Fuster and R. J. Kim Frontiers in Cardiovascular Magnetic Resonance Circulation, July 5, 2005; 112(1): 135 - 144. [Full Text] [PDF]
|
|
|
|
|
|
I. Paetsch, D. Foll, A. Kaluza, R. Luechinger, M. Stuber, A. Bornstedt, A. Wahl, E. Fleck, and E. Nagel Magnetic resonance stress tagging in ischemic heart disease Am J Physiol Heart Circ Physiol, June 1, 2005; 288(6): H2708 - H2714. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R Senior, M Monaghan, H Becher, J Mayet, and P Nihoyannopoulos Stress echocardiography for the diagnosis and risk stratification of patients with suspected or known coronary artery disease: a critical appraisal. Supported by the British Society of Echocardiography Heart, April 1, 2005; 91(4): 427 - 436. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. H. Mieres, L. J. Shaw, A. Arai, M. J. Budoff, S. D. Flamm, W. G. Hundley, T. H. Marwick, L. Mosca, A. R. Patel, M. A. Quinones, et al. Role of Noninvasive Testing in the Clinical Evaluation of Women With Suspected Coronary Artery Disease: Consensus Statement From the Cardiac Imaging Committee, Council on Clinical Cardiology, and the Cardiovascular Imaging and Intervention Committee, Council on Cardiovascular Radiology and Intervention, American Heart Association Circulation, February 8, 2005; 111(5): 682 - 696. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. M. Kramer The comprehensive approach to ischemic heart disease by cardiovascular magnetic resonance imaging: Are we there yet? J. Am. Coll. Cardiol., December 7, 2004; 44(11): 2182 - 2184. [Full Text] [PDF]
|
|
|
|
|
|
D. J. Pennell, U. P. Sechtem, C. B. Higgins, W. J. Manning, G. M. Pohost, F. E. Rademakers, A. C. van Rossum, L. J. Shaw, and E. K. Yucel Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report Eur. Heart J., November 1, 2004; 25(21): 1940 - 1965. [Full Text] [PDF]
|
|
|
|
|
|
A. Wahl, I. Paetsch, S. Roethemeyer, C. Klein, E. Fleck, and E. Nagel High-Dose Dobutamine-Atropine Stress Cardiovascular MR Imaging after Coronary Revascularization in Patients with Wall Motion Abnormalities at Rest Radiology, October 1, 2004; 233(1): 210 - 216. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. A.C. Lima and M. Y. Desai Cardiovascular magnetic resonance imaging: Current and emerging applications J. Am. Coll. Cardiol., September 15, 2004; 44(6): 1164 - 1171. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. S. Fieno, S. M. Shea, Y. Li, K. R. Harris, J. P. Finn, and D. Li Myocardial Perfusion Imaging Based on the Blood Oxygen Level-Dependent Effect Using T2-Prepared Steady-State Free-Precession Magnetic Resonance Imaging Circulation, September 7, 2004; 110(10): 1284 - 1290. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. M. Muhling, Y. Wang, M. Jerosch-Herold, M. M. Cayton, L. S. Wann, M. M. Mirhoseini, and N. M. Wilke Improved myocardial function after transmyocardial laser revascularization according to cine magnetic resonance in a porcine model J. Thorac. Cardiovasc. Surg., September 1, 2004; 128(3): 391 - 395. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. R. Edelman Contrast-enhanced MR Imaging of the Heart: Overview of the Literature Radiology, September 1, 2004; 232(3): 653 - 668. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Paetsch, C. Jahnke, A. Wahl, R. Gebker, M. Neuss, E. Fleck, and E. Nagel Comparison of Dobutamine Stress Magnetic Resonance, Adenosine Stress Magnetic Resonance, and Adenosine Stress Magnetic Resonance Perfusion Circulation, August 17, 2004; 110(7): 835 - 842. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Arai and G. A. Hirsch Q-wave and non-q-wave myocardial infarctions through the eyes of cardiac magnetic resonance imaging J. Am. Coll. Cardiol., August 4, 2004; 44(3): 561 - 563. [Full Text] [PDF]
|
|
|
|
 |
|
 S. Dhawan, K. C. Dharmashankar, and T. Tak Role of Magnetic Resonance Imaging in Visualizing Coronary Arteries Clin. Med. Res., August 1, 2004; 2(3): 173 - 179. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. D Flamm High-dose dobutamine stress cardiac magnetic resonance imaging - has its time come? Eur. Heart J., July 2, 2004; 25(14): 1183 - 1184. [Full Text] [PDF]
|
|
|
|
|
|
A. Wahl, I. Paetsch, A. Gollesch, S. Roethemeyer, D. Foell, R. Gebker, H. Langreck, C. Klein, E. Fleck, and E. Nagel Safety and feasibility of high-dose dobutamine-atropine stress cardiovascular magnetic resonance for diagnosis of myocardial ischaemia: experience in 1000 consecutive cases Eur. Heart J., July 2, 2004; 25(14): 1230 - 1236. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. D. Johnson, L. J. Shaw, S. D. Buchthal, C. N. Bairey Merz, H.-W. Kim, K. N. Scott, M. Doyle, M. B. Olson, C. J. Pepine, J. den Hollander, et al. Prognosis in Women With Myocardial Ischemia in the Absence of Obstructive Coronary Disease: Results From the National Institutes of Health-National Heart, Lung, and Blood Institute-Sponsored Women's Ischemia Syndrome Evaluation (WISE) Circulation, June 22, 2004; 109(24): 2993 - 2999. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Kim and W. J. Manning Viability Assessment by Delayed Enhancement Cardiovascular Magnetic Resonance: Will Low-Dose Dobutamine Dull the Shine? Circulation, June 1, 2004; 109(21): 2476 - 2479. [Full Text] [PDF]
|
|
|
|
|
|
S.R. Underwood, J. J Bax, J. v. Dahl, M. Y Henein, A. C van Rossum, E. R Schwarz, J.-L. Vanoverschelde, E. E.v. d. Wall, and W. Wijns Imaging techniques for the assessment of myocardial hibernation: Report of a Study Group of the European Society of Cardiology Eur. Heart J., May 2, 2004; 25(10): 815 - 836. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Shan, G. Constantine, M. Sivananthan, and S. D. Flamm Role of Cardiac Magnetic Resonance Imaging in the Assessment of Myocardial Viability Circulation, March 23, 2004; 109(11): 1328 - 1334. [Full Text] [PDF]
|
|
|
|
|
|
D. Kim, W. D. Gilson, C. M. Kramer, and F. H. Epstein Myocardial Tissue Tracking with Two-dimensional Cine Displacement-encoded MR Imaging: Development and Initial Evaluation Radiology, March 1, 2004; 230(3): 862 - 871. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G J Heatlie and K Pointon Cardiac magnetic resonance imaging Postgrad. Med. J., January 1, 2004; 80(939): 19 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. S. Lee, D. Resnick, S. S. Tiu, J. J. Sanger, C. A. Nazzaro, G. M. Israel, and O. P. Simonetti MR Imaging Evaluation of Myocardial Viability in the Setting of Equivocal SPECT Results with 99mTc Sestamibi Radiology, January 1, 2004; 230(1): 191 - 197. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. C. Wu and J. A.C. Lima Noninvasive Imaging of Myocardial Viability: Current Techniques and Future Developments Circ. Res., December 12, 2003; 93(12): 1146 - 1158. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Castillo, J. A. C. Lima, and D. A. Bluemke Regional Myocardial Function: Advances in MR Imaging and Analysis RadioGraphics, October 1, 2003; 23(90001): S127 - 140. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. M. Pohost, L. Hung, and M. Doyle Clinical Use of Cardiovascular Magnetic Resonance Circulation, August 12, 2003; 108(6): 647 - 653. [Full Text] [PDF]
|
|
|
|
|
|
D. L. Kraitchman, S. Sampath, E. Castillo, J. A. Derbyshire, R. C. Boston, D. A. Bluemke, B. L. Gerber, J. L. Prince, and N. F. Osman Quantitative Ischemia Detection During Cardiac Magnetic Resonance Stress Testing by Use of FastHARP Circulation, April 22, 2003; 107(15): 2025 - 2030. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Kuijpers, K. Y. J.A.M. Ho, P. R.M. van Dijkman, R. Vliegenthart, and M. Oudkerk Dobutamine Cardiovascular Magnetic Resonance for the Detection of Myocardial Ischemia With the Use of Myocardial Tagging Circulation, April 1, 2003; 107(12): 1592 - 1597. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. R. Weiss, A. H. Aletras, J. F. London, J. L. Taylor, F. H. Epstein, R. Wassmuth, R. S. Balaban, and A. E. Arai Stunned, Infarcted, and Normal Myocardium in Dogs: Simultaneous Differentiation by Using Gadolinium-enhanced Cine MR Imaging with Magnetization Transfer Contrast Radiology, March 1, 2003; 226(3): 723 - 730. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Y. Kwong, A. E. Schussheim, S. Rekhraj, A. H. Aletras, N. Geller, J. Davis, T. F. Christian, R. S. Balaban, and A. E. Arai Detecting Acute Coronary Syndrome in the Emergency Department With Cardiac Magnetic Resonance Imaging Circulation, February 4, 2003; 107(4): 531 - 537. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Orlic, J. M. Hill, and A. E. Arai Stem Cells for Myocardial Regeneration Circ. Res., December 13, 2002; 91(12): 1092 - 1102. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. L. F. Bedaux, M. B. M. Hofman, S. L. A. Vyt, J. G. F. Bronzwaer, C. A. Visser, and A. C. van Rossum Assessment of coronary artery bypass graft disease using cardiovascular magnetic resonance determination of flow reserve J. Am. Coll. Cardiol., November 20, 2002; 40(10): 1848 - 1855. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. G. Hundley, T. M. Morgan, C. M. Neagle, C. A. Hamilton, P. Rerkpattanapipat, and K. M. Link Magnetic Resonance Imaging Determination of Cardiac Prognosis Circulation, October 29, 2002; 106(18): 2328 - 2333. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Schalla, C. Klein, I. Paetsch, H. Lehmkuhl, A. Bornstedt, B. Schnackenburg, E. Fleck, and E. Nagel Real-Time MR Image Acquisition during High-Dose Dobutamine Hydrochloride Stress for Detecting Left Ventricular Wall-Motion Abnormalities in Patients with Coronary Arterial Disease Radiology, September 1, 2002; 224(3): 845 - 851. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Theilmeier, P. Verhamme, S. Dymarkowski, H. Beck, H. Bernar, M. Lox, S. Janssens, M.-C. Herregods, E. Verbeken, D. Collen, et al. Hypercholesterolemia in Minipigs Impairs Left Ventricular Response to Stress: Association With Decreased Coronary Flow Reserve and Reduced Capillary Density Circulation, August 27, 2002; 106(9): 1140 - 1146. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Mahrholdt, A. Wagner, R.M. Judd, and U. Sechtem Assessment of myocardial viability by cardiovascular magnetic resonance imaging Eur. Heart J., April 2, 2002; 23(8): 602 - 619. [Full Text] [PDF]
|
|
|
|
 |
|
 B. B. Chin, G. Esposito, and D. L. Kraitchman Myocardial Contractile Reserve and Perfusion Defect Severity with Rest and Stress Dobutamine 99mTc-Sestamibi SPECT in Canine Stunning and Subendocardial Infarction J. Nucl. Med., April 1, 2002; 43(4): 540 - 550. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Achenbach and W. G. Daniel Noninvasive Coronary Angiography -- An Acceptable Alternative? N. Engl. J. Med., December 27, 2001; 345(26): 1909 - 1910. [Full Text] [PDF]
|
|
|
|
|
|
S. B. Reeder, Y. P. Du, J. A. C. Lima, and D. A. Bluemke Advanced Cardiac MR Imaging of Ischemic Heart Disease RadioGraphics, July 1, 2001; 21(4): 1047 - 1074. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Pennell IMAGING TECHNIQUES: Cardiovascular magnetic resonance Heart, May 1, 2001; 85(5): 581 - 589. [Full Text]
|
|
|
|
|
|
G. K. von Schulthess and J. Schwitter Cardiac MR Imaging: Facts and Fiction Radiology, February 1, 2001; 218(2): 326 - 328. [Full Text]
|
|
|
|
 |
|
 W. Moshage, S. Achenbach, and W. G. Daniel Novel approaches to the non-invasive diagnosis of coronary-artery disease Nephrol. Dial. Transplant., January 1, 2001; 16(1): 21 - 28. [Full Text] [PDF]
|
|
|
|
|
|
N. Al-Saadi, E. Nagel, M. Gross, B. Schnackenburg, I. Paetsch, C. Klein, and E. Fleck Improvement of myocardial perfusion reserve early after coronary intervention: assessment with cardiac magnetic resonance imaging J. Am. Coll. Cardiol., November 1, 2000; 36(5): 1557 - 1564. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Rajappan, N. G. Bellenger, L. Anderson, and D. J. Pennell The role of cardiovascular magnetic resonance in heart failure Eur J Heart Fail, September 1, 2000; 2(3): 241 - 252. [Abstract] [Full Text] [PDF]
|
|