Korean Journal of Radiology

  • 제14권5호
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  • Pages.727-732
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  • 2013
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

Diagnosis of Acute Global Myocarditis Using Cardiac MRI with Quantitative T1 and T2 Mapping: Case Report and Literature Review

  • Park, Chul Hwan (Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System) ;
  • Choi, Eui-Young (Division of Cardiology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Greiser, Andreas (Healthcare Sector, Siemens AG) ;
  • Paek, Mun Young (Siemens Ltd.) ;
  • Hwang, Sung Ho (Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System) ;
  • Kim, Tae Hoon (Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System)
  • 투고 : 2012.12.03
  • 심사 : 2013.06.20
  • 발행 : 2013.09.01
⟨ 이전 논문 다음 논문 ⟩

초록

The diagnosis of myocarditis can be challenging given that symptoms, clinical exam findings, electrocardiogram results, biomarkers, and echocardiogram results are often non-specific. Endocardial biopsy is an established method for diagnosing myocarditis, but carries the risk of complications and false negative results. Cardiac magnetic resonance imaging (MRI) has become the primary non-invasive imaging tool in patients with suspected myocarditis. Myocarditis can be diagnosed by using three tissue markers including edema, hyperemia/capillary leak, and necrosis/fibrosis. The interpretation of cardiac MR findings can be confusing, especially when the myocardium is diffusely involved. Using T1 and T2 maps, the diagnosis of myocarditis can be made even in cases of global myocarditis with the help of quantitative analysis. We herein describe a case of acute global myocarditis which was diagnosed by using quantitative T1 and T2 mapping.

키워드

참고문헌

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피인용 문헌

  1. T2-mapping - Clinical Experience vol.7, pp.2, 2013, https://doi.org/10.1007/s12410-013-9251-z
  2. Mapping tissue inhomogeneity in acute myocarditis: a novel analytical approach to quantitative myocardial edema imaging by T2-mapping vol.17, pp.None, 2015, https://doi.org/10.1186/s12968-015-0217-y
  3. Myocardial T1 Mapping : - Hope or Hype? - vol.79, pp.3, 2013, https://doi.org/10.1253/circj.cj-15-0054
  4. Transthoracic Echocardiography versus Cardiac MRI in the Diagnosis of Acute Myocarditis vol.3, pp.1, 2013, https://doi.org/10.5812/acvi.21211
  5. Early diagnosis of cardiac involvement in idiopathic inflammatory myopathy by cardiac magnetic resonance tomography vol.262, pp.4, 2013, https://doi.org/10.1007/s00415-014-7623-1
  6. Re-evaluation of a novel approach for quantitative myocardial oedema detection by analysing tissue inhomogeneity in acute myocarditis using T2-mapping vol.27, pp.12, 2013, https://doi.org/10.1007/s00330-017-4894-9
  7. Electrocardiography based prediction of hypertrophy pattern and fibrosis amount in hypertrophic cardiomyopathy: comparative study with cardiac magnetic resonance imaging vol.34, pp.10, 2013, https://doi.org/10.1007/s10554-018-1365-6
  8. Assessment of acute myocarditis by cardiac magnetic resonance imaging: Comparison of qualitative and quantitative analysis methods vol.26, pp.3, 2013, https://doi.org/10.1007/s12350-017-1109-3
  9. A case report on transient global ventricular wall thickening secondary to acute myocarditis : Focus on the unique role of cardiac MRI vol.99, pp.8, 2020, https://doi.org/10.1097/md.0000000000019223
  10. Effect of sarcomere and mitochondria-related mutations on myocardial fibrosis in patients with hypertrophic cardiomyopathy vol.23, pp.1, 2013, https://doi.org/10.1186/s12968-021-00718-3