PT  - JOURNAL ARTICLE
AU  - Christian Hamilton-Craig
AU  - Martin Ugander
AU  - John P Greenwood
AU  - Rebecca Kozor
TI  - Stress perfusion cardiovascular magnetic resonance imaging: a guide for the general cardiologist
AID  - 10.1136/heartjnl-2022-321630
DP  - 2022 Sep 06
TA  - Heart
PG  - heartjnl-2022-321630
4099  - http://heart.bmj.com/content/early/2022/09/05/heartjnl-2022-321630.short
4100  - http://heart.bmj.com/content/early/2022/09/05/heartjnl-2022-321630.full
AB  - Stress cardiovascular magnetic resonance (CMR) is an emerging non-invasive imaging technique for the assessment of known or suspected ischaemic heart disease (IHD). Stress CMR provides information on myocardial perfusion, wall motion, ventricular dimensions and volumes, as well as late gadolinium enhancement (LGE) scar imaging in a single test without ionising radiation. Data from numerous multicentre randomised studies show high diagnostic and prognostic utility, its efficacy as a gatekeeper to invasive coronary angiography and use for guiding coronary revascularisation decisions. Stress CMR is cost-effective across multiple healthcare settings, yet its uptake and usage varies worldwide and is an underutilised technology. New developments include rapid acquisition protocols, automated quantification of perfusion and myocardial blood flow, and artificial intelligence-aided automated analysis and reporting. Stress CMR is becoming more accessible and standardised around the globe and is ready for ‘prime time’ use in the non-invasive assessment of patients with suspected IHD.