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Cardiac Magnetic Resonance Imaging: Current Techniques and Future Directions

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 25 October 2025 | Viewed by 343

Special Issue Editors


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Guest Editor
CMR Unit, Royal Brompton Hospital, Guy's and St Thomas' NHS Foundation Trust, London, UK
Interests: clinical cardiology; cardiac MRI; cardiovascular imaging; artificial intelligence in healthcare

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Guest Editor
First Department of Cardiology, AHEPA Hospital, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece
Interests: cardiovascular magnetic resonance; heart failure; cardiovascular imaging
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Special Issue Information

Dear Colleagues,

The field of cardiovascular imaging has witnessed remarkable progress in recent years, with cardiac magnetic resonance imaging (CMR) emerging as a cornerstone modality. CMR offers unparalleled insights into cardiac structure, function, and tissue composition while providing precise measurements of blood flow and myocardial perfusion. In this evolving landscape, facilitated by the rapid technological advancements in various fields, it becomes increasingly crucial to understand CMR's unique strengths and its synergies with other imaging techniques in everyday clinical practice.

In this Special Issue, we aim to explore the latest advancements in CMR techniques and their clinical applications across various cardiovascular diseases, while also examining its role within the broader context of multimodality imaging. We invite submissions with original research articles, reviews, and other types of manuscripts that showcase cutting-edge CMR research and innovative clinical applications in various pathologies.

We hope that we will provide a comprehensive overview of the current state-of-the-art practice in cardiac MRI and foster discussions that will drive future developments in this dynamic field.

Dr. Ioannis Botis
Prof. Dr. Theodoros D. Karamitsos
Guest Editors

Manuscript Submission Information

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Keywords

  • cardiac magnetic resonance imaging
  • cardiovascular magnetic resonance
  • cardiac imaging
  • multimodality imaging
  • parametric mapping
  • late gadolinium enhancement
  • myocardial perfusion
  • myocardial viability
  • cardiomyopathies
  • heart failure

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Published Papers (1 paper)

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Research

11 pages, 315 KiB  
Article
Predictive Value of Left Ventricular Systolic Dysfunction or Wall Motion Abnormalities for Non-Ischemic Myocardial Injury: A Multicenter Cardiovascular Resonance Study
by Justyna M. Sokolska, Justyna Rajewska-Tabor, Marek Koziński, Dorota Kulawiak-Gałąska, Anna Jankowska, Małgorzata Pyda, Karol Miszalski-Jamka and Maciej Haberka
J. Clin. Med. 2025, 14(11), 3691; https://doi.org/10.3390/jcm14113691 (registering DOI) - 24 May 2025
Abstract
Background: Left ventricle (LV) systolic dysfunction, defined as a global (LVejection fraction, LVEF < 50%) and/or regional wall motion abnormalities (RWMA), are the major parameters assessed in patients with cardiovascular diseases. The study evaluated the predictive value of LV systolic dysfunction for [...] Read more.
Background: Left ventricle (LV) systolic dysfunction, defined as a global (LVejection fraction, LVEF < 50%) and/or regional wall motion abnormalities (RWMA), are the major parameters assessed in patients with cardiovascular diseases. The study evaluated the predictive value of LV systolic dysfunction for non-ischemic myocardial injury (presence of myocardial fibrosis/scar) in patients with suspected myocarditis. Methods: This was a multicenter, observational, retrospective study (2018–2021) of stable outpatients with clinically suspected myocarditis referred for a contrast-enhanced CMR. Patients with a history of any other significant cardiovascular disorders were excluded from the study. In each patient, the LV systolic function (LVEF, RWMA) and the presence and severity of late gadolinium enhancement (LGE) were assessed by CMR. Results: A total of 773 consecutive patients were enrolled in the study. The average LVEF was 58 ± 10%, and systolic dysfunction was observed in 95 cases (12%). Subsequently, 456 patients (59%) with confirmed non-ischemic LGE in at least one segment were included in the study group. The average LVEF was 57 ± 11%, with LV systolic dysfunction observed in 126 (28%) individuals with RWMA and 84 (18%) with LVEF < 50%. The median number of LV segments with LGE was 3 (2–5), and the total amount of LGE was 6% (3–10) of the LV mass. The wall motion score index (WMSI) > 1 and LVEF < 56% were the best predictors of non-ischemic injury based on LGE (area under the curve [AUC] 0.62; sensitivity 31%; specificity 94%; p < 0.001 and AUC 0.59; sensitivity 42%; specificity 75%, p < 0.001, respectively). Conclusions: In stable patients with suspected myocarditis, any RWMA and LVEF < 56% had a predictive value for a non-ischemic myocardial injury as assessed by CMR. Full article
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