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Cardiovascular Imaging: Diagnosis and Therapeutic Guidance in Clinical Practice

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

Deadline for manuscript submissions: 20 December 2025 | Viewed by 786

Special Issue Editor


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Guest Editor
1. IRCCS Humanitas Research Hospital, Via Alessandro Manzoni, 56, Rozzano, 20089 Milano, Italy
2. Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini, 4, Pieve Emanuele, 20090 Milano, Italy
Interests: cardiovascular magnetic resonance; echocardiography; cardiomyopathy; mitral valve prolapse; ischemic heart disease

Special Issue Information

Dear Colleagues,

Cardiovascular magnetic resonance (CMR) imaging has emerged as a cornerstone in the non-invasive assessment of cardiac structure, function, and tissue characterization. With its unparalleled spatial resolution, reproducibility, and versatility, CMR enables accurate diagnosis across a wide spectrum of cardiovascular diseases, including cardiomyopathies, ischemic heart disease, myocarditis, valvular disorders (particularly mitral valve prolapse), and congenital anomalies. Beyond diagnosis, CMR is increasingly recognized for its pivotal role in guiding therapeutic decisions—ranging from risk stratification and timing of interventions to monitoring treatment response.

The evolution of advanced techniques such as T1 and T2 mapping, late gadolinium enhancement, strain imaging, and 4D flow has expanded the clinical utility of CMR beyond traditional volumetric and functional assessment. These innovations not only improve diagnostic precision but also enhance our ability to personalize therapy and predict outcomes.

This Special Issue invites original research, reviews, and clinical perspectives that explore the diagnostic accuracy, prognostic value, and therapeutic impact of CMR. We aim at highlighting both established and emerging applications of CMR that are shaping the future of precision cardiovascular medicine.

Dr. Stefano Figliozzi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

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Keywords

  • cardiovascular magnetic resonance
  • cardiac imaging
  • T1 and T2 mapping
  • myocardial tissue characterization
  • late gadolinium enhancement
  • ischemic heart disease
  • cardiomyopathies
  • valvular heart disease
  • therapeutic guidance
  • precision medicine
  • mitral valve prolapse

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Published Papers (1 paper)

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Research

11 pages, 215 KB  
Article
The Impact of Risk Score Use in Predicting Serious Adverse Events During Cardiac Catheterization Procedures in Pediatric Patients
by Muhammet Hamza Halil Toprak, Hatice Dilek Özcanoğlu, İbrahim Akkoç, Kahraman Yakut, Ali Nazım Güzelbağ, Abdullah Erdem, İbrahim Cansaran Tanıdır and Erkut Öztürk
J. Clin. Med. 2025, 14(19), 6919; https://doi.org/10.3390/jcm14196919 - 30 Sep 2025
Viewed by 598
Abstract
Background: Cardiac catheterization may be required in the management of congenital heart diseases. The use of risk scoring or grading systems in these procedures can assist in planning the intervention and predicting potential complications. This study aimed to evaluate the use of [...] Read more.
Background: Cardiac catheterization may be required in the management of congenital heart diseases. The use of risk scoring or grading systems in these procedures can assist in planning the intervention and predicting potential complications. This study aimed to evaluate the use of risk scores in grading cardiac catheterization procedures in pediatric patients and to investigate their predictive value for serious adverse events (SAEs). Material and Methods: A total of 700 pediatric patients (350 male; median age 1 year [IQR 6 months–2 years]) who underwent cardiac catheterization in our catheterization laboratory between 1 January 2023 and 1 January 2025 were retrospectively analyzed. Demographic and clinical data of the patients, including procedure duration, anesthesia management, Catheterization Risk in Pediatrics Score (CRISP), and serious adverse events related to the procedure, were recorded. The results were analyzed statistically. Results: In total, 50% of the patients were male (n = 350), and 58% (n = 406) had single-ventricle physiology. Interventional procedures were performed in 72% of the cases. The median CRISP score was 8 (IQR 6–10). SAEs occurred in 7.7% of the patients (n = 54), most of which were arrhythmia-related. The incidence of SAEs was analyzed according to CRISP score categories. The rates of SAEs in patients with CRISP Categories 1 through 5 were 2.9%, 4.3%, 11%, 17.3%, and 41%, respectively. As the CRISP score and category increased, the incidence of SAEs also increased [area under the curve of 0.84 (95% confidence interval, 0.76–0.92; p < 0.05)]. Conclusions: CRISP may serve as an effective benchmarking and risk classification tool in pediatric cardiac catheterization procedures and can predict SAE occurrence. Therefore, it may have a positive impact on patient care by assisting in the planning of pre- and post-catheterization care. Full article
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