Cardiac MRI in Evaluation of Pericardial Disease



Tl-weighted fast spin echo - Morphological assessment of the pericardium

 • Thickened pericardium

 • Pericardial effusion

 • Signal intensity inversely correlated to inflammation chronicity

T2-weighted fast spin echo - Fluid-Rich Structures

 • pericardial effusion

 • pericardial edema

 • myocardial edema —> myocardial involvement

HR SSFP cine imaging - Accurate quantification of cardiac chamber size and function

 • including pathological effects such as RV/RA collapse

Real-time cine imaging - Dynamic physiological effects of pericardial disease

 • ventricular interdependence

 • Fast but lower resolution imaging

LGE Imaging - Active pericardial inflammation

• focal myocardial and adjacent pericardial enhancement (arrow)



#CardiacMRI #Evaluation #Pericardial #Pericarditis #Cardiology #Diagnosis #Radiology