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The contemporary role of cardiac computed tomography and cardiac magnetic resonance imaging in the diagnosis and management of pericardial diseases

Published:February 03, 2023DOI:https://doi.org/10.1016/j.cjca.2023.01.030
The contemporary role of cardiac computed tomography and cardiac magnetic resonance imaging in the diagnosis and management of pericardial diseases
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      ABSTRACT

      Pericardial syndromes encompass different clinical conditions from acute pericarditis to idiopathic chronic pericardial effusion. Transthoracic echocardiogram is the first and most important initial diagnostic imaging modality in most patients affected by pericardial disease. However, cardiac computed tomography and cardiac magnetic resonance (CMR) have recently gained a pivotal role in cardiology and recent reports supported the role of both these advanced techniques in the evaluation and guiding therapy of pericardial disease. The most promising tool is the capability of CMR to identify the presence of pericardial inflammation carrying both diagnostic and prognostic value in the setting of recurrent and chronic pericarditis. On the other side cardiac CT permits accurate evaluation of the presence and extension of pericardial calcification providing important information in confirming the diagnosis of constrictive pericarditis and during the preprocedural planning for patients undergoing pericardiectomy. Both cardiac CT and CMR correct indication and proper evaluation need specific expertise, especially for the evaluation of pericardial disease, thus the aim of the present review is to provide physicians an updated overview on the CCT and CMR role in pericardial disease focusing on technical issues, recent research findings and potential clinical applications.

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      Article info

      Publication history

      Accepted: January 30, 2023
      Received in revised form: January 24, 2023
      Received: December 12, 2022

      Publication stage

      In Press Journal Pre-Proof

      Footnotes

      No conflict of interest or funding to be declared.

      Identification

      DOI: https://doi.org/10.1016/j.cjca.2023.01.030

      Copyright

      © 2023 Published by Elsevier Inc. on behalf of the Canadian Cardiovascular Society.

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