Diagnosis of Acute Global Myocarditis Using Cardiac MRI with Quantitative T1 and T2 Mapping: Case Report and Literature Review.
10.3348/kjr.2013.14.5.727
- Author:
Chul Hwan PARK
1
;
Eui Young CHOI
;
Andreas GREISER
;
Mun Young PAEK
;
Sung Ho HWANG
;
Tae Hoon KIM
Author Information
1. Department of Radiology and Research Institute of Radiological Science, Yonsei University Health System, Seoul 135-720, Korea. thkim1@yuhs.ac
- Publication Type:Case Reports
- Keywords:
Myocarditis;
Magnetic resonance imaging;
T1 map;
T2 map
- MeSH:
Acute Disease;
Adult;
Biopsy;
Diagnosis, Differential;
Electrocardiography;
Humans;
Magnetic Resonance Imaging, Cine;
Male;
Myocarditis/*diagnosis;
Myocardium/*pathology
- From:Korean Journal of Radiology
2013;14(5):727-732
- CountryRepublic of Korea
- Language:English
-
Abstract:
The diagnosis of myocarditis can be challenging given that symptoms, clinical exam findings, electrocardiogram results, biomarkers, and echocardiogram results are often non-specific. Endocardial biopsy is an established method for diagnosing myocarditis, but carries the risk of complications and false negative results. Cardiac magnetic resonance imaging (MRI) has become the primary non-invasive imaging tool in patients with suspected myocarditis. Myocarditis can be diagnosed by using three tissue markers including edema, hyperemia/capillary leak, and necrosis/fibrosis. The interpretation of cardiac MR findings can be confusing, especially when the myocardium is diffusely involved. Using T1 and T2 maps, the diagnosis of myocarditis can be made even in cases of global myocarditis with the help of quantitative analysis. We herein describe a case of acute global myocarditis which was diagnosed by using quantitative T1 and T2 mapping.
