Cardiac magnetic resonance radiofrequency tissue tagging for diagnosis of constrictive pericarditis: A proof of concept study

The Journal of Thoracic and Cardiovascular Surgery
John A PowerRobert W W Biederman

Abstract

Invasive cardiac catheterization is the venerable "gold standard" for diagnosing constrictive pericarditis. However, its sensitivity and specificity vary dramatically from center to center. Given the ability to unequivocally define segments of the pericardium with the heart via radiofrequency tissue tagging, we hypothesize that cardiac magnetic resonance has the capability to be the new gold standard. All patients who were referred for cardiac magnetic resonance evaluation of constrictive pericarditis underwent cardiac magnetic resonance radiofrequency tissue tagging to define visceral-parietal pericardial adherence to determine constriction. This was then compared with intraoperative surgical findings. Likewise, all preoperative cardiac catheterization testing was reviewed in a blinded manner. A total of 120 patients were referred for clinical suspicion of constrictive pericarditis. Thirty-nine patients were defined as constrictive pericarditis positive solely via radiofrequency tissue-tagging cardiac magnetic resonance, of whom 21 were positive, 4 were negative, and 1 was equivocal for constrictive pericarditis, as defined by cardiac catheterization. Of these patients, 16 underwent pericardiectomy and were surgically confirme...Continue Reading

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Citations

Apr 18, 2016·The Journal of Thoracic and Cardiovascular Surgery·Donald D Glower
Dec 21, 2018·Circulation. Cardiovascular Imaging·Wissam AlajajiAllan L Klein
Sep 29, 2017·Current Opinion in Rheumatology·Vibhav RangarajanBenjamin H Freed
Sep 25, 2020·La Radiologia medica·Nicola GaleaRiccardo Faletti
Jan 8, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Lauren K GronerJoanna G Escalon
Mar 10, 2021·Current Cardiology Reports·Chuanfen LiuYuchi Han
Dec 5, 2020·The Indian Journal of Radiology & Imaging·Sourav PandaBirla R Gnanamuthu

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