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
