DMW - Deutsche Medizinische Wochenschrift, Table of Contents Dtsch Med Wochenschr 2009; 134(16): E1-E13DOI: 10.1055/s-0029-1220246 CME-Beitrag | Review articleRadiologie, Kardiologie© Georg Thieme Verlag KG Stuttgart · New YorkStellenwert der kardiovaskulären Magnetresonanztomografie im Rahmen der MyokarditisdiagnostikValue of cardiovascular magnetic resonance imaging in the diagnosis of myocarditisJ. Schwab1 , 3 , H. Mahrholdt2 , J. Bilger1 , I. Bär3 , M. Pauschinger1 1Medizinische Klinik 8/Kardiologie, Klinikum Nürnberg 2Abteilung für Kardiologie und Pulmologie am Zentrum für Innere Medizin, Robert-Bosch-Krankenhaus, Stuttgart 3Institut für Diagnostische und Interventionelle Radiologie, Klinikum Nürnberg Süd Recommend Article Abstract Buy Article Schlüsselwörter Myokarditis - kardiovaskuläre Magnetresonanztomografie - Endomyokardbiopsie Full Text References Literatur 1 Abdel-Aty H, Boye P, Zagrosek A. et al . Diagnostic performance of cardiovascular magnetic resonance in patients with suspected acute myocarditis: comparison of different approaches. J Am Coll Cardiol. 2005; 45 1815-22 2 Abdel-Aty H, Zagrosek A, Schulz-Menger J. et al . Delayed enhancement and T2-weighted cardiovascular magnetic resonance imaging differentiate acute from chronic myocardial infarction. Circulation. 2004; 109 2411-6 3 De Cobelli F, Pieroni M, Esposito A. et al . Delayed gadolinium-enhanced cardiac magnetic resonance in patients with chronic myocarditis presenting with heart failure or recurrent arrhythmias. J Am Coll Cardiol. 2006; 47 1649-54 4 Deckers J W, Hare J M, Baughman K L. et al . Complications of transvenous right ventricular endomyocardial biopsy in adult patients with cardiomyopathy: a seven-year survey of 546 consecutive diagnostic procedures in a tertiary referral center. J Am Coll Cardiol. 1992; 19 43-7 5 Felker G M, Boehmer J P, Hruban R H. et al . Echocardiographic findings in fulminant and acute myocarditis. J Am Coll Cardiol. 2000; 36 227-32 6 Friedrich M G, Strohm O, Schulz-Menger J. et al . Contrast media-enhanced magnetic resonance imaging visualizes myocardial changes in the course of viral myocarditis. Circulation. 1998; 97 1802-9 7 Gagliardi M G, Bevilacqua M, DiRenzi P. et al . Usefulness of magnetic resonance imaging for diagnosis of acute myocarditis in infants and children, and comparison with endomyocardial biopsy. Am J Cardiol. 1991; 68 1089-91 8 Gagliardi M G, Poletta B, DiRenzi P. MRI for the diagnosis and follow-up of myocarditis. Circulation. 1999; 99 458-9 9 Gutberlet M, Spors B, Thoma T. et al . Suspected chronic myocarditis at cardiac MR: diagnostic accuracy and association with immunohistologically detected inflammation and viral persistence. Radiology. 2008; 246 401-9 10 Hiramitsu S, Morimotot S, Kato S. et al . Transient ventricular wall thickening in acute myocarditis: a serial echocardiographic and histopathologic study. Jpn Circ J. 2001; 65 863-6 11 Holzmann M, Nicko A, Kühl U. et al . Complication rate of right ventricular endomyocardial biopsy via the femoral approach: a retrospective and prospective study analyzing 3048 diagnostic procedures over an 11-year period. Circulation. 2008; 118 1722-8 12 Kellman P, Aletras A H, Mancini C. et al . T2-pepared SSFP improves diagnostic confidence in edema imaging in acute myocardial infarction with compared to turbo spin echo. Magn Reson Med. 2007; 57 891-7 13 Kühl U, Pauschinger M, Noutsias M. et al . High prevalence of viral genomes and multiple viral infections in the myocardium of adults with „idiopathic” left ventricular dysfunction. Circulation. 2005; 111 887-93 14 Laissy J P, Messin B, Varenne O. et al . MRI of acute myocarditis: a comprehensive approach based on various imaging sequences. Chest. 2002; 122 1638-48 15 Laissy J P, Hyafil F, Feldman L J. et al . Differentiating acute myocardial infarction from myocarditis: diagnostic value of early- and delayed-perfusion cardiac MR imaging. Radiology. 2005; 237 75-82 16 Lieback E, Hardouin I, Meyer R. et al . Clinical value of echocardiographic tissue characterization in the diagnosis of myocarditis. Eur Heart J. 1996; 17 135-42 17 Lorenz C H, Walker E S, Morgan V L. et al . Normal human right and left ventricular mass, systolic function, and gender differences by cine magnetic resonance imaging. J Cardiovasc Magn Reson. 1999; 1 7-21 18 Magnani J W, Dec G W. Myocarditis current trends in diagnosis and treatment. Circulation. 2006; 113 876-90 19 Mahrholdt H, Goedecke C, Wagner A. et al . Cardiovascular magnetic resonance assessment of human myocarditis: a comparison to histology and molecular pathology. Circulation. 2004; 109 1250-8 20 Mahrholdt H, Wagner A, Deluigi C C. et al . Presentation, patterns of myocardial damage, and clinical course of viral myocarditis. Circulation. 2006; 114 1581-90 21 Mahrholdt H, Wagner A, Judd R M. et al . Assessment of myocardial viability by cardiovascular magnetic resonance imaging . Eur Heart J. 2002; 23 602-19 22 Mahrholdt H, Wagner A, Judd R M. et al . Delayed enhancement cardiovascular magnetic resonance assessment of non-ischaemic cardiomyopathies. Eur Heart J. 2005; 26 1461-74 23 Mangin M, Mahrholdt H, Hager H. et al . Cardiovascular magnet resonance assessment of human myocarditis using a standardized combined right and left ventricular endomyocardial biopsy protocol. Circulation. 2005; 112 (Suppl 3) 182 24 Pinamonti B, Alberti E, Cigalotto A. et al . Echocardiographic findings in myocarditis. Am J Cardiol. 1988; 62 285-91 25 Pophal S, Sigfusson G, Booth K. et al . Complications of endomyocardial biopsy in children. J Am Coll Cardiol. 1999; 34 2105-10 26 Ricciardi M J, Wu E, Davidson E J. Visualization of discrete microinfarction after percutaneous coronary intervention associated with mild creatine kinase-MB elevation. Circulation. 2001; 103 2780-2783 27 Rieker O, Mohrs O, Oberholzer K. et al . Cardiac MRI in suspected myocarditis. RöFo Fortschr Roentgenstr. 2002; 174 1530-6 28 Roditi G H, Hartnell G G, Cohen M C. MRI changes in myocarditis – evaluation with spin echo, cine MR angigraphy and contrast enhanced spin echo imaging. Clin Radiol. 2000; 55 752-8 29 Sandstede J, Lipke C, Beer M. et al . Age- and gender-specific differences in left and right ventricular cardiac function and mass determined by cine magnetic resonance imaging. Eur Radiol. 2000; 10 438-42 30 Simonetti O P, Kim R J, Fieno D S. et al . An improved MR imaging technique for the visualization of myocardial infarction. Radiology. 2001; 218 215-23 31 Skouri H N, Dec G W, Friedrich M G. et al . Noninvasive imaging in myocarditis. J Am Coll Cardiol. 2006; 48 2085-93 32 Semelka R, Tomei E, Wagner S. et al . Normal left ventricular dimensions and function: interstudy reproducibility of measurements with cine MR imaging. Radiology. 1990; 174 763-68 33 Taylor A M, Dymarkowski S, Verbeken E K. et al . Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: inital results. Eur Radiol. 2006; 16 569-74 34 Vöhringer M, Mahrholdt H, Yilmaz A. et al . Significance of late gadolinium enhancement in cardiovascular magnetic resonance imaging (CMR). Herz. 2007; 32 129-37 35 Wagner A, Mahrholdt H, Holly T. Contrast-enhanced MRI and routine single photon emission computed tomography (SPECT) perfusion imaging for detection of subendocardial myocardial infarcts: an imaging study. Lancet. 2003; 361 374-379 36 Wagner A, Schulz-Menger J, Dietz R. et al . Long-term follow-up of patients paragraph sign with acute myocarditis by magnetic paragraph sign resonance imaging. Magma. 2003; 16 17-20 37 Wein M, Banach R, Wolf-Pütz A. et al . Wertigkeit der kardialen Magnetresonanztomografie bei akuter Myokarditis. DMW. 2008; 133 87-91 38 Wu L A, Lapeyre III A C, Cooper L T. Current role of endomyocardial biopsy in the management of dilated cardiomyopathy and myocarditis. Mayo Clin Proc. 2001; 76 1030-8 39 Yelgec N S, Dymarkowski S, Ganame J. et al . Value of MRI in patients with a clinical suspicion of acute myocarditis. Eur Radiol. 2007; 17 2211-7 Dr. med. Johannes Schwab Medizinische Klinik 8/Kardiologie, Klinikum Nürnberg 90471 Nürnberg Phone: 0911/398-2989 Fax: 0911/398-2988 Email: Johannes.schwab@klinikum-nuernberg.de