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Abstract #3098

Improved Detection of Right Ventricular Myocardial Infarction Using 3D Navigator-Gated Free Breathing Delayed Enhancement Cardiac Magnetic Resonance

Jiwon Kim1, Tara Shah1, Neil Mehta2, Jonathan Weinsaft1, Pascal Spincemaille3, Yi Wang3, and Thanh Nguyen3

1Department of Cardiology, Weill Cornell Medical College, New York, NY, United States, 2Department of Medicine, Weill Cornell Medical College, New York, NY, United States, 3Department of Radiology, Weill Cornell Medical College, New York, NY, United States

Right ventricular myocardial infarction (RV-MI) is a serious consequence of coronary artery disease that adversely affects outcomes. Conventional CMR employs 2D breath-held imaging (CMRBH) to detect RV-MI, an approach that may sacrifice spatial resolution to enable patient breath-holds, and is thus suboptimal for imaging the RV. This study compared 3D navigator-gated free breathing CMR (CMRNAV) to CMRBH for detection of RV-MI in 75 post-MI patients. Results demonstrated a 2-fold increase in detection rate of RV-MI by CMRNAV, accompanied by higher spatial resolution in 30% less scan time.

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