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Cardiac MRI in the Diagnosis and Monitoring of Myocarditis: Current Approaches and Limitations

Cilt: 48 Sayı: 1 31 Mart 2026
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Cardiac MRI in the Diagnosis and Monitoring of Myocarditis: Current Approaches and Limitations

Abstract

Myocarditis is an inflammatory disease of the heart muscle, and its diagnosis and monitoring can often be challenging. Although endomyocardial biopsy remains the gold standard, cardiac magnetic resonance imaging (CMR) is increasingly preferred as a non-invasive, non-deleterious, and repeatable method. CMR contributes significantly to the diagnosis of myocarditis, tissue characterization, functional assessment, and prognostic prediction. However, challenges such as variability in sensitivity and specificity, access inequities, and protocol deficiencies persist in CMR applications. This article addresses the role of CMR in the diagnosis and monitoring of myocarditis, the current limitations, future development areas, and provides recommendations for clinical practice.

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Kaynakça

  1. 1. Polte CL, Bobbio E, Bollano E, et al. Cardiovascular Magnetic Resonance in Myocarditis. Diagnostics (Basel). 2022;12(2):399. doi: 10.3390/diagnostics12020399.
  2. 2. Urzua Fresno C, Sanchez Tijmes F, Shaw KE, Huang F, et al. Cardiac Imaging in Myocarditis: Current Evidence and Future Directions. Can Assoc Radiol J. 2023;74(1):147-159. doi: 10.1177/08465371221119713.
  3. 3. de Roos A. The Many Faces of Myocarditis: Role of Cardiac MRI. Radiology. 2022;302(1):70-71. doi: 10.1148/radiol.2021212121.
  4. 4. Gräni C. How cardiac magnetic resonance is changing the management of myocarditis. Eur Heart J. 2023;44(11):909-911. doi: 10.1093/eurheartj/ehad013.
  5. 5. Kramer CM. Role of Cardiac MR Imaging in Cardiomyopathies. J Nucl Med. 2015;56 Suppl 4(0 4):39S-45S. doi: 10.2967/jnumed.114.142729.
  6. 6. Motevalli M, Asadian S, Khademi F, Rezaeian N, Shayan L. The crucial role of cardiac MRI parameters in the prediction of outcomes in acute clinically suspected myocarditis: A functional and feature-tracking study. Front Cardiovasc Med. 2022;9:946435. doi: 10.3389/fcvm.2022.946435.
  7. 7. Ismail N, Challa P, Wahi S, Ngai S, Korcyzk,D, Dahiya A. Impact of Repeat Cardiac MRI on the Management of Patients With Myocarditis: A Retrospective Study at Logan Hospital and Princess Alexandra Hospital. Heart Lung Circ. 2024;33:S193.
  8. 8. Schulz-Menger J, Collini V, Gröschel J, et al. 2025 ESC Guidelines for the management of myocarditis and pericarditis. Eur Heart J. 2025;46(40):3952-4041. doi:10.1093/eurheartj/ehaf192

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Editöre Mektup

Yazarlar

Yayımlanma Tarihi

31 Mart 2026

Gönderilme Tarihi

6 Aralık 2025

Kabul Tarihi

26 Mart 2026

Yayımlandığı Sayı

Yıl 2026 Cilt: 48 Sayı: 1

IZ

https://izlik.org/JA87CZ48JW

Kaynak Göster

RIS / Bibtex
AMA
1.Gül E. Cardiac MRI in the Diagnosis and Monitoring of Myocarditis: Current Approaches and Limitations. CMJ. 2026;48(1):33-34. https://izlik.org/JA87CZ48JW