Table 1.
Summary of current cardiac imaging modalities used in UC
Modality | Use in UC | Characteristic findings in UC | Advantages and limitations | References |
---|---|---|---|---|
Echocardiography | Evaluation of function and structure of myocardium; evaluation of cardiac valves | Volume and pressure abnormalities; increased LV mass index; presence and severity of LVH |
Cost-effective; noninvasive; portable; can accurately assess for hypertrophy of myocardium Operator dependent; prone to inaccuracy due to measurements being derived; no information on epicardial artery or microvascular disease; no information on interstitial tissue |
Arrigo et al. [28] Foley et al. [29] |
Cardiac MRI | Evaluation of myocardial structure and function, cardiac valves, myocardial interstitium, and coronary artery flow | Myocardial fibrosis, myocardial edema |
More accurate and reproducible than echocardiography; higher imaging quality compared with echocardiography; gold standard of cardiac imaging More expensive; less accessible; use of gadolinium-based contrast associated with nephrogenic systemic fibrosis |
Arcari et al. [30] McIntyre et al. [31] |
PET | Evaluation of myocardial perfusion, micro- and macro-vasculature, and left ventricular function | Ischemia, infarction, inflammation |
Reliable assessment of ischemia; allows for evaluation of microvasculature Variability of radiotracer uptake contributes to variations in results; little research into distribution of radiotracer uptake in kidney failure |
Lau et al. [32] |
Adapted from Kott et al. [33]. CC-BY-NC.
MRI magnetic resonance imaging, PET positron emission tomography, UC uremic cardiomyopathy, LV left ventricular, LVH left ventricular hypertrophy