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. 2023 May 12;28(5):1129–1139. doi: 10.1007/s10741-023-10318-1

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