Table 2.
Characteristics | Limitations | |
---|---|---|
LGE | Evidence of myocardial scar extension, pattern and localization as risk predictor for VA/SCD | Contraindication of the use of contrast in renal insufficiency Heterogenicity of the methods for evaluating and quantifying LGE Limited predictive power for VF/polymorphic VT |
T1 mapping/ECV | Quantification of myocardial fibrosis, oedema and fat accumulation Use regardless renal function Higher native T1 values are associated with arrhythmic events |
Measurement variability due to heart rate, magnetic field strength and specific CMR protocol Data acquisition susceptibility to motion artefact, inadequate breath holding, amount and speed of contrast injection T1/ECV values influenced by oedema, infiltrative disease and inflammation |
Strain imaging | Evaluation of regional myocardial dysfunction and deformation | Underestimation due to low temporal resolution Cut-off values variability Lack reliability of the radial and segmental strain values |
LGE: Late gadolinium enhancement. ECV: extracellular volume. VA: ventricular arrhythmias. SCD: sudden cardiac death. VF: ventricular fibrillation. VT: ventricular tachycardia. CMR: cardiac magnetic resonance.