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. 2013 Jan 3;6:2. doi: 10.1186/1756-0500-6-2

Table 2.

Correlation between the myocardial segments showing delayed enhancement on cardiac CT and at least one other imaging modality i.e. TTE, SPECT, or cardiac MRI

  Clinical indication Contraindication to a Cardiac MRI at the time of Cardiac CT Myocardial segments with Delayed enhancement Comparative imaging modality Myocardial segments on comparative modality
1
CAD -- Chest pain and inconclusive cardiac MRI. (MRI was not able to predict the cause of DE)
Anxiety causing incomplete and inconclusive Cardiac exam
Inferior wall (Transmural)
SPECT MRI
SPECT - Fixed perfusion defect in the inferior wall MRI – Delayed enhancement in Inferior wall. CTA – Obstructive disease in the dominant RCA
2
CM -- Progression of Sarcoidosis (new pacemaker precluded followup MRI)
Permanent Pacemaker
Lateral wall Apical LV wall (Patchy foci)
MRI
Lateral Apical left ventricular wall (Patchy foci)
3
CAD -- Assessment of ischemic scar
Permanent Pacemaker
Basal wall Mid lateral wall
TTE
Basal, lateral wall (severe hypokinesis) Apical wall (Hyper-reflective/ Increased echogenicity)
4
CM -- Hypertrophic cardiomyopathy and scar assessment
AICD
Basal, Mid inferior, Inferolateral, Anterolateral LV wall
TTE
Asymmetric septal hypertrophy.
5
CAD -- Scar mapping for ventricular tachycardia ablation
AICD
Basal, Mid inferolateral wall
TTE
Basal Mid inferolateral wall (Hyper-reflective/ increased echogenicity)
6
CM -- Idiopathic cardiomyopathy and Worsening ventricular arrhythmias.
AICD
Mid to apical anterior, Anteroseptal, Anterolateral LV wall
TTE
Apical (Akinesis) Anteroseptal (Akineis) Anterolateral wall (Hypokinesis) Septum and apex (Hyper-reflectivity/Increased echogenicity)
7
CM -- HCM, recurrent AICD shocks
AICD
Mid myocardium in anteroseptal Basal wall
TTE
Marked asymmetric LV hypertrophy.
8
CM -- Progression of Sarcoidosis
Permanent
Subepicardial portion of antero-septal mid ventricular wall Mid myocardial basal, Anteroseptal wall and Sub endocardial mid inferolateral wall.
TTE
Mid myocardial wall (Hypokinesis) Inferoposterior (Hyper-reflective/increased echogenicity)
 
 
Pacemaker
 
 
 
9 CAD -- Ventricular tachycardia storm; scar assessment AICD Inferior wall and Basal to apical LV, Anterior wall at basal, mid ventricular level. TTE Inferior, septal, apical (Akinesis) Inferior and posterior wall. (Hyper-reflective/increased echogenicity)

AICD = Automated Implantable Cardioverter Defibrillator, CAD = Coronary artery disease, CM = Cardiomyopathy, C-MRI = cardiac MRI, DE = Delayed enhancement, HCM = Hypertrophic cardiomyopathy, LV = Left ventricle, PM = Pace maker, TTE = Transthoracic echocardiogram, VT = Ventricular Tachycardia.