Table 2. Typical cardiac magnetic resonance (CMR) imaging features of cardiac amyloidosis.
Parameters | Comments |
---|---|
| |
Characteristic morphological features of cardiac amyloidosis/restrictive cardiomyopathy as listed in Table 1 | Better resolution images than echocardiography |
No limitation of difficult echo windows | |
| |
Left ventricular LGE | Diffuse and subendocardial LGE of the LV myocardium is more common than patchy focal delayed enhancement |
May be an early feature of cardiac involvement compared to increased wall thickness | |
| |
Atrial LGE and function | A characteristic feature of cardiac amyloidosis |
Atrial function can be studied well with CMR | |
| |
T1 mapping | Subendocardial T1 relaxation time may be shortened in cardiac amyloidosis |
This is an early feature of cardiac amyloid involvement | |
| |
Extracellular volume estimation based on T1 mapping and hematocrit measures | Extracellular volume expansion may permit an early diagnosis of cardiac amyloid even before overt left ventricular LGE |
LGE = late gadolinium enhancement