Table 2.
Recommended | Recommended if acquired/if present | Optional | |
---|---|---|---|
Left ventricular (LV) structure and function |
Method of acquisition Method of analysis LVEDV/LVEDVI LVESV/LVESVI LVSV/LVSVI LVEF CO/CI LVM/LVM index LV end diastolic wall thickness Regional wall motion Aneurysms |
N/A | Qualitative assessment of wall thickening |
Right ventricular (RV) structure and function |
Method of acquisition Method of analysis RVEF Regional wall motion |
N/A |
RVEDV/RVEDVI RVESV/RVESVI RVSV/RVSVI RV mass Qualitative assessment of wall thickening Curvature of the interventricular septum |
First pass perfusion | N/A |
First-pass perfusion and late gadolinium enhancement Post MI tissue characterization |
N/A |
Late gadolinium enhancement |
Location Myocardial distribution Extent Interpretation |
N/A | Total mass of infarcted tissue |
Stress perfusion (vasodilator) |
Visual appearance of contrast enhancement Number of segments involved and the suspected etiology of the perfusion defects Extent |
N/A | Myocardial perfusion in ml/min/g |
Stress function (dobutamine) |
Wall motion Inducible LV wall motion abnormalities Contractile reserve |
Myocardial perfusion | Wall motion score index |
Blood flow |
Direction and range of the velocity encoding setting Flow measurements |
N/A | Peak and mean velocities and orifice areas |
Advanced tissue characterization |
Iron quantification: septal native myocardial T2*; global native myocardial T1 Hemorrhage: regional native myocardial T1; regional native myocardial T2; regional native myocardial T2* Suspected global acute myocardial injury: global or regional native myocardial T2; global or regional native myocardial T1 Fibrosis/infiltration/scar in cardiomyopathies: global or regional native myocardial T1; Inflammation − injury + edema: global or regional native myocardial T1; global or regional native myocardial T2 |
N/A |
Iron quantification: Global native myocardial T2; global native myocardial T2 Suspected global acute myocardial injury: global or regional native myocardial T2 values; global or regional native myocardial T1 values; Fibrosis/infiltration/scar in cardiomyopathies: global or regional ECV Inflammation − injury + edema: global or regional ECV |
Strain |
Orientation Global or regional extent |
Absolute values for peak strain | N/A |
Atrial structure and function |
Evaluation of left atrial (LA and right atrial (RA) size as within normal limits or dilated Presence of an atrial septal defect Presence of lipomatous hypertrophy of the interatrial septum |
N/A |
Degree of dilation Left and right atrial volumes and corresponding indices Maximal LA volume Maximal LA volume index to BSA Maximal RA volume Maximal RA volume indexed to BSA Minimal LA volume Minimal RA volume LA longitudinal and transverse dimensions and areas, measured on end-systolic 2, 3, and 4 chamber cine images RA length measured in the end-systolic 4 chamber cine image Evaluation and post-processing recommendations Atrial dimensions or area |
Pericardium |
Pericardial thickness Pericardial effusion Signs of cardiac tamponade Ventricular (inter)dependence Inflammation of pericardial layers Evidence of associated myocarditis |
N/A |
Mobility/fusion RV/LV inflow patterns Edema of pericardial layers |
MR Angiography |
Maximal external diameter, or maximal external perpendicular diameters for asymmetric dimensions For plaque/stenosis: maximum external diameter Location of atherosclerosis and plaque characteristics Thickness/size of atherosclerosis and plaque characteristics Mobility plaques of atherosclerosis and plaque characteristics Estimate % stenosis of atherosclerosis and plaque characteristics if hemodynamically relevant Aortic annulus of thoracic aorta Sinsues of Valsalva of thoracic aorta Sinotubular junction of thoracic aorta Ascending and descending aorta diameters at the level of the pulmonary artery of thoracic aorta Aortic arch diameter of thoracic aorta Comment on sinotubular effacement of thoracic aorta Comment on tortuosity of thoracic aorta Maximal abdominal aortic diameter Number and patency of renal arteries Status of the celiac, superior mesenteric and inferior mesenteric arteries Stent presence/absence; patency/occlusion; presence of thrombus Post-operative/procedural appearance Inflammatory disease of the major vessels Comparison to prior examinations Post-operative appearance |
Post-contrast appearance/enhancement of atherosclerosis and plaque characteristics Inflammation of atherosclerosis and plaque characteristics, if sequences acquired Change from prior examinations (include prior dimension and date) Minimal lumen diameters along common femoral arteries, external iliac arteries, common iliac arteries bilaterally |
For plaque/stenosis: lumen diameter Cross-sectional area(s), particularly when dimensions are asymmetric Areas and volume measurements of abdominal aorta and peripheral arteries |
Valvular assessment |
Morphology to be reported as normal or abnormal Qualitative descriptors of function Quantitative findings of function (degree of stenosis or semilunar valves, valve area, degree of stenosis of atrioventricular valves) Degree of valvular regurgitation Severity of any stenosis or regurgitation |
N/A | Relevant hemodynamic parameters |
LA, left atrium/left atrial; LV, left ventricle/left ventricular; LVEDV, left ventricular end-diastolic volume; LVEDVI, left ventricular end-diastolic volume index; LVEF, left ventricular ejection fraction; LVESV, left ventricular end-systolic volume; LVESVI, left ventricular end-systolic volume index; RA, right atrium/right atrial; RVEDV, right ventricular end-diasolic volume; RVEDVI, right ventricular end-diastolic volume index; RVEF, right ventricular ejection fraction; RVESV, right ventricular end-systolic volume; RVESVI, right ventricular end-systolic volume index