Table 5.

CMR offerings to the SSc.

Cardiac manifestation	CMR utility	Sequences
What has CMR to offer in systemic sclerosis?
Myocarditis	Identification and quantification. Follow up free of radiation.	T2-W-STIR T1, T2-mapping, ECV LGE-PSIR
Pericarditis	Identification. Measurement of pericardial thickness. Detection of inflammation. Detection of constriction. Follow up free of radiation.	Cine—SSFP Free-breathing real-time cine T1-W, T2-W STIR LGE-PSIR
Pulmonary hypertension	The severity and hemodynamic significance. Orientation to the potential etiology.	Cine—SSFP Real-time 4D-flow MRA
RV dysfunction	The gold standard for RV function	Cine—SSFP Strain
LV dysfunction	Diastolic	PhC T1, T2 mapping, ECV LGE-PSIR
	Systolic: The gold standard for LV function.	Cine—SSFP Strain, diffusion tensor

SSFP, steady-state free precession; T2-W, T2-weighted; STIR, short tau inversion recovery; LGE, late gadolinium enhancement; PSIR, Phase-sensitive inversion recovery; MRA, magnetic resonance angiography; ECV, extracellular volume; PhC, phase contrast.