Dobutamine stress magnetic resonance imaging for detection of coronary artery disease

Abstract

Dobutamine MRI is an accurate nonexercise-dependent method for the assessment of myocardial ischemia in patients with coronary artery disease.

Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report?

“…Dobutamine is ideal for this, [177][178][179][180] with superior results compared with dipyridamole. [181][182][183][184][185] Dobutamine stress CMR is well established as a technique for identifying ischaemia-induced wall motion abnormalities in CAD, with guidelines for clinical practice.…”

Magnetic resonance imaging in the evaluation of non-ischemic cardiomyopathies: Current applications and future perspectives

“…As with echocardiography, dobutamine appears to be more appropriate than dipyridamole for pharmacological stress because it more consistently provokes ischemia rather than perfusion inhomogeneity [13,14]. The diagnostic accuracy of this approach is between 75 and 90% depending on the number of diseased vessels [15][16][17] and this can be improved by quantitative methods of analysis especially in patients with single vessel disease [18]. Tagged MRI [19] with strain quantification offers an alternative nonsubjective method of detecting regional WMA with greater accuracy than that of wall-thickening techniques [20,21].…”

Cardiac magnetic resonance stress testing: Results and prognosis

“…In the same year, Baer et al [15] published a clinical study comparing the diagnostic performance of dipyridamole cardiac stress MR with the results of coronary angiography in a group of 23 patients with known CAD. They demonstrated a sensitivity of 0.78. van Rugge et al [16] published the results of DSMR (up to a dosage of 20 μg/kg/min) in a population of 45 high-risk patients referred for coronary angiography. With a prevalence of CAD as high as 82%, the sensitivity and the specifi city of DSMR were 0.81 and 1.00, respectively.…”

“…The diagnostic performance of cardiac stress MR has been examined by several clinical studies for MR-PERF [1••,3-11,12••] and wall motion abnormalities imaging [13][14][15][16][17][18][19][20][21][22][23][24]. A recent meta-analysis examined the results of the published studies on cardiac stress MR [1••] for MR-PERF and for wall motion abnormalities.…”