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Clin Radiol. 2007 May;62(5):395-403. Epub 2007 Feb 26.

Ischaemic and non-ischaemic cardiomyopathies--cardiac MRI appearances with delayed enhancement.

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  • 1Departments of Cardiothoracic Radiology, Southampton General Hospital, Tremona Road, Southampton, Hampshire, UK.


Over the past few years, cardiovascular magnetic resonance (CMR) imaging has rapidly developed and is now a robust clinical tool capable of providing high-resolution images of the heart in any desired plane. Delayed contrast-enhanced CMR (DE-CMR) can be used for non-invasive tissue characterization, with differing patterns of hyperenhancement displayed by ischaemic and non-ischaemic cardiomyopathies. This review explains the theory behind delayed hyperenhancement, and demonstrates the potential of DE-CMR in the diagnosis of a wide range of different cardiac disease states.

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