Volume 57, Issue 5 pp. 1301-1311
Review

PET-MRI of Coronary Artery Disease

Beth Whittington MD

Beth Whittington MD

BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK

Edinburgh Imaging Facility QMRI, University of Edinburgh, Edinburgh, UK

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Marc R. Dweck MBChB, PhD

Marc R. Dweck MBChB, PhD

BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK

Edinburgh Imaging Facility QMRI, University of Edinburgh, Edinburgh, UK

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Edwin J.R. van Beek MD, PhD

Edwin J.R. van Beek MD, PhD

Edinburgh Imaging Facility QMRI, University of Edinburgh, Edinburgh, UK

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David Newby DM, PhD

David Newby DM, PhD

BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK

Edinburgh Imaging Facility QMRI, University of Edinburgh, Edinburgh, UK

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Michelle C. Williams MBChB, PhD

Corresponding Author

Michelle C. Williams MBChB, PhD

BHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK

Edinburgh Imaging Facility QMRI, University of Edinburgh, Edinburgh, UK

Address reprint requests to: M.C.W., Chancellor's Building, 49 Little France Crescent, Edinburgh EH16SUF, UK. E-mail: [email protected]

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First published: 16 December 2022

Abstract

Simultaneous positron emission tomography and magnetic resonance imaging (PET-MRI) combines the anatomical detail and tissue characterization of MRI with the functional information from PET. Within the coronary arteries, this hybrid technique can be used to identify biological activity combined with anatomically high-risk plaque features to better understand the processes underlying coronary atherosclerosis. Furthermore, the downstream effects of coronary artery disease on the myocardium can be characterized by providing information on myocardial perfusion, viability, and function. This review will describe the current capabilities of PET-MRI in coronary artery disease and discuss the limitations and future directions of this emerging technique.

Level of Evidence

5

Technical Efficacy

Stage 3

Conflict of Interest

Dr Williams has given lectures at meetings sponsored by Canon Medical Systems and Siemens Healthineers.

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