Cardiac MRI

Cardiac magnetic resonance imaging (cardiac MRI) is an imaging technique that provides detailed images of the heart and blood vessels. Powerful magnets and radio waves allow your healthcare provider to see how well your heart is working.

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At UC Health, we don’t just see images on a screen we see you. Our cardiac and thoracic radiologists have proven experience reviewing and interpreting imaging scans of the chest, including the heart and lungs. Our team has a wide range of knowledge and training, and we put it to work for you every single day. Whether you’re coming in for a simple chest X-ray or a more complex scan to detect and diagnose a serious disease like lung cancer or heart valve disease, we’re here for you.

At UC Health, expert physicians, advanced nurse practitioners and sub-specialty care providers come together with researchers from the University of Cincinnati College of Medicine to uncover breakthroughs in cardiovascular medicine. In the areas of heart, pulmonary and vascular research and care, our services are nationally known for discoveries and contributions and translating insights into real treatments that help patients every day.

ABOUT THIS PROCEDURE

Understanding Cardiac MRI

What is Cardiac MRI?

Cardiac magnetic resonance imaging (cardiac MRI) is a non-invasive imaging technique that provides detailed images of the heart and blood vessels. It uses powerful magnets and radio waves to create high-resolution images, allowing healthcare providers to assess heart function and structure.

During a cardiac MRI, the patient lies on a table that slides into a large, tube-shaped magnet. The machine captures images of the heart from various angles, providing valuable information about:

Key Areas Evaluated

  • Heart Muscle: Assesses the thickness and function of the heart muscle.

  • Blood Vessels: Evaluates blood flow and identifies blockages or abnormalities.

  • Heart Valves: Checks for issues with valve function and structure.

Cardiac MRI is particularly useful for diagnosing various heart conditions, including heart disease, heart failure, and congenital heart defects. It offers a comprehensive view of the heart's anatomy and function, helping doctors make informed decisions about treatment options.

 

How Cardiac MRI Helps Diagnose Heart Conditions

Cardiac MRI is a powerful tool for diagnosing various heart conditions. It provides detailed images that help healthcare providers assess the heart's structure and function. This imaging technique is particularly useful for detecting:

Congenital Heart Disease

  • Identifies structural abnormalities present at birth.

  • Assesses the severity of defects and guides treatment options.

Coronary Heart Disease

  • Evaluates blood flow to the heart muscle.

  • Detects blockages in coronary arteries that can lead to heart attacks.

Valvular Heart Disease

  • Examines heart valves for abnormalities or dysfunction.

  • Helps determine the need for surgical intervention.

Cardiac Tumors and Masses

  • Identifies the presence of tumors or abnormal growths in the heart.

  • Assesses the size and impact on heart function.

Myocardial Infarction and Perfusion

  • Evaluates damage to the heart muscle following a heart attack.

  • Assesses blood flow to the heart muscle, helping to determine treatment strategies.

Ventricular Function

  • Measures how well the heart's chambers are pumping blood.

  • Provides insights into heart failure and guides management plans.

By offering comprehensive insights into these conditions, cardiac MRI plays a vital role in developing effective treatment plans and improving patient outcomes.

The Cardiac MRI Procedure: What Patients Can Expect

During a cardiac MRI, patients undergo a non-invasive imaging exam that provides detailed images of the heart. Here’s what to expect throughout the process:

Preparation

  • Clothing: Patients should wear comfortable clothing without metal fasteners. A gown may be provided.

  • Medical History: Inform the healthcare team about any medical conditions, allergies, or implanted devices, such as pacemakers.

  • Fasting: Depending on the specific exam, patients may need to refrain from eating or drinking for a few hours beforehand.

The Scanning Process

  • Entering the MRI Machine: Patients lie on a table that slides into a large, tube-like machine. It’s important to remain still during the scan, which typically lasts 30 to 60 minutes.

  • Contrast Agent: In some cases, a contrast agent may be injected through an IV to enhance image quality. This helps highlight blood flow and heart structures.

  • Sound: The MRI machine produces loud tapping or thumping noises. Earplugs or headphones may be provided to help minimize discomfort.

Post-Procedure Expectations

  • Recovery: After the scan, patients can resume normal activities unless instructed otherwise. If a contrast agent was used, hydration is encouraged to help flush it from the body.

  • Results: A radiologist will analyze the images and share findings with the patient’s healthcare provider, who will discuss the results and any necessary next steps.

This process is designed to be as comfortable and efficient as possible, ensuring patients receive accurate information about their heart health.

Advantages of Cardiac MRI Over Other Imaging Techniques

Cardiac MRI offers several advantages compared to other imaging methods like cardiac CT and cardiac catheterization.

Detailed Imaging

  • High-resolution images: Cardiac MRI provides detailed images of the heart's structure and function, allowing for precise assessments.

  • Soft tissue evaluation: It excels in visualizing soft tissues, making it effective for detecting conditions like myocarditis or cardiac tumors.

Non-invasive and Radiation-free

  • No radiation exposure: Unlike CT scans, cardiac MRI does not use ionizing radiation, making it safer for repeated use.

  • Non-invasive procedure: The MRI process is non-invasive, which reduces risks associated with more invasive techniques like catheterization.

Comprehensive Assessment

  • Functional analysis: Cardiac MRI evaluates blood flow, heart muscle viability, and overall cardiac function, providing a comprehensive view of heart health.

  • Versatile applications: It is useful for diagnosing various conditions, including congenital heart disease and coronary artery disease.

These advantages make cardiac MRI a valuable tool in advanced cardiac imaging, enhancing the ability to diagnose and manage heart conditions effectively.

Risks and Considerations of Cardiac MRI

Cardiac MRI is a safe and effective imaging technique, but there are some risks and considerations to keep in mind. Patients with certain conditions or devices may need to discuss their options with their healthcare provider before undergoing the procedure.

Potential Risks

  • Implanted Devices: Patients with artificial heart valves, pacemakers, or defibrillators may face risks. Some devices are not compatible with MRI, which can lead to complications.

  • Allergic Reactions: Some patients may have allergic reactions to the contrast dye used during the scan. Inform your doctor about any known allergies.

Contraindications

  • Pregnancy: Pregnant women should discuss the necessity of the MRI with their healthcare provider, as the effects of magnetic fields on the fetus are not fully understood.

  • Severe Claustrophobia: Patients who experience significant anxiety in enclosed spaces may require sedation or alternative imaging methods.

Considerations for Specific Conditions

  • Chest Pain: If you have chest pain or have recently experienced a heart attack, your doctor will evaluate whether a cardiac MRI is appropriate for your situation.

  • Vascular Surgery: Patients undergoing recent or upcoming vascular surgery should consult their healthcare provider to determine the best timing for the MRI.

By discussing these factors with your UC Health care team, you can ensure a safe and effective cardiac MRI experience.

Expected Outcomes and Recovery

After a cardiac MRI scan, patients can expect clear and detailed images of their heart. These images help specialists at a heart institute interpret the results accurately.

The findings from the MRI play a vital role in guiding treatment plans. They assist in diagnosing conditions such as heart failure and coronary artery disease. Based on the results, doctors can recommend appropriate interventions, which may include medication, lifestyle changes, or surgical options.

Recovery from the MRI itself is typically quick, as the procedure is non-invasive. Patients can resume normal activities immediately after the scan. However, any follow-up care or treatment will depend on the specific findings and recommendations from the UC Health care healthcare team.

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