0:00

Okay, thanks for, uh,

0:02

your attention today in the, in the course.

0:04

And, uh, it's been a great opportunity to share some

0:07

of my knowledge, uh, and experience, uh, on these issues.

0:12

Uh, cardiac MR with an ischemic heart disease with you.

0:15

I hope you found it useful.

0:16

Just a few take home points that I think are important to,

0:20

uh, highlight as we wrap up.

0:22

Uh, first I think we've shown nicely

0:24

that cardiac MR can be used to diagnose

0:27

numerous things related to, uh, ischemic heart disease,

0:30

including myocardial viability, uh,

0:32

acute myocardial infarctions,

0:33

and other causes of acute chest pain.

0:35

And then also ischemia related to coronary artery disease,

0:39

as you hopefully also have appreciated.

0:41

CA imaging for wall motion assessment

0:43

and LG imaging are key sequences

0:45

for cardiac MR evaluation of ischemic heart disease.

0:47

So these are kind of your workhorse sequences

0:49

and really where you're gonna spend the bulk of your time,

0:53

um, evaluating, uh, patients

0:55

with potential infarcts or ischemia.

0:57

Classic coronary artery disease is not always the cause

1:00

of acute chest pain in mono cardio infarction.

1:02

And we saw several examples throughout the, uh, the course,

1:06

uh, of cases of myocarditis

1:08

or TAs cardiomyopathy where, you know,

1:11

these are causes of chest pain.

1:12

We talked a lot about manca, uh,

1:14

and that being a, you know, some, a key differential kind

1:17

of bucket to try to lump, uh, some disease findings into.

1:21

And so just keep in mind that, uh, there are other things

1:24

that we have to think about, uh,

1:25

when you're looking at patients, uh, uh, with chest pain.

1:29

And finally, there's very strong evidence supporting cardiac

1:32

mr chest perfusion for evaluation of myocardial ischemia.

1:35

And most recent chest pa chest pain guidelines have

1:38

certainly supported, uh, the use of this technique.

1:40

And so, uh, for those of you who are new to cardiac mr

1:44

or just learning, uh, uh,

1:46

while this is a slightly more advanced technique in terms

1:48

of the setup and the operations,

1:50

it's really worth investing time trying to learn how

1:53

to understand and implement these

1:54

'cause it can benefit your patients, uh, in your practice.

1:58

Uh, the other nice thing about doing stress fusion cardiac

2:01

MRIs, as we've seen several times, cardiac

2:04

m mr as a one-stop shop.

2:05

So not only do you get information about ischemia,

2:07

but you get really accurate functional assessment.

2:10

And then you can do more advanced tissue characterization,

2:13

uh, including, you know, a edema evaluation

2:16

with T two mapping or T two weighted imaging,

2:18

but even other approaches that we didn't talk about today,

2:20

like, uh, looking for non causes,

2:22

non ischemic cardiomyopathy,

2:24

T one mapping, those sorts of things.

2:26

Thank you.