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Differential Diagnosis of Thick Myocardium according to Histologic Features Revealed by Multiparametric Cardiac Magnetic Resonance Imagingopen access

Authors
Cha, Min JaeKim, CherryPark, Chan HoHong, Yoo JinShin, Jae MinKim, Tae HoonCha, Yoon JinPark, Chul Hwan
Issue Date
6월-2022
Publisher
KOREAN SOCIETY OF RADIOLOGY
Keywords
Hypertrophy; left ventricular; Heart; Magnetic resonance imaging; Pathology; Histology; Diagnosis; differential
Citation
KOREAN JOURNAL OF RADIOLOGY, v.23, no.6, pp.581 - 597
Indexed
SCIE
SCOPUS
KCI
Journal Title
KOREAN JOURNAL OF RADIOLOGY
Volume
23
Number
6
Start Page
581
End Page
597
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/145923
DOI
10.3348/kjr.2021.0815
ISSN
1229-6929
Abstract
Left ventricular (LV) wall thickening, or LV hypertrophy (LVH), is common and occurs in diverse conditions including hypertrophic cardiomyopathy (HCM), hypertensive heart disease, aortic valve stenosis, lysosomal storage disorders, cardiac amyloidosis, mitochondrial cardiomyopathy, sarcoidosis and athlete???s heart. Cardiac magnetic resonance (CMR) imaging provides various tissue contrasts and characteristics that reflect histological changes in the myocardium, such as cellular hypertrophy, cardiomyocyte disarray, interstitial fibrosis, extracellular accumulation of insoluble proteins, intracellular accumulation of fat, and intracellular vacuolar changes. Therefore, CMR imaging may be beneficial in establishing a differential diagnosis of LVH. Although various diseases share LV wall thickening as a common feature, the histologic changes that underscore each disease are distinct. This review focuses on CMR multiparametric myocardial analysis, which may provide clues for the differentiation of thickened myocardium based on the histologic features of HCM and its phenocopies.
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