Magnetic resonance imaging of patients with suspected (non-ischaemic) dilated cardiomyopathies

Kessels, S, Mittal, R, Morona, J, Newton, S, Ellery, B, Milverton, J, Parsons, J, Vogan, A, Schubert, C, Merlin, T
Record ID 32018000666
English
Original Title: Application 1393
Authors' results and conclusions: The available evidence on cardiac magnetic resonance (CMR) imaging for dilated cardiomyopathies (DCM) was predominantly concerned with the prediction of cardiac events. CMR using late gadolinium enhancement was a good predictor of cardiac events; and the amount of scarring or inflammation was better than the percentage of normal left ventricular ejection fraction when deciding whether patients should undergo surgery. One Australian study that scheduled patients for device implantation or surgery according to findings from echocardiography (95%), invasive coronary angiography (51%), and single-photon emission computed tomography (27%) reported that the use of CMR allowed device implantation to be avoided in 29% of patients, and allowed surgery to be avoided in 65% of patients. A small number of patients not initially scheduled for surgery or device implantation had their management amended to a more invasive strategy as a consequence of CMR studies. A Norwegian study reported that CMR was able to detect the aetiology of DCM in a small proportion of patients (4.5%) who would otherwise have been classified as having idiopathic non-ischaemic DCM. It could not be ascertained from the evidence base whether using the prognostic information provided by CMR, and changing patient management, will result in improvements in patient health.
Details
Project Status: Completed
URL for project: http://www.msac.gov.au/internet/msac/publishing.nsf/Content/1393-public
Year Published: 2016
URL for published report: http://www.msac.gov.au/internet/msac/publishing.nsf/Content/F84C242ED0FCF0ADCA25801000123C04/$File/1393-CMRforDCM.pdf
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Australia
MeSH Terms
  • Cardiac Imaging Techniques
  • Magnetic Resonance Imaging
  • Cardiomyopathy, Dilated
Contact
Organisation Name: Adelaide Health Technology Assessment
Contact Address: School of Public Health, Mail Drop 545, University of Adelaide, Adelaide SA 5005, AUSTRALIA, Tel: +61 8 8313 4617
Contact Name: ahta@adelaide.edu.au
Contact Email: ahta@adelaide.edu.au
Copyright: Adelaide Health Technology Assessment (AHTA)
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