Patterns of Late Gadolinium Enhancement in Chronic Hemodialysis Patients
Brian J. Schietinger, MD*,
Glenn M. Brammer, MD*,
Hongkun Wang, PhD ,
John M. Christopher, RT ,
Katherine W. Kwon, MD*,
Amy J. Mangrum, MD*,
J. Michael Mangrum, MD, FACC*,
Christopher M. Kramer, MD, FACC*,,*
* Department of Medicine, University of Virginia Health System, Charlottesville, Virginia
Department of Public Health Sciences, University of Virginia Health System, Charlottesville, Virginia
Department of Radiology, University of Virginia Health System, Charlottesville, Virginia.
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Figure 1 In Chronic Hemodialysis Patients, LGE by CMR Is Present in 3 Distinctive Patterns
Panel A exhibits transmural late gadolinium enhancement (LGE) of the inferior septum consistent with an infarct pattern. The diffuse pattern is seen in panel B as circumferential LGE of the subendocardium and midwall, sparing the subepicardium. Panel C, with its focal inferior septal LGE in the midwall, is representative of the focal noninfarct LGE pattern. CMR = cardiovascular magnetic resonance.
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