Author + information
- Received March 20, 2018
- Revision received May 21, 2018
- Accepted June 22, 2018
- Published online March 13, 2019.
- Erwan Donal, MD, PhDa,b,∗ (, )
- Elena Galli, MD, PhDa,b,
- Matthieu Lederlin, MD, PhDb,c,
- Raphael Martins, MD, PhDa,b and
- Frederic Schnell, MD, PhDa,d
- aService de Cardiologie, CIC-IT INSERM 1414, CHU Pontchaillou, Rennes, France
- bLaboratoire Traitement du Signal et de l’Image, Université de Rennes 1, INSERM, UMR 1099, Rennes, France
- cService de Radiologie, CHU Pontchaillou, Rennes, France
- dService de médecine du sport et laboratoire de physiologie, Université Rennes 1, CHU Pontchaillou, Rennes, France
- ↵∗Address for correspondence:
Dr. Erwan Donal, Service de Cardiologie et CIC-IT INSERM 1414–CHU Pontchaillou, 2 Rue Henri Le Guilloux, CHU Pontchaillou, 35000 Rennes, France.
• Atrial anatomy and functions are key and should not be forgotten by imagers. There are key pathophysiological, prognostic, and therapeutic values in analyzing the left, and probably also the right, atria.
• Atrial volumes are important; atrial deformation during the reservoir and probably also during the active booster pump function have to be considered.
• Cardiac computed tomography as well as cardiac magnetic resonance imaging have important roles, also for assessing atrial anatomy, characterizing tissue, and guiding for treatment strategies.
• Data from many proof-of-concept and large, prospective, interventional studies have been missing until now in the field of imaging the atria.
The management of atrial fibrillation (AF) is not only a clinical challenge but also an imaging challenge. The role of different imaging modalities to estimate the thromboembolic risk in AF is a key clinical question. The present review summarizes the advances of myocardial imaging in the stratification of thromboembolic risk, diagnosis, and management of left atrial thrombosis in patients with AF. These imaging techniques are also important for understanding arrhythmias and their consequences. It is becoming fundamental for guiding therapy. Still, large studies are required, but be sure that left atrial imaging will become more and more clinically fundamental.
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received March 20, 2018.
- Revision received May 21, 2018.
- Accepted June 22, 2018.
- 2019 American College of Cardiology Foundation
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