Cardiac MRI: a central prognostic tool in myocardial fibrosis

Contrast-enhanced MRI is a noninvasive, clinically useful technique for accurate quantification and localization of myocardial fibrotic burdenLate-gadolinium enhancement imaging can be used to identify the presence, pattern, and size of replacement or focal fibrosis, and has proven prognostic capacityT1 mapping allows for the accurate quantitation of diffuse and infiltrative interstitial fibrosis, and has tremendous prognostic potential in a wide variety of ischaemic and nonischaemic diseasesAdditional studies are needed to further define the prognostic relevance of late-gadolinium enhancement, T1 mapping, or both techniques used simultaneously, across different pathologies