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The document integrates roles of echocardiography, cardiovascular magnetic resonance, and cardiac computed tomography, clarifying how to select appropriate tests and outlining key limitations. It reviews pericardial anatomy and pathophysiology, then details imaging approaches for acute and recurrent pericarditis, pericardial effusion, cardiac tamponade, constrictive pericarditis, and effusive constrictive pericarditis.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/ase-expert-consensus-statement-american-society-of-echocardiography-clinical-recommendations-for-multimodality-cardiovascular-imaging-of-patients-with-pericardial-disease/496258/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/ase-expert-consensus-statement-american-society-of-echocardiography-clinical-recommendations-for-multimodality-cardiovascular-imaging-of-patients-with-pericardial-disease/496258.png","ImageObject",300,407,{"name":92,"@type":93},"\tJames","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-02",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is the purpose of this ASE expert consensus statement for pericardial disease imaging?","Question",{"text":113,"@type":114},"It provides American Society of Echocardiography clinical recommendations on how to use integrated multimodality cardiovascular imaging for patients with pericardial disease.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Which imaging modalities are emphasized for evaluating pericardial diseases?",{"text":118,"@type":114},"The recommendations center on echocardiography, cardiovascular magnetic resonance (CMR), and cardiac computed tomography (CT), including when added imaging should be considered.",{"name":120,"@type":111,"acceptedAnswer":121},"How does the document approach selecting the appropriate test?",{"text":122,"@type":114},"It includes a section on choosing which test to use and discusses limitations, then links imaging choices to specific pericardial conditions such as acute or recurrent pericarditis, pericardial effusion, and constrictive physiology.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},496258,1791027572,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},2336474466412,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","ASE EXPERT CONSENSUS STATEMENT  \nAmerican Society of Echocardiography Clinical Recommendations for Multimodality Cardiovascular Imaging of Patients with Pericardial Disease  \nEndorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography  \nAllan L. Klein, MD, FASE, Chair, Suhny Abbara, MD, Deborah A. Agler, RCT, RDCS, FASE, Christopher P. Appleton, MD, FASE, Craig R. Asher, MD, Brian Hoit, MD, FASE, Judy Hung, MD, FASE, Mario J. Garcia, MD, Itzhak Kronzon, MD, FASE, Jae K. Oh, MD, FASE, E. Rene Rodriguez, MD, Hartzell V. Schaff, MD, Paul Schoenhagen, MD, Carmela D. Tan, MD, and Richard D. White, MD, Cleveland and Columbus, Ohio; Boston, Massachusetts; Weston, Florida; Scottsdale, Arizona; Rochester, Minnesota; Bronx and  \nNew York, New York  \n(J Am Soc Echocardiogr 2013;26:965-1012.)  \nKeywords: Pericardial disease, Echocardiography, Cardiovascular magnetic resonance, Cardiac computed tomography  \nTABLE OF CONTENTS   \nOrganization of the Writing Committee 966  \nI. Introduction 966  \nA. Clinical Perspective 966  \nB. Role of Integrated Multimodality Imaging 967  \nC. Which Test to Choose? 967  \nD. Limitations 969  \nII. Anatomy of the Pericardium 969  \nA. Fibrous and Serosal Pericardium 969  \nB. Pericardial Sinuses and Recesses 970  \nC. Lymphatic Drainage, Vascular Supply, and Innervation 972  \nD. Pericardial Response to Injury 972  \nIII. Pathophysiology of the Pericardium 972  \nA. Introduction 972  \nB. Mechanical Effects of the Pericardium 972  \nC. Pericardial Reserve Volume and Pressure-Volume Relations without PEff 972  \nIV. Pericardial Diseases 974  \nA. Acute Pericarditis 974  \n1. Introduction 974  \n2. General Indications for Imaging 975  \n3. Echocardiography 975  \n4. CT 975  \n5. CMR 975  \n6. When to Consider Added Imaging 977  \nB. Recurrent Pericarditis 977  \n1. Introduction 977  \n2. General Indications for Imaging 977  \n3. Echocardiography 978  \n4. CTand CMR 977  \n5. When to Consider Added Imaging 977  \nC. PEff 977  \n1. Introduction 977  \n2. General Indications for Imaging 979  \n3. Echocardiography 979  \nFrom the Cleveland Clinic, Cleveland, Ohio (A.L.K., D.A.A., E.R.R., P.S., C.D.T.); Massachusetts General Hospital, Boston, Massachusetts (S.A., J.H.); the Cleveland Clinic, Weston, Florida (C.R.A.); the Mayo Clinic, Scottsdale, Arizona (C.P.A.); the Mayo Clinic, Rochester, Minnesota (J.K.O., H.V.S.); University Hospitals Case Medical Center, Cleveland, Ohio (B.H.); Montefiore-Einstein Center for Heart and Vascular Care, Bronx, New York (M.J.G.); Lenox Hill Hospital, New York, New York (I.K.); and The Ohio State University Medical Center, Columbus, Ohio (R. D.W.) .  \nThe following authors reported no actual or potential conflicts of interest in relation to this document: Deborah A. Agler, RCT, RDCS, FASE, Christopher P. Appleton, MD, FASE, Judy Hung, MD, FASE, E. Rene Rodriguez, MD, Hartzell V. Schaff, MD, Paul Schoenhagen, MD, Carmela D. Tan, MD, and Richard D. White, MD. The following authors reported relationships with one or more commercial interests: Allan L. Klein, MD, FASE, receives honoraria for books from Elsevier and Lippincott Williams & Wilkins and serves on a multicenter trial steering committee for Bayer. Suhny Abbara, MD, serves as a consultant for Perceptive Informatics. Craig R. Asher, MD, coedited a book published by Lippincott Williams & Wilkins. Brian Hoit, MD, FASE, has served as a speaker for Philips Medical Systems. Mario J.  \nGarcia, MD, receives royalties from Lippincott Williams & Wilkins and Elsevierand owns stock in Pfizer. Itzhak Kronzon, MD, FASE, has received an honorarium from Philips Medical Systems. Jae K. Oh, MD, FASE, has received a research grant from Toshiba and core laboratory funding from Medtronic.  \nAttention ASE Members:  \nThe ASE has gone green! Visit www.aseuniversity.org to earn free continuing medical education credit through an online activity related to this article. Certificates are available for immediate access upon successful com","cbCaipIbkbzaG52j","https://ap.wps.com/l/cbCaipIbkbzaG52j","pdf",18355266,63,"English","# Organization of the Writing Committee\n# Introduction\n## Clinical Perspective\n## Role of Integrated Multimodality Imaging\n## Which Test to Choose?\n## Limitations\n# Anatomy of the Pericardium\n## Fibrous and Serosal Pericardium\n## Pericardial Sinuses and Recesses\n## Lymphatic Drainage, Vascular Supply, and Innervation\n## Pericardial Response to Injury\n# Pathophysiology of the Pericardium\n## Mechanical Effects of the Pericardium\n# Pericardial Diseases\n## Acute Pericarditis\n## Recurrent Pericarditis\n## Pericardial Effusion\n## Cardiac Tamponade\n## Constrictive Pericarditis\n## Effusive Constrictive Pericarditis","[{\"question\":\"What is the purpose of this ASE expert consensus statement for pericardial disease imaging?\",\"answer\":\"It provides American Society of Echocardiography clinical recommendations on how to use integrated multimodality cardiovascular imaging for patients with pericardial disease.\"},{\"question\":\"Which imaging modalities are emphasized for evaluating pericardial diseases?\",\"answer\":\"The recommendations center on echocardiography, cardiovascular magnetic resonance (CMR), and cardiac computed tomography (CT), including when added imaging should be considered.\"},{\"question\":\"How does the document approach selecting the appropriate test?\",\"answer\":\"It includes a section on choosing which test to use and discusses limitations, then links imaging choices to specific pericardial conditions such as acute or recurrent pericarditis, pericardial effusion, and constrictive physiology.\"}]","ASE Expert Consensus Statement - American Society of Echocardiography Clinical Recommendations for Multimodality Cardiovascular Imaging of Patients with Pericardial Disease | PDF",1790929973,159]