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International guidelines recognize stress perfusion cardiovascular magnetic resonance (CMR) for detecting abnormal myocardial blood flow, with strong diagnostic accuracy and prognostic value. Although visual analysis is common, quantitative perfusion CMR is at least as accurate for significant obstructive CAD and better estimates total ischemic burden, while revealing myocardial ischemia pathophysiology including INOCA microvascular disease.",{"@graph":69,"@context":122},[70,84,105],{"@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/society-for-cardiovascular-magnetic-resonance-expert-consensus-statement-on-quantitative-myocardial-perfusion-cardiovascular-magnetic-resonance-imaging/439216/",{"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/society-for-cardiovascular-magnetic-resonance-expert-consensus-statement-on-quantitative-myocardial-perfusion-cardiovascular-magnetic-resonance-imaging/439216.png","ImageObject",300,407,{"name":92,"@type":93},"Kyle","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What clinical scenarios does the consensus statement emphasize for myocardial perfusion CMR?","Question",{"text":112,"@type":113},"It emphasizes patients with known or suspected CAD, suspected ischemia with normal coronary arteries (INOCA), anomalous coronary origins, and Kawasaki disease.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How do international guidelines position stress perfusion CMR?",{"text":117,"@type":113},"Stress perfusion CMR is recognized by international guidelines for detecting abnormal myocardial blood flow in these clinical scenarios, with strong diagnostic accuracy and independent prognostic value.",{"name":119,"@type":110,"acceptedAnswer":120},"Why is quantitative perfusion CMR highlighted compared with visual interpretation?",{"text":121,"@type":113},"Quantitative perfusion CMR is at least as accurate for detecting significant obstructive CAD and provides a more accurate estimation of total ischemic burden.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},439216,1790716574,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},3985741905716,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Journal of Cardiovascular Magnetic Resonance 27 (2025) 101940  \nContents lists available at ScienceDirect  \nJournal of Cardiovascular Magnetic Resonance  \njournal [homepage:](homepage: www.sciencedirect.com/journal/joc mr)[ www.sciencedirect.com/journal/joc mr](homepage: www.sciencedirect.com/journal/joc mr)  \nGuidelines/Consensus Statement  \nSociety for cardiovascular magnetic resonance expert consensus statement on quantitative myocardial perfusion cardiovascular magnetic resonance imaging☆  \nAmedeo Chiribiria,b,⁎, Andrew E. Araic, Edward DiBellac,d,e, Li-Yueh Hsuf, Masaki Ishidag, Michael Jerosch-Heroldh, Sebastian Kozerkei, Xenios Milidonisa,j, Reza Nezafatk, Sven Pleinl, Cian M. Scannellm, Michael Salernon,o  \na School of Biomedical Engineering and Imaging Sciences, King’s College London, London, United Kingdom  \nb National Institute for Health and Care Research (NIHR) Healthtech Research Centre (HRC) in Cardiovascular and Respiratory Medicine, Guy’s & St Thomas’ NHS Foundation Trust, London, United Kingdom  \nc Cardiovascular Medicine and Department of Radiology, University of Utah, Salt Lake City, Utah, USA d Electrical and Computer Engineering Department, University of Utah, Salt Lake City, Utah, USA e Department of Biomedical Engineering, University of Utah, Salt Lake City, Utah, USA  \nf National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA g Department of Radiology, Mie University Graduate School of Medicine, Tsu, Mie, Japan  \nh Cardiovascular Division and Department of Radiology, Brigham and Women's Hospital, Boston, Massachusetts, USA i Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland  \nj CYENS Centre of Excellence, Nicosia, Cyprus  \nk Department of Medicine, Cardiovascular Division, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USAl Multidisciplinary Cardiovascular Research Centre, Department of Biomedical Imaging Science, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, United Kingdom  \nm Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands n Department of Cardiovascular Medicine, Stanford University, Stanford, California, USA  \no Department of Radiology, Cardiovascular Imaging, Stanford University, Stanford, California, USA  \nA R T I C L E I N F O  \nKeywords:  \nMyocardial perfusion imaging Coronary artery disease  \nINOCA  \nKawasaki disease  \nCardiovascular magnetic resonance Stress perfusion  \nQuantitative perfusion  \nA B S T R A C T  \nMyocardial perfusion imaging plays a central role in the management of patients with known or suspected coronary artery disease (CAD) and increasingly in patients with suspected ischemia with normal coronary arteries (INOCA) as well as anomalous origins of the coronary arteries and Kawasaki disease. Stress perfusion cardiovascular magnetic resonance (CMR) is recognized by international guidelines, with several Class 1 indications for the detection of abnormal myocardial blood flow in these clinical scenarios and offers excellent diagnostic accuracy and independent prognostic value. While visual interpretation of the perfusion data is the prevailing analysis method in clinical practice, quantitative perfusion CMR is at least as accurate for the detection of significant obstructive CAD and provides a more accurate estimation of the total ischemic burden inpatients with CAD. Moreover, quantitative myocardial perfusion analysis provides unique insights into the pathophysiology of myocardial ischemia, including microvascular disease in INOCA. Quantitative perfusion CMR  \nAbbreviations: AHA, American Heart Association; AIF, Arterial Input Function; ASL, Arterial Spin Labelling; ATP, Adenosine TriPhosphate; BOLD, Blood Oxygen Level Dependent; bSSFP, balanced Steady-State Free Precession; CA, Contrast agent; CAD, Coronary Artery Disease; CMR, Cardiovascular Magnetic Resonance; CNR, Contrast-","cbCaiiUVvbWJjMqN","https://ap.wps.com/l/cbCaiiUVvbWJjMqN","pdf",4430348,17,"English","# Guidelines/Consensus Statement\n# Keywords\n## Myocardial perfusion imaging\n# Abstract\n# Abbreviations","[{\"question\":\"What clinical scenarios does the consensus statement emphasize for myocardial perfusion CMR?\",\"answer\":\"It emphasizes patients with known or suspected CAD, suspected ischemia with normal coronary arteries (INOCA), anomalous coronary origins, and Kawasaki disease.\"},{\"question\":\"How do international guidelines position stress perfusion CMR?\",\"answer\":\"Stress perfusion CMR is recognized by international guidelines for detecting abnormal myocardial blood flow in these clinical scenarios, with strong diagnostic accuracy and independent prognostic value.\"},{\"question\":\"Why is quantitative perfusion CMR highlighted compared with visual interpretation?\",\"answer\":\"Quantitative perfusion CMR is at least as accurate for detecting significant obstructive CAD and provides a more accurate estimation of total ischemic burden.\"}]","Society for Cardiovascular Magnetic Resonance Expert Consensus Statement on Quantitative Myocardial Perfusion Cardiovascular Magnetic Resonance Imaging | PDF",1790687847,43]