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J Am Coll Cardiol, 2009; 53:1475-1487, doi:10.1016/j.jacc.2009.02.007
© 2009 by the American College of Cardiology Foundation
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JACC WHITE PAPER

Cardiovascular Magnetic Resonance in Myocarditis: A JACC White Paper

Matthias G. Friedrich, MD*,*, Udo Sechtem, MD{ddagger}, Jeanette Schulz-Menger, MD§, Godtfred Holmvang, MD||, Pauline Alakija, MD{dagger}, Leslie T. Cooper, MD, James A. White, MD#, Hassan Abdel-Aty, MD§, Matthias Gutberlet, MD**, Sanjay Prasad, MD{dagger}{dagger}, Anthony Aletras, PhD{ddagger}{ddagger}, Jean-Pierre Laissy, MD§§, Ian Paterson, MD||||, Neil G. Filipchuk, MD*, Andreas Kumar, MD*, Matthias Pauschinger, MD¶¶, Peter Liu, MD## for the International Consensus Group on Cardiovascular Magnetic Resonance in Myocarditis

* Department of Cardiac Sciences and Radiology, Stephenson Cardiovascular MR Centre at the Libin Cardiovascular Institute of Alberta, Alberta, Canada
{dagger} Department of Pathology, University of Calgary, Calgary, Alberta, Canada
{ddagger} Department of Cardiology, Robert-Bosch-Krankenhaus, Stuttgart, Germany
§ Franz-Volhard-Klinik, Charité Universitätsmedizin Berlin, HELIOS-Klinikum Berlin-Buch, Berlin, Germany
|| Massachusetts General Hospital, Boston, Massachusetts
Mayo Clinic College of Medicine, Rochester, Minnesota
# London Health Sciences Centre, London, Ontario, Canada
** Department of Diagnostic and Interventional Radiology, University Leipzig, Leipzig, Germany
{dagger}{dagger} Royal Brompton Hospital, London, United Kingdom
{ddagger}{ddagger} National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland
§§ Department of Radiology, Hôpital Bichat, Paris, France
|||| Division of Cardiology, University of Alberta, Edmonton, Alberta, Canada
¶¶ Department of Cardiology, Klinikum Nürnberg Süd, Nürnberg, Germany
## Toronto General Hospital, Max Bell Research Centre, Toronto, Ontario, Canada

Manuscript received September 3, 2008; revised manuscript received January 31, 2009, accepted February 3, 2009.

* Reprint requests and correspondence: Dr. Matthias G. Friedrich, Stephenson Cardiovascular MR Centre at the Libin Cardiovascular Institute of Alberta, Department of Cardiac Sciences and Radiology, University of Calgary, 1403 29th Street NW, Calgary, Alberta T2N 2T9, Canada (Email: matthias.friedrich{at}ucalgary.ca).

Cardiovascular magnetic resonance (CMR) has become the primary tool for noninvasive assessment of myocardial inflammation in patients with suspected myocarditis. The International Consensus Group on CMR Diagnosis of Myocarditis was founded in 2006 to achieve consensus among CMR experts and develop recommendations on the current state-of-the-art use of CMR for myocarditis. The recommendations include indications for CMR in patients with suspected myocarditis, CMR protocol standards, terminology for reporting CMR findings, and diagnostic CMR criteria for myocarditis (i.e., "Lake Louise Criteria").

Key Words: cardiovascular magnetic resonance • myocarditis • consensus


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