Progression of cardiac magnetic resonance delayed enhancement in the diagnosis of dilated cardiomyopathy
WU Huimin
WANG Hancheng
CHENG Ziwang
DU Xunsong
Abstract：The incidence and mortality of dilated cardiomyopathy have risen significantly in recent years,establishing it as the most common cardiomyopathy and a primary indication for heart transplantation.Accurate assessment of viable and fibrotic myocardium is crucial for guiding treatment strategies,evaluating therapeutic efficacy,and predicting clinical outcomes in dilated cardiomyopathy patients.Cardiac magnetic resonance imaging with late gadolinium enhancement(CMR-LGE)has proven to be a reliable modality for identifying viable myocardium,providing critical guidance for early diagnosis and personalized treatment strategies in dilated cardiomyopathy.This review systematically summarizes the non-invasive imaging features for evaluating myocardial viability and fibrosis,highlights their clinical applications and prognostic value in cardiovascular diseases,and explores future technological advancements in the field.By integrating current research findings and emerging trends,this work aims to advance innovative methodologies and frameworks for improving early diagnosis and precision medicine in cardiac care.
Keywords：cardiac magnetic resonancelate gadolinium enhancementdilated cardiomyopathymyocardial fibrosis
Publication Date：2025-05-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 646-650 )