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Table 1 Among a broad at-risk patient cohort, contrast-enhanced MRI provided improved left ventricular thrombus detection versus contrast and non-contrast echocardiography. Left ventricular thrombus is typically detected by contrast-enhanced MRI but missed by echocardiography when mural in shape or small in volume.

From: 202 Contrast-Enhanced MRI for high yield detection of left ventricular thrombus – predictors of improved thrombus detection versus echocardiography

Left Ventricular Thrombus Detected by CE-MRI (n = 25)
Echo Performance Sensitivity Specificity Accuracy Positive Predictive Value Negative Predictive Value
Contrast echo 68% (17/25) 98% (89/91) 91% (106/116) 89% (17/19) 92% (89/97)
Non-contrast echo 36% (9/25) 91% (83/91) 79% (92/116) 53% (9/17) 84% (83/99)