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Table 2 Frequency of abnormal CMR findings

From: Cardiovascular magnetic resonance patterns of biopsy proven cardiac involvement in systemic sclerosis

Pathology

Frequency

Appearance

Normal value

pathologic LV and or RV ventricular kinesic pattern

95 %

 

-

  LV diastolic dysfunction

85 %

 

-

  LV hypokinesia

75 %

 

-

  RV hypokinesia

70 %

 

-

  RV diastolic dysfunction

65 %

 

-

  LV intraventricular dyssynchrony

65 %

 

-

  RV intraventricular dyssynchrony

60 %

 

-

  RV dyskinesia

10 %

 

-

Pericardial Effusion

80 %

  

  Minimal Effusion

35 %

≤5 mm

 

  Moderate Effusion

45 %

>5 mm

≤5 mm [20]

RV-EF

74 %

below -2SD of normal

≥52 % (f); ≥50 % (m) ; <60 years [15]

LV-EF

50 %

below -2SD of normal

≥58 % (f); ≥57 % (m) ; <60 years [15]

RV-EDVI

32 %

above +2SD of normal

≤96 ml/m2 (f); ≤111 ml/m2 (m) ; <60 years [15]

LV-EDVI

20 %

above +2SD of normal

≤95 ml/m2 (f); ≤100 ml/m2 (m) ; <60 years [15]

LV-MMI

10 %

above +2SD of normal

≤77 g/m2 (f); ≤91 g/m2 (m); <60 years [15]

RV EDD in 4CV

80 %

above +2SD of normal

<39 mm (f); <49 mm (m) [16]

LV myocardial thickness

35 %

above +2SD of normal

Segment 9: ≤9.3 mm (f); ≤11.4 mm (m) Segment 11: ≤7.5 mm (f); ≤9.1 mm (m) [17]

RV myocardial thickness

10 %

≥5 mm

<5 mm [18, 19]

 Inversion time localizer

50 %

Pathologic nulling pattern

Blood nulls first, myocardium and spleen second [21]

LGE visual analysis

69 %

 

-

  Visual diffuse

53 %

diffuse, or no reasonable nulling

-

  intermediate-signal intensity

16 %

linear and patchy

-

LGE semi-quantitative analysis

100 %

  

  intermediate-signal intensity

100 %

17–37 % of LV mass

-

  full intensity

94 %

0–11 % of LV mass

-

  1. 4CV Four-chamber view, EDD End-diastolic diameter, LGE Late Gadolinium enhancement, LV left ventricle, LV-EDVI Left ventricular end-diastolic volume index, LV-EF Left ventricular ejection fraction, LV-MMI Left ventricular myocardial mass index, RV right ventricle, RV-EDVI Right ventricular end-diastolic volume index, RV-EF Right ventricular ejection fraction, SD Standard deviation