Score | Blood-to-myocardial contrast | Endocardial edge definition | Motion artifact |
---|---|---|---|
5 - Excellent | Blood pool is hyper intense with excellent contrast against the myocardium; myocardium is uniformly bright throughout the cardiac cycle with little evidence of flashing. | Papillary and endocardial trabeculae are clearly visible in the bright backdrop of the blood pool. | Image is nearly artifact free. |
4 - Good | Blood pool is significantly brighter than the myocardium, or myocardial signal intensity is fairly uniform throughout the cardiac cycle. | Papillary and endocardial trabeculae are visible but somewhat blurred during the cardiac cycle. | Some motion artifact is present but does not affect overall image quality. |
3 - Moderate | Image is of diagnostic quality but features significant loss of blood to myocardial contrast or noticeable variation in myocardial signal throughout the cardiac cycle. | Myocardial walls are barely distinguishable from endocardial trabeculae. | Motion artifacts are visible, but image is still of diagnostic quality. |
2 - Poor | Blood-to-myocardial contrast is poor, but the image is still of diagnostic quality. | Myocardial walls and endocardial trabeculae are significantly blurred. | Images are nearly nondiagnostic with significant artifacts. |
1 - Nondiagnostic | Blood-to-myocardial contrast is poor; image was deemed nondiagnostic. | Blood-to-myocardial edge definition is poor; image was deemed nondiagnostic. | Image is of nondiagnostic quality. |