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Table 2 Black-blood versus gray-blood LGE with conventional bright-blood LGE as a reference

From: Dark-blood late gadolinium enhancement cardiovascular magnetic resonance for improved detection of subendocardial scar: a review of current techniques

  Black-blood LGE Gray-blood LGE
Scar-to-blood contrast ↑ ↑
Scar-to-myocardium contrast / ↓a
Myocardium-to-blood contrast ↓ ↓ / ↓a
Assessment of scar transmurality / ↑a
MI size quantification ↑ ↑ / ↑a
MVO detection b b
LV thrombus detection ↓ ↓
  1. Indicated values are relative to conventional (bright-blood) LGE with normal myocardium nulling: ↑ = increased, ↓ = decreased,  = maintained
  2. aFirst value indicative for black-blood methods that simultaneously null both blood pool and normal myocardium (both appear black), second value indicative for black-blood methods with a dark-gray appearance of the normal myocardium
  3. bEqual detection but might improve differentiation with thrombus
  4. LGE = late gadolinium enhancement, LV = left-ventricular, MI = myocardial infarction, MVO = microvascular obstruction