CARDIAC Ischemic and Non-Ischemit heart: LATE GADOLINIUM ENHANCEMENT (LGE)

Question 1

When will you see the normal tissue drunk up contrast?

Answer 1

Early (1-3 mins)

Question 2

When does contrast wash outh of the noraml tissue?

Answer 2

Late (5-20mins)

Question 3

When is contrast uptake pathologic?

Answer 3

When there is uptake after Late phase (5-20 mins)

Question 4

Describe the Ischemic LGE

Answer 4

LOCATION: Subendocardially then spreads transmurally towards the epicardial surface
DISTRIBUTION: corresponding to a known coronay artery territory

Question 5

Descibe the Non-Ischemic LGE Pattern

Answer 5

LOCATION: MID-WALL
DISTRIBUTION: Patchy or Multifocal (NOT Corresponding to a known coronary artery Territory)

Question 6

Describe the pattern and where can you see it?

Answer 6

Subendocardial in subendocaridal infarction

Question 7

Describe the pattern and where can you see it?

Answer 7

Transmural in Trasnmural Infaction

Question 8

Describe the pattern, and where can you see it?

Answer 8

Subendocardial Circumferential in Amyoloidosis

Question 9

Describe the pattern, and where can you see it?

Answer 9

Question 10

Where can you see this pattern?

Answer 10

HOCM

Question 11

Where can you see this pattern?

Answer 11

Myocarditis
Sarcoidosis
Andersos-Fabry
Chagas