EUH Krakow Conference: What is the sensitivity/specificity of cardiac MRI for myocarditis and pericarditis?

The Bottom Line: Sensitivity of cMRI for myocarditis is highly variable in the reported literature (29-88%), while specificity is quite good at 86% (Friedrich and Marcotte, 2013). For pericarditis, the sensitivity and specificity of cMRI is 100% (Taylor, et al 2006).

References: Friedrich MG, Marcotte F. Cardiac magnetic resonance assessment of myocarditis. Circulation. Cardiovascular Imaging. 2013 Sept; 6(5):833-839. doi:10.1161/CIRCIMAGING.113.000416.

Taylor AM, Dymarkowski S, Verbeken EK, Bogaert J. Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: Initial results. European Radiology. 2006 Mar; 16(3): 569-574.

For additional reading: Friedrich MG, Sechtem U, Schulz-Menger J, Holmvang G, et al. Cardiovascular magnetic resonance in myocarditis: A JACC white paper. Journal of the American College of Cardiology. 2009 Apr 28; 53(17): 1475-1487. doi:10.1016/j.jacc.2009.02.007.

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