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Commentary: Ahead of The Curve |

MRI Catheterization in Cardiopulmonary DiseaseMRI Catheterization in Cardiopulmonary Disease

Toby Rogers, BMBCh; Kanishka Ratnayaka, MD; Robert J. Lederman, MD
Author and Funding Information

From the Cardiovascular and Pulmonary Branch (Drs Rogers, Ratnayaka, and Lederman), Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD; and the Department of Cardiology (Dr Ratnayaka), Children’s National Medical Center, Washington, DC.

Correspondence to: Robert J. Lederman, MD, Cardiovascular and Pulmonary Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bldg 10, Room 2c713, MSC 1538, Bethesda, MD 20892-1538; e-mail: lederman@nih.gov


Funding/Support: This study was supported by the Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health [Z01-HL005062] to Dr Lederman.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;145(1):30-36. doi:10.1378/chest.13-1759
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Diagnosis and prognostication in patients with complex cardiopulmonary disease can be a clinical challenge. A new procedure, MRI catheterization, involves invasive right-sided heart catheterization performed inside the MRI scanner using MRI instead of traditional radiographic fluoroscopic guidance. MRI catheterization combines simultaneous invasive hemodynamic and MRI functional assessment in a single radiation-free procedure. By combining both modalities, the many individual limitations of invasive catheterization and noninvasive imaging can be overcome, and additional clinical questions can be addressed. Today, MRI catheterization is a clinical reality in specialist centers in the United States and Europe. Advances in medical device design for the MRI environment will enable not only diagnostic but also interventional MRI procedures to be performed within the next few years.

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