How we perform myocardial perfusion with cardiovascular magnetic resonance

Cardiovascular magnetic resonance first-pass perfusion imaging has developed consider-ably over the past decade. Several studies have shown that this technique is accurate for the detection of myocardial ischemia. In this article we outline the procedure of myocardial perfu-sion imaging with cardiovascular magnetic resonance as it is performed at our centers, describe the sequences that are currently used in more detail, review our process of image interpretation, and highlight potential pitfalls that we have encountered in our experience with performing this technique in over 2000 patients. [Supplementary materials are available for this article. Go to the publisher’s online edition of Journal of Cardiovascular Magnetic Resonance for two free supplemental movie clips.