Anatomy and Slice Positioning (Tech)-How to Acquire, Post Process and Interpret Right Ventricle Images

How to Acquire, Post Process and Interpret Right Ventricle Images

Video Transcription

Video Summary

The speaker discusses how to acquire and interpret right ventricular (RV) cardiac MRI images, emphasizing that the RV is often underappreciated despite its importance in diseases like pulmonary hypertension, ARVD, congenital heart disease, sarcoidosis, and ischemic cardiomyopathy. The talk explains standard imaging using short-axis cine stacks, challenges in contouring the RV basal slices, outflow tract, and trabeculations, and the importance of using cine and four-chamber views to define RV boundaries. It also highlights internal quality checks such as matching RV stroke volume with LV stroke volume and phase-contrast flow. The speaker reviews newer normative RV data from the UK Biobank and Framingham studies, notes reproducibility limitations, and explains why short-axis imaging remains standard. Additional topics include RV mass, RV late gadolinium enhancement, normal versus abnormal RV wall motion, and the emerging role of RV strain for improving detection of abnormalities.

Keywords

right ventricular MRI

RV contouring

cardiac cine imaging

RV strain

late gadolinium enhancement