Delayed myocardial enhancement

Delayed myocardial enhancement, as seen on cardiac MRI, occurs when gadolinium contrast material seeps into fibrotic or necrotic myocardial tissue. It is due to a number of aetiologies, and has variable appearances.

  1. subendocardial enhancement indicates an ischaemic aetiology
  2. transmural enhancement is nonspecific, but suggestive of an ischaemic aetiology
  3. mid-wall enhancement indicates a non-ischaemic etiology (e.g. myocarditis, idiopathic dilated cardiomyopathy)
  4. diffuse patchy areas of enhancement are seen in cardiac amyloidosis
Share article

Article information

rID: 13368
System: Cardiac
Tags: refs, stub, cases
Synonyms or Alternate Spellings:

Support Radiopaedia and see fewer ads

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.