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A member asked:
Does a normal cardiac cmr with an rvef of 50% and no apparent thickening rule-out arvd? is the npv high for this disease on cmr?
A doctor has provided 1 answer
No. Need T2-sat & Gd: The signs of ARVD on cardiac MRI (CMR) are fatty infiltration of the right ventricle, dilation, & contrast enhancement. You mentioned none of these. While the RVEF is respectable, the condition of ARVD (replacement of muscle tissue by fat) requires a T2-weighted "black blood" spin sequence (SSFP) with Gadolinium (Gd) contrast. NPV of CMR is high with this pulse sequence. Talk to your Cardiologist.
Answered 5/3/2017
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