Arrythmogenic Right Ventricular Cardiomyopathy (rev. 7/1/2013)
Indication: Non-ischemic cardiomyopathy / arrythmia for which ARVC is suspected
Purpose: to add 1 major and 1 minor criterion to diagnosis
SEQUENCES
Localizer
Axial bright blood MBH chest
2 chamber CINE
Fake short axis CINE
4 chamber CINE
RV VLA CINE
RVOT CINE
PA CINE
Main PA Through Plane Phase Contrast (VENC 120)
Right PA Through Plane Phase Contrast (VENC 90)
Left PA Through Plane Phase Contrast (VENC 90)
3 chamber CINE
Coronal LVOT CINE
Aorta Through Plane Phase Contrast (VENC 150)
-- CONTRAST--
Short Axis Stack CINE
TI scout (choose TI to null RV myocardium)
MDE segmented RV VLA
MDE segmented RVOT
MDE single shot SAS
MDE single shot 2 chamber
MDE single shot 4 chamber
MDE single shot 3 chamber
Optional:
MDE segmented SAS
MDE segmented 2 chamber
MDE single shot 4 chamber
MDE single shot 3 chamber
Optional 3D MDE (Short Axis and 4 chamber)
NOTES
Choose TI to null RV myocardium, not LV
This is to look for scar/fibrosis of RV wall
LV can also be involved in ARVC, but MDE PSIR sequences will correct for the incorrect LV TI to get a look at the LV myocardium