IMR Press / RCM / Volume 25 / Issue 1 / DOI: 10.31083/j.rcm2501005
Open Access Review
Recent Progresses in the Multimodality Imaging Assessment of Myocardial Fibrosis
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1 Department of Cardiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, 200127 Shanghai, China
2 Department of Nephrology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, 200127 Shanghai, China
3 Department of Nephrology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, 310011 Hangzhou, Zhejiang, China
4 State Key Laboratory of Systems Medicine for Cancer, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiao Tong University School of Medicine, 200127 Shanghai, China
*Correspondence: jiangmeng0919@163.com (Meng Jiang); pujun310@hotmail.com (Jun Pu)
These authors contributed equally.
Rev. Cardiovasc. Med. 2024, 25(1), 5; https://doi.org/10.31083/j.rcm2501005
Submitted: 21 August 2023 | Revised: 20 September 2023 | Accepted: 25 September 2023 | Published: 8 January 2024
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Myocardial fibrosis, a common pathophysiological consequence of various cardiovascular diseases, is characterized by fibroblast activation and excessive deposition of extracellular matrix (ECM) collagen. Accumulating evidence indicates that myocardial fibrosis contributes to ventricular stiffness, systolic and diastolic dysfunction, and ultimately leads to the development of heart failure (HF). Early detection and targeted treatment of myocardial fibrosis is critical to reverse ventricular remodeling and improve clinical outcomes in patients with cardiovascular diseases. However, despite considerable progresses made in understanding molecular mechanisms of myocardial fibrosis, non-invasive imaging to assess myocardial fibrosis and guide clinical treatment is still not widely available, limiting the development of innovative treatment strategies. This review summarizes recent progresses of imaging modalities for detecting myocardial fibrosis, with a focus on nuclear medicine, echocardiography and cardiac magnetic resonance (CMR).

Keywords
myocardial fibrosis
multimodality imaging assessment
nuclear medicine
echocardiography
cardiac magnetic resonance
Funding
U21A20341/National Natural Science Foundation of China
81971570/National Natural Science Foundation of China
21XD1432100/Shanghai Academic/Technology Leader Program
20Y11910500/Shanghai Science and Technology Commission Program
22DZ2292400/Shanghai Science and Technology Commission Program
81930007/National Natural Science Foundation of China
2022YFC3602400/National Key Research and Development Program of China
2023ZZ02021/Shanghai Municipal Health Commission
GWVI-11.1-26/Shanghai Municipal Health Commission
82000634/National Natural Science Foundation of China
20YF1425000/Shanghai Sailing Program
LQ21H050002/Zhejiang Provincial Natural Science Foundation of China
21PJD039/Shanghai Pujiang Program
82300366/National Natural Science Foundation of China
Figures
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