Review Article

Evaluation of the Pericardium with CT and MR

Table 1

MR techniques commonly used to evaluate the pericardium.

MR techniqueClinical utility for pericardium

Steady-state free precession (SSFP).Wall motion, especially septum; effusion.
Double inversion recovery fast spin echo (DIR FSE).Pericardial thickness; effusion.
T1-weighted gradient echo myocardial tagged cine.Presence or absence of epicardial-pericardial slippage.
Real-time cine GRE in short axis during dynamic breathing.Assess for ventricular interdependence.
Optional: T2 FSE, T1/T2 fat saturation; postcontrast imaging.Used when tissue characterization is important, for example, neoplasm.