INCIC technique ·
Apical HCM: high-resolution apical cines
In apical HCM, wall thickness may not reach the classic diagnostic threshold. Dedicated thin, gapless, post-contrast cines of the apex help reveal it.
Tip by Julián Vega Adauy · jvega@incic.org
Why
In apical hypertrophic cardiomyopathy, wall thickness may not exceed the classic diagnostic threshold. With standard cines the apex is poorly sampled and the disease can be missed.
How
- Add dedicated high-resolution cines of the apex.
- Use 6 mm slices with no gap, so no part of the apex is left uncovered.
- Tighten the FOV to the heart so the resulting voxel is small.
- Always acquire these cines after gadolinium to increase the signal-to-noise ratio.