Rapid technological advance has brought many myocardial perfusion
imaging (MPI) modalities other than myocardial single-photon emission computed
tomography (SPECT) imaging. Cardiac magnetic resonance (CMR) and cardiac
computer tomography (CCT) myocardial imaging give us more precise imaging with
an improved special resolution which can depict subendocardial ischemia. As for
CMR, T2 weighted imaging demonstrated edematous region without enhancement.
Recent advances in CMR of parametric mapping technique now permit the
visualization and quantification of the tissue characteristics and also give us the
opportunity to guess disease process. On the other hand, SPECT fusion imaging with a
coronary artery from CCT or CMR also gives us useful territorial information of
coronary artery disease. In this chapter, recent advances and status of CMR and CCT
imaging surrounding SPECT MPI are described.
Keywords: Cardiac Computed Tomography, Cardiac Magnetic Resonance
Imaging, Functional Flow Reserve, Myocardial Viability, Myocardial Tissue
Imaging, Myocardial Perfusion Imaging, Parametric Mapping Imaging.