Background: Pericardial diseases are relatively common in clinical practice and encountered
in various clinical settings with consequent significant morbidity and mortality. However, the
diagnosis as well as management can be complex and challenging, as the clinical presentation is
usually non-specific. Therefore, there is an increasing role for Cardiac Magnetic Resonance Imaging
(CMR) as an imaging tool to facilitate the diagnosis of pericardial diseases.
Conclusion: Herein we describe conventional and unique CMR approaches to provide an increased
non-invasive understanding of the pericardium in health and disease including a novel method to
diagnose constrictive pericarditis via radio-frequency tissue tagging by defining unique visceralparietal
adherence patterns easily learned by the cardiologist and radiologist.