Eligibility Details:
- INCLUSION CRITERIA:
Inclusion Criteria for All Participants (Objectives 1, 2, 3, and 4):
- Men and women age greater than or equal to 18 years
- Able to provide informed consent in writing
- Willingness to cooperate with all study procedures (including food restriction) and
available for scheduled study events
Inclusion Criteria for Healthy Volunteers (Objectives 1 and 2):
-Currently healthy, self-reported
Inclusion Criteria for Subjects with Heart Disease (Objective 3):
- Subjects having known heart disease including but not limited to
- Stable angina pectoris due to epicardial coronary artery obstruction
- Past myocardial infarction
- Heart failure with reduced ejection fraction
- Valvular heart disease
- Pulmonary artery hypertension
- Congenital heart disease with or without prior repair
- Myocarditis
- Infiltrative cardiomyopathy
- Hypertrophic cardiomyopathy
Inclusion Criteria for Subjects with Non-Cardiac Disease (Objective 4):
- Having known brain disease including but not limited to:
- Transient ischemic attack or stroke after 24 hours of onset
- Infection, inflammation meningitis
- Cognitive decline, neurodegenerative disorders
- Demyelinating disease, multiple sclerosis
- Loss of consciousness, seizures, epilepsy
- Brain tumor, metastases, abscess, lesion
- Vascular pathology
- Headache
- Hemorrhage
- Trauma
- Have known musculoskeletal disease including but not limited to:
- Persistent neck pain or radiculopathy
- Cancer or tumors of the spine
- Congenital abnormalities of the spinal cord or knee
- Multiple sclerosis
- Injury or trauma
- Fracture evaluation
- Infectious or inflammatory processes
- Soft tissue damage
- Muscle or tendon disorders
- Knee meniscal disorders
- Marrow abnormalities
- Mechanical knee symptoms
- Vascular conditions
- Have known abdominal diseases including but not limited to:
- Bowel obstruction
- Masses and tumors
- Crohns disease
- Diffuse liver disease such as hemochromatosis, hemosiderosis, fatty infiltration
- Focal hepatic lesions
- Cirrhotic liver
- Iron content determination
- Cystic kidney disease
- Vascular abnormalities
- Have known lung disease including but not limited to:
- Cancer, tumors and masses
- Vascular and lymphatic abnormalities
- Pulmonary thromboembolic disease
- Trauma
- Suspected bronchiolitis
- Bronchiectasis or pneumonitis
- Asthma and other obstructive lung diseases
- Pulmonary lymphangioleiomyomatosis
- Cystic and interstitial lung diseases such as pulmonary lymphangioleiomyomatosis
and cystic fibrosis
- Have other known non-cardiovascular disease
EXCLUSION CRITERIA:
Exclusion Criteria for All Participants:
- Conditions that are thought to make MRI unsafe (that will be determined by filling out
a separate form) including:
- Cerebral aneurysm clip unless it is labeled safe for MRI
- Neural stimulator (e.g. TENS-Unit) unless it is labeled safe for MRI
- Any type of ear implant unless it is labeled safe for MRI
- Ocular foreign body (e.g. metal shavings)
- Metal shrapnel or bullet
- Any implanted device (e.g. insulin pump, drug infusion device), unless it is
labeled safe for MRI
- Pregnancy. When uncertain, subjects will undergo either urine or serum pregnancy
testing. Results from up to 7 days prior to the examination will be used.
Post-menopausal and surgically sterilized subjects are exempt from this testing.
- If a urine or serum pregnancy test was administered as part of a referral
protocol, and the test was administered up to 7 days prior to MRI examination for
this protocol, a new pregnancy test will not be required for this protocol.
- If a pregnancy test has not been administered within 7 days of MRI examination
for this protocol, a serum pregnancy test will be administered if a subject is
currently undergoing bloodwork for other tests. If a subject is currently not
undergoing any bloodwork, a urine pregnancy test will be administered. In
addition, the subject will be asked if she may be pregnant prior to the
performance of the MRI, even if the pregnancy test was negative within the past
week. The pregnancy test will be repeated if she answers in the affirmative.
Exclusion Criteria for Gadolinium:
- When gadolinium based contrast agent (GBCA) exposure is planned
- No gadolinium based contrast agent exposure is permitted if eGFR < 60
mL/min/1.73m(2) using the CKD-EPI equation or equivalent and a serum creatinine
measured within 2 weeks without intercurrent change in medical condition or
medications.
- Subjects meeting this exclusion criterion, or without eGFR determination, may
still be included in the study but may not be exposed to gadolinium-based
contrast agents
- Breast feeding (unless subject is willing to discard breast milk for 24 hours)
Exclusion Criteria for Oxygen Inhalation:
- Severe chronic obstructive pulmonary disease defined as requiring more than one
bronchodilator medication every day or oxygen requiring
- Prior treatment with bleomycin
Exclusion Criteria for Healthy Volunteers (Objectives 1 and 2):
- Important past medical illness
- Cardiac pacemaker or implantable defibrillator unless it is labeled safe for MRI
- Healthy volunteers may undergo up to three paired CMR examinations, but they may not
receive more than one pair of examinations involving gadolinium-based contrast agents
(GBCA)
Exclusion Criteria for Adults with heart Disease (Objective 3):
- Unstable angina, acute coronary syndrome, or myocardial infarction not attributable to
PCI, within 2 weeks unless after coronary revascularization of the culprit lesion.
- Any hemodynamic instability or decompensated heart failure as determined by the
enrolling physician.
- Patients with asthma or chronic obstructive pulmonary disease are ineligible for
vasodilator stress CMR
- Patients with advanced heart block on baseline ECG are ineligible for vasodilator
stress CMR
Exclusion Criteria for Adults with Non-Cardiac Disease (Objective 4):
- Acute illness for which investigational imaging might delay care (such as acute stroke
before treatment), as determined by the enrolling physician
- Any hemodynamic instability as determined by the enrolling physician.
Exclusion criteria for adults with cardiac implanted electronic devices (CIED, pacemakers
or defibrillators:
Low-SAR MRI:
Subjects with CIED are not excluded, based on the intrinsic safety of low-SAR MRI.
Conventional MRI:
In order to undergo conventional MRI, subjects with CIEDs must have CIEDs that are labeled
as MRI conditional or MRI safe and that are not implanted < 4 weeks prior to MRI exam.
Subjects with CIED are excluded from conventional MRI unless they have CIEDs that are
labeled as MRI conditional or MRI safe, and that are implanted greater than or equal to 4
weeks prior to MRI.