Just recently, use of magnetic resonance imaging for thoracic investigation
s has become increasingly appealing. This resurgence has been triggered by
the enormous improvements in image quality with the development of scanners
with faster data-acquisition capabilities and the routine use of contrast
agents. In particular, magnetic resonance pulmonary angiography, an examina
tion that once had been hampered by blurring from respiratory and cardiac m
otion and magnetic-susceptibility-related signal loss, has become a robust
technique in this scenario. Initial efforts and current trends are reviewed
, focusing on fast imaging protocols employing contrast agents that have pr
ovided exquisite images of the pulmonary vasculature. In addition, the rece
nt introduction of magnetic resonance lung perfusion and ventilation scans
has made available new potential methods for characterization of diseases t
hat, combined with magnetic resonance pulmonary angiography, may provide fo
r the first time the practical approach for the diagnosis of difficult cond
itions such as pulmonary embolism that has long been awaited. Coronary Arte
ry Dis 10:157-175 (C) 1999 Lippincott Williams & Wilkins.