Tagged magnetic resonance imaging (MRI) can assess myocardial function by t
racking the motion of the myocardium during the various phases of the cai-c
line cycle. In contrast to experimental methods, such as implantation of ra
diopaque markers or sonomicrometry tagged MRI is noninvasive, carries no ri
sk of radiation exposure, and can be used in the context of clinical routin
e. For the physician, using tagged MRI to its fullest potential requires an
understanding of the technique and the derived parameters of myocardial sy
stolic function. This work describes the tagged MRI technique and explains
the quantification of systolic function with respect to the underlying theo
ry of the mechanics of a continuous medium. The advantages of tagged MRI in
coronary artery disease are emphasized, and currently available data on ta
gged MRI in coronary artery disease are reviewed.