Figure 10 Assessment of myocardial fibrosis with late gadolinium-enhanced (LGE) cardiac magnetic resonance (CMR) Figure 10 | Assessment of myocardial fibrosis with late gadolinium-enhanced (LGE) cardiac magnetic resonance (CMR). a,b | LGE CMR imaging and histopathology, respectively, of a patient with severe aortic regurgitation. A small amount of myocardial fibrosis on LGE CMR (0.8%) corresponded with interstitial fibrosis (12.6%) on histology using picrosirius red staining. c,d | Conversely, in a patient with severe aortic regurgitation, LGE CMR reveals substantial myocardial replacement fibrosis (9.44%) corresponding with 42.7% on histopathology. Reproduced from Azevedo, C. F. et al. Prognostic significance of myocardial fibrosis quantification by histopathology and magnetic resonance imaging in patients with severe aortic valve disease. J. Am. Coll. Cardiol. 56, 278–287 (2010), with permission from Elsevier. Reproduced from Azevedo, C. F. et al. Prognostic significance of myocardial fibrosis quantification by histopathology and magnetic resonance imaging in patients with severe aortic valve disease. J. Am. Coll. Cardiol. 56, 278–287 (2010), with permission from Elsevier Bax, J. J. & Delgado, V. (2017) Advanced imaging in valvular heart disease Nat. Rev. Cardiol. doi:10.1038/nrcardio.2017.1