Transfusional Iron Cardiac T2* — RACP Adult Medicine MCQ

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ModerateHaematologyTransfusional Iron Cardiac T2*RACP Adult Medicine

A 70-year-old man with MDS on regular transfusions (70 units). Ferritin 4500. What assessment for cardiac iron?

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Correct answer: C — Cardiac T2* MRI

Cardiac T2* MRI is gold standard for cardiac iron assessment. T2* <20 ms = iron loading; <10 ms = severe. Leading cause of death in transfusional siderosis.

Reference: eTG – 2025 – Haematology; NBA – 2024