Imaging of the heart and related structures has evolved over the last 100 years progressively introducing different modalities. The initial use of X-ray was enhanced by echocardiography and now complemented by cardiac magnetic resonance (CMR), cardiac computed tomography (CT), nuclear cardiology (single-photon emission tomography and positron emission tomography, PET) together with fusion modalities. Their integration has until recently been based as much on the timeline of their arrival as a clinical tool, as on their clinical utility.
In the 21st century, it is essential we use and integrate these different modalities to the best advantage of our patients. The European Association of Cardiovascular Imaging (EACVI) established a Task Force on Multimodality Imaging (TFMMI).The aim was to identify a consensus on the progression of multimodality imaging and especially the role of the EACVI in developing, promoting and implementing multimodality imaging to improve patient care.