ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance

Hundley, W. Gregory; Bluemke, David A.; Finn, J. Paul; Flamm, Scott D.; Fogel, Mark A.; Friedrich, Matthias G.; Ho, Vincent B.; Jerosch‐Herold, Michael; Kramer, Christopher M.; Manning, Warren J.; Patel, Manesh R.; Pohost, Gerald M.; Stillman, Arthur E.; White, Richard D.; Woodard, Pamela K.

doi:10.1016/j.jacc.2009.11.011

Cited by 542 publications

(191 citation statements)

References 418 publications

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“…CMR was done with a whole body MR scanner at 1.5T (Intera Achiva 1.5T Nova Dual, Philips Medical Systems, Best, the Nederlands) with a 5-channel cardiac coil. 16 Cine imaging was acquired using a steady-state free precession sequence (echo time, 3.1 ms; repetition time, 1.5 ms; flip angle, 60°; slice thickness, 10 mm; no. slices, 20; no.…”

Section: Cmrmentioning

confidence: 99%

“…Recently, cardiac magnetic resonance imaging (CMR) has been widely used to evaluate RV configuration and function because it non-invasively provides 3-D RV imaging, high-resolution evaluation of RV structure and accurate functional assessment without geometric assumptions. 16 Kreitner et al used CMR to evaluate change in cardiac function and pulmonary flow after PEA in CTEPH patients. 17 Van Wolferen et al reported that in patients with idiopathic pulmonary arterial hypertension (IPAH), both RV and left ventricular (LV) function as measured on CMR were improved after medical treatment, and that improvement of LV end-diastolic volume (LVEDV) was one hronic thromboembolic pulmonary hypertension (CTEPH) is characterized by the presence of organized thrombi in the pulmonary circulation and poor prognosis due to progressive right ventricular (RV) failure.…”

mentioning

confidence: 99%

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Balloon Pulmonary Angioplasty Improves Biventricular Functions and Pulmonary Flow in Chronic Thromboembolic Pulmonary Hypertension

Sato

Ota

Sugimura

et al. 2016

Circ J

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In CTEPH, RV pressure overload causes RV dysfunction and dilation with resulting poor prognosis. 13-15 Precise evaluation of RV function, however, still remains difficult because of anatomical complexity of the RV chamber. Recently, cardiac magnetic resonance imaging (CMR) has been widely used to evaluate RV configuration and function because it non-invasively provides 3-D RV imaging, high-resolution evaluation of RV structure and accurate functional assessment without geometric assumptions. 16 Kreitner et al used CMR to evaluate change in cardiac function and pulmonary flow after PEA in CTEPH patients. 17 Van Wolferen et al reported that in patients with idiopathic pulmonary arterial hypertension (IPAH), both RV and left ventricular (LV) function as measured on CMR were improved after medical treatment, and that improvement of LV end-diastolic volume (LVEDV) was one hronic thromboembolic pulmonary hypertension (CTEPH) is characterized by the presence of organized thrombi in the pulmonary circulation and poor prognosis due to progressive right ventricular (RV) failure. 1,2 Pulmonary endarterectomy (PEA), which surgically removes organized thrombi, can cure CTEPH, 1,3-8 but distal-type CTEPH is not suitable for PEA, 8 and these inoperable CTEPH patients have poor prognosis due to progressive RV failure. As an alternative therapy, Feinstein et al originally developed balloon pulmonary angioplasty (BPA) in 2001. 9 and we and others have recently showed that BPA improves pulmonary hemodynamics, exercise capacity and prognosis in inoperable CTEPH. Background: It remains to be determined whether balloon pulmonary angioplasty (BPA) improves biventricular cardiac functions and pulmonary flow in patients with chronic thromboembolic pulmonary hypertension (CTEPH).

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Section: Cmrmentioning

confidence: 99%

mentioning

confidence: 99%

Balloon Pulmonary Angioplasty Improves Biventricular Functions and Pulmonary Flow in Chronic Thromboembolic Pulmonary Hypertension

Sato

Ota

Sugimura

et al. 2016

Circ J

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“…15 Compared with EVM, CE-CMR offers the advantage of being noninvasive and identifying left ventricular (LV) scars distinct from RV scars. 16,17 Thus, the present study was designed to compare RV-EVM with DCE-CMR for imaging scar lesions in a consecutive series of ARVC patients fulfilling task force diagnostic criteria.…”

Section: Clinical Perspective On P 100mentioning

confidence: 99%

Imaging Study of Ventricular Scar in Arrhythmogenic Right Ventricular Cardiomyopathy

Marra

Leoni

Bauce

et al. 2012

Circ: Arrhythmia and Electrophysiology

158

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“…Cardiac magnetic resonance (CMR) imaging is an emerging imaging technique with the capacity to transform cardiology in an analogous way to the impact of brain MRI in neurology 7, 8. Multiple different techniques are available using CMR (function, scar, perfusion, flow, mapping, angiography), delivering valuable clinical insights with the potential of a high impact 9, 10, 11. However, these varied techniques may make it slow (typically 45 minutes), expensive and complex, potentially out of reach for most inhabitants in the developing world.…”

Section: Introductionmentioning

confidence: 99%

INCA (Peru) Study: Impact of Non‐Invasive Cardiac Magnetic Resonance Assessment in the Developing World

Menacho

Ramírez²,

Segura³

et al. 2018

JAHA

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BackgroundAdvanced cardiac imaging permits optimal targeting of cardiac treatment but needs to be faster, cheaper, and easier for global delivery. We aimed to pilot rapid cardiac magnetic resonance (CMR) with contrast in a developing nation, embedding it within clinical care along with training and mentoring.Methods and ResultsA cross‐sectional study of CMR delivery and clinical impact assessment performed 2016–2017 in an upper middle‐income country. An International partnership (clinicians in Peru and collaborators from the United Kingdom, United States, Brazil, and Colombia) developed and tested a 15‐minute CMR protocol in the United Kingdom, for cardiac volumes, function and scar, and delivered it with reporting combined with training, education and mentoring in 2 centers in the capital city, Lima, Peru, 100 patients referred by local doctors from 6 centers. Management changes related to the CMR were reviewed at 12 months. One‐hundred scans were conducted in 98 patients with no complications. Final diagnoses were cardiomyopathy (hypertrophic, 26%; dilated, 22%; ischemic, 15%) and 12 other pathologies including tumors, congenital heart disease, iron overload, amyloidosis, genetic syndromes, vasculitis, thrombi, and valve disease. Scan cost was $150 USD, and the average scan duration was 18±7 minutes. Findings impacted management in 56% of patients, including previously unsuspected diagnoses in 19% and therapeutic management changes in 37%.ConclusionsAdvanced cardiac diagnostics, here CMR with contrast, is possible using existing infrastructure in the developing world in 18 minutes for $150, resulting in important changes in patient care.

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ACCF/ACR/AHA/NASCI/SCMR 2010 Expert Consensus Document on Cardiovascular Magnetic Resonance

Cited by 542 publications

References 418 publications

Balloon Pulmonary Angioplasty Improves Biventricular Functions and Pulmonary Flow in Chronic Thromboembolic Pulmonary Hypertension

Balloon Pulmonary Angioplasty Improves Biventricular Functions and Pulmonary Flow in Chronic Thromboembolic Pulmonary Hypertension

Imaging Study of Ventricular Scar in Arrhythmogenic Right Ventricular Cardiomyopathy

INCA (Peru) Study: Impact of Non‐Invasive Cardiac Magnetic Resonance Assessment in the Developing World

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