30-minute CMR for common clinical indications: a Society for Cardiovascular Magnetic Resonance white paper.
Cardiomyopathy
Cardiovascular magnetic resonance
Clinical practice
Ischemic heart disease
Magnetic resonance imaging
Myocarditis
Ventricular arrhythmia
Journal
Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
ISSN: 1532-429X
Titre abrégé: J Cardiovasc Magn Reson
Pays: England
ID NLM: 9815616
Informations de publication
Date de publication:
01 03 2022
01 03 2022
Historique:
received:
21
10
2021
accepted:
16
01
2022
entrez:
2
3
2022
pubmed:
3
3
2022
medline:
7
5
2022
Statut:
epublish
Résumé
Despite decades of accruing evidence supporting the clinical utility of cardiovascular magnetic resonance (CMR), adoption of CMR in routine cardiovascular practice remains limited in many regions of the world. Persistent use of long scan times of 60 min or more contributes to limited adoption, though techniques available on most scanners afford routine CMR examination within 30 min. Incorporating such techniques into standardize protocols can answer common clinical questions in daily practice, including those related to heart failure, cardiomyopathy, ventricular arrhythmia, ischemic heart disease, and non-ischemic myocardial injury. BODY: In this white paper, we describe CMR protocols of 30 min or shorter duration with routine techniques with or without stress perfusion, plus specific approaches in patient and scanner room preparation for efficiency. Minimum requirements for the scanner gradient system, coil hardware and pulse sequences are detailed. Recent advances such as quantitative myocardial mapping and other add-on acquisitions can be incorporated into the proposed protocols without significant extension of scan duration for most patients. Common questions in clinical cardiovascular practice can be answered in routine CMR protocols under 30 min; their incorporation warrants consideration to facilitate increased access to CMR worldwide.
Sections du résumé
BACKGROUND
Despite decades of accruing evidence supporting the clinical utility of cardiovascular magnetic resonance (CMR), adoption of CMR in routine cardiovascular practice remains limited in many regions of the world. Persistent use of long scan times of 60 min or more contributes to limited adoption, though techniques available on most scanners afford routine CMR examination within 30 min. Incorporating such techniques into standardize protocols can answer common clinical questions in daily practice, including those related to heart failure, cardiomyopathy, ventricular arrhythmia, ischemic heart disease, and non-ischemic myocardial injury. BODY: In this white paper, we describe CMR protocols of 30 min or shorter duration with routine techniques with or without stress perfusion, plus specific approaches in patient and scanner room preparation for efficiency. Minimum requirements for the scanner gradient system, coil hardware and pulse sequences are detailed. Recent advances such as quantitative myocardial mapping and other add-on acquisitions can be incorporated into the proposed protocols without significant extension of scan duration for most patients.
CONCLUSION
Common questions in clinical cardiovascular practice can be answered in routine CMR protocols under 30 min; their incorporation warrants consideration to facilitate increased access to CMR worldwide.
Identifiants
pubmed: 35232470
doi: 10.1186/s12968-022-00844-6
pii: 10.1186/s12968-022-00844-6
pmc: PMC8886348
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
13Subventions
Organisme : British Heart Foundation
ID : CH/16/2/32089
Pays : United Kingdom
Informations de copyright
© 2022. The Author(s).
Références
J Cardiovasc Magn Reson. 2017 Oct 9;19(1):75
pubmed: 28992817
J Am Coll Cardiol. 2018 Feb 6;71(5):547-563
pubmed: 29406861
Circulation. 2021 Feb 2;143(5):e72-e227
pubmed: 33332150
Card Fail Rev. 2016 Nov;2(2):115-122
pubmed: 28785465
J Cardiovasc Magn Reson. 2017 Sep 25;19(1):70
pubmed: 28942735
J Am Coll Cardiol. 2013 Oct 15;62(16):e147-239
pubmed: 23747642
Circulation. 2019 Apr 30;139(18):e891-e908
pubmed: 30913893
J Cardiovasc Magn Reson. 2020 Nov 9;22(1):76
pubmed: 33161900
Circulation. 2016 Dec 6;134(23):e579-e646
pubmed: 27832612
J Cardiovasc Magn Reson. 2017 Nov 6;19(1):83
pubmed: 29110679
Radiographics. 2014 Oct;34(6):1612-35
pubmed: 25310420
Eur Radiol Exp. 2021 Mar 25;5(1):14
pubmed: 33763757
Eur Heart J Qual Care Clin Outcomes. 2016 Jul 1;2(3):201-207
pubmed: 29474611
Am J Cardiol. 2016 Oct 1;118(7):1063-8
pubmed: 27614850
Eur Heart J Cardiovasc Imaging. 2015 Jan;16(1):14-22
pubmed: 25354866
Radiographics. 2017 Mar-Apr;37(2):383-406
pubmed: 28212053
Heart. 2013 Jun;99(12):873-81
pubmed: 23591668
J Am Coll Cardiol. 2019 Feb 5;73(4):488-516
pubmed: 30630640
JACC Cardiovasc Imaging. 2016 Sep;9(9):1046-1055
pubmed: 27450871
Lancet. 2012 Feb 4;379(9814):453-60
pubmed: 22196944
Eur Heart J. 2016 Jul 14;37(27):2129-2200
pubmed: 27206819
J Cardiovasc Magn Reson. 2021 Mar 8;23(1):19
pubmed: 33678173
Circulation. 2020 Dec 22;142(25):e558-e631
pubmed: 33215931
Circ Cardiovasc Imaging. 2016 Mar;9(3):e000867
pubmed: 26926267
Front Cardiovasc Med. 2020 Jul 02;7:97
pubmed: 32714942
Circulation. 2019 Apr 2;139(14):e698-e800
pubmed: 30586767
Int J Cardiol. 2016 Nov 1;222:9-15
pubmed: 27458824
J Am Coll Cardiol. 2018 Dec 18;72(24):3158-3176
pubmed: 30545455
JACC Cardiovasc Imaging. 2017 Oct;10(10 Pt A):1180-1193
pubmed: 28982571
N Engl J Med. 2000 Nov 16;343(20):1445-53
pubmed: 11078769
Circ Cardiovasc Imaging. 2021 Jul;14(7):e000030
pubmed: 34196222
JACC Heart Fail. 2017 Jan;5(1):28-38
pubmed: 28017348
JACC Cardiovasc Imaging. 2017 May;10(5):526-537
pubmed: 28412420
J Am Coll Cardiol. 2021 Nov 30;78(22):e187-e285
pubmed: 34756653
Circulation. 2004 Sep 21;110(12):1535-41
pubmed: 15353496
J Thorac Imaging. 2013 Jan;28(1):60-6
pubmed: 23249970
Radiol Med. 2021 Mar;126(3):365-379
pubmed: 33629237
J Am Heart Assoc. 2018 Sep 4;7(17):e008981
pubmed: 30371164
J Am Heart Assoc. 2018 Sep 4;7(17):e010435
pubmed: 30371155
Circulation. 2014 Jul 22;130(4):350-79
pubmed: 25047587
ESC Heart Fail. 2020 Aug;7(4):1520-1533
pubmed: 32356610
Circ Cardiovasc Imaging. 2021 Jul;14(7):e000029
pubmed: 34196223
Europace. 2015 Nov;17(11):1601-87
pubmed: 26318695
Circulation. 2015 Oct 20;132(16):1570-9
pubmed: 26362631
Eur Heart J. 2010 Apr;31(7):806-14
pubmed: 20172912
J Cardiovasc Magn Reson. 2016 Jan 22;18:6
pubmed: 26800662
J Cardiovasc Magn Reson. 2020 Feb 24;22(1):17
pubmed: 32089132
N Engl J Med. 2019 Jun 20;380(25):2418-2428
pubmed: 31216398
Eur Heart J. 2013 Mar;34(10):775-81
pubmed: 22390914
Korean J Radiol. 2017 Nov-Dec;18(6):871-880
pubmed: 29089819
J Magn Reson Imaging. 2012 Sep;36(3):529-42
pubmed: 22903654
World J Cardiol. 2014 Jul 26;6(7):585-601
pubmed: 25068019
Circ Cardiovasc Imaging. 2016 Oct;9(10):
pubmed: 27729359
J Am Coll Cardiol. 2018 Oct 2;72(14):e91-e220
pubmed: 29097296
AJR Am J Roentgenol. 2015 May;204(5):W519-30
pubmed: 25905958
Eur Heart J Cardiovasc Imaging. 2020 Feb 1;21(2):175-182
pubmed: 31435658
JACC Cardiovasc Imaging. 2020 Feb;13(2 Pt 1):410-421
pubmed: 31326488
Circulation. 2011 May 31;123(21):2423-30
pubmed: 21632516
Can J Cardiol. 2021 Mar;37(3):433-442
pubmed: 32445794
Circulation. 2010 Jun 8;121(22):2462-508
pubmed: 20479157
JAMA Cardiol. 2020 Dec 1;5(12):1401-1409
pubmed: 32745166
Eur Heart J. 2017 Apr 1;38(13):991-998
pubmed: 27141095