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Home » Education
Education
Cardiovascular Magnetic Resonance is an important emerging technology that can impact all aspects of cardiovascular medicine, including clinical practice, education and research. The SCMR fulfills its mission to grow the field by providing clinicians, researchers, and technologists with opportunities to learn about this rapidly developing specialty. We are pleased to invite you to advance your knowledge in the field of CMR by exploring these opportunities.
If you are a member, the members education section is more comprehensive
If you are a member, get the online video-on-demand talks here
Cardiovascular Magnetic Resonance Self-Assessment Program (CMRSAP)
Protocols for seeking SCMR Endorsement of Educational Programs
SCMR Online Learning
Video-on-demand. SCMR has 200 lectures for members online recorded as 'video-on-demand.
Here are some free ones.
CMR for heart failure
By Dudley Pennell
Recorded at LondonCMR
CMR for ischemia - ready for prime-time?
By Eike Nagel
Recorded at LondonCMR
Perfusion CMR
By Sven Plein
Recorded at EuroCMR 2008
Late enhancement CMR
By Matthias Friedrich
Recorded at EuroCMR 2008
Anatomy/Function
By Ana Almeida
Recorded at EuroCMR 2008
CMR References & Recommended Reading
To help you, please find below a useful reference point for researching and learning about CMR. It's not an exhaustive list, just a starting point. Most items are listed with the most recent at the top. There are 2 parts; each divided into several sections: Part 2 is based on the standardized CMR image acquisition protocols, available here. This document has many embedded hyperlinks for further reading. For this reason it is better to read this document online.
Part 1: Introduction to CMR
MRI physics
Online
There are plenty of online physics courses. If you are an SCMR member, see the
members’ only online education, where there is:
a 15 module physics course from GE
a 238 page physics course from Siemens.
a cardiac anatomy overview by Siemens
see also:
Revisemri.com also has great interactive and animated tutorials.
Hull physics lecture series.
http://www.cis.rit.edu/htbooks/mri/
http://www.simplyphysics.com/MAIN.HTM
http://www.mritutor.org/mritutor/
http://www.mr-tip.com/serv1.php?type=ldir1&dir=MRI%20Physics
http://web2.uwindsor.ca/courses/physics/high_schools/2006/Medical_Imaging/mriphysics1.html
Books
MRI made easy (…well almost). Published by Schering, author Prof Dr Hans H Schild. This is
a really great introduction. It can be bought online, or via Schering (now Bayer), who make
magnevist, and sometimes give away copies at meetings. MRI in practice, Catherin Westbrook,
Carolyn Kaut Roth, Blackwell publishing; ISBN-13:978-14051-2787-5
The Physics of Clinical MR Taught Through Images. Val M. Runge,
All You Really Need to Know about MRI Physics Moriel NessAiver, I
CMR introduction and textbook
Small books:
Cardiovascular Magnetic Resonance Made Easy (Paperback) by Anitha Varghese and
Dudley J. Pennell. This is due out October 2007.
Pocket Atlas of Cardiac MRI (Radiology Pocket Atlas) by Pamela K Woodard,
Jeffrey J. Brown, and Charles B. Higgins (Paperback - 1 Sep 2004)
An Introduction to Cardiovascular Magnetic Resonance by Raad H. Mohiadin
(Paperback - Aug 2002)
Big Textbooks
Cardiovascular Magnetic Resonance Imaging: A Guide for Fellows in Training
(Contemporary Cardiology)
by Peter G. Danias (Hardcover - April 2008)
Cardiac Computed Tomography and Magnetic Resonance by John R. Lesser and Robert
S. Schwartz (Hardcover - 15 Dec 2007)
Cardiovascular MR Imaging: Physical Principles to Practical Protocols by Vivian S. Lee
(Hardcover - 1 Dec 2005)
Clinical Cardiac MRI (Medical Radiology / Diagnostic Imaging) by Jan Bogaert, S. Dymarkowski, and
A.M. Taylor (Paperback - Aug 2005)
Atlas of Practical Applications of Cardiovascular Magnetic Resonance (Developments in Cardiovascular
Medicine) by Guillem Pons-Llado and Francesc Carreras (Hardcover - April 2005)
Cardiovascular Magnetic Resonance by E Nagel, A.C Van Rossum, and E. Fleck (Hardcover - April 2004)
Cardiovascular MRI and MRA by Charles B. Higgins, Albert de Roos, and Albert De Roos
(Hardcover - Sep 2002)
Manning, Warren J., Pennell Dudley J., Cardiovascular Magnetic Resonance, ISBN 0-443-07519-0
Churchill Livingstone Publishers, 2002
CMR official documents
Training and credentialing
Training in Advanced Cardiovascular Imaging (Cardiovascular Magnetic Resonance [CMR]).
Appropriateness Criteria for CCT and CMR
Part 2: CMR standard techniques and protocols.
See SCMR Standardized protocols first
CMR general techniques
Stress and safety equipment
See "How I Do" CMR Scanning Safely
Good references:
Shellock FG, et al. Cardiac pacemakers and implantable cardioverter defibrillators: in
vitro MRI evaluation at 1.5-tesla. J Cardiovasc Magn Reson. 2007;9(1):21-31.
Shellock F. G., Prosthetic heart valves and annuloplasty rings: assessment of magnetic
field interactions, heating, and artifacts at 1.5 Tesla. J Cardiovasc Magn Reson. 2001;3(4):317-24
Also see the list on http://www.mrisafety.com/. (You must register first)
LV structure and function module
See "How I Do" a CMR Volume Study
And Cardiac Views
Good references (there are others
Maceira AM et al: Normalized left ventricular systolic and diastolic function by steady state
free precession CMR. J Cardiovasc Magn Reson. 2006;8(3):417-26.
Hudsmith LE et al. Determination of cardiac volumes and mass with FLASH and SSFP cine
sequences at 1.5 vs. 3 Tesla: a validation study. J Cardiovasc Magn Reson. 2007;9(4):673-9.
Bellenger NG et al. Comparison of LV ejection fraction and volumes in heart failure by
twodimensional echocardiography, radionuclide ventriculography and cardiovascular magnetic
resonance: are they interchangeable. Eur Heart J 2000;21:1387–96.
Gadolinium dosing module.
See Gd warnings FDA warning MHRA warning (UK) Omniscan statement Clin Rad article
JAMA article UK/European advice (27/6/2007) here review article here
First pass perfusion module
2 presentations to compare:
"How I Do" Myocardial Perfusion
Late gadolinium enhancement module
See a late enhancement imaging quiz here: questions, Answers
How We Perform Delayed Enhancement Imaging here
Disease specific protocols
Ischemic heart disease
6. Acute MI
A few good references:
Wu KC, et al: Prognostic significance of microvascular obstruction by CMR in patients with
acuteMI. Circulation. 1998;97:765-72.
Gerber BL, et al: Microvascular obstruction and left ventricular remodeling early after acute
MI. Circulation. 2000;101:2734-41
Choi KM, et al: Transmural extent of acute myocardial infarction predicts long-term improvement
in contractile function. Circulation 2001;104:1101–7.
Kwong RY et.al .Detecting acute coronary syndrome in emergency department with CMR .
Circulation. 2003;107:531-537 See a case here and here
7. Chronic Ischemic heart disease and Viability
A few good references:
KimRJ et al, The Use of Contrast Enhanced MRI to Identify Reversible Myocardial Dysfunction.
N Engl J Med 2000;343: 1445-53
Kim RJ et al. Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age
and contractile function. Circulation 1999;100:1992-02.
A. Wagner et al H. Contrast-enhanced MRI and routine SPECT perfusion imaging for detection of
subendocardial MIs: an imaging study. 2003:361:374-379
Full text review here
8. Dobutamine stress
See "How we do Dobutamine Stress CMR"
A few good references:
Jahnke C et al. Prognostic value of CMR stress tests: adenosine stress perfusion and dobutamine
stress wall motion imaging. Circulation. 2007;115:1769-76
Wahl A et al. Safety and feasibility of high-dose dobutamine-atropine stress CMR for diagnosis
of myocardial ischaemia: experience in 1000 consecutive cases.
Hundley WG et al. Utility of fast cine magnetic resonance imaging and display for the detection of
myocardial ischemia in patients not well suited for second harmonic stress echocardiography.
Circulation. 1999;100:1697-702.
9. Adenosine stress perfusion
"How I Do" Myocardial Perfusion
A few good references:
Gebker R et al. How we perform myocardial perfusion with cardiovascular magnetic resonance.
J Cardiovasc Magn Reson. 2007;9(3):539-47.
Schwitter J et al. Assessment of myocardial perfusion in coronary artery disease by magnetic
resonance: a comparison with positron emission tomography and coronary angiography.
Circulation 2001;103:2230–5.
Angiography:
10. Peripheral MRA
Yuan C et al. Identification of fibrous cap rupture with MRI is highly associated with recent
transient ischemic attack or stroke. Circulation 2002;105:181–5
11. Thoracic MRA
See "How I do CMR of the Aorta"
Fayad ZA et al. In vivo MR evaluation of atherosclerotic plaques in the human thoracic aorta:
a comparison with TOE. Circulation 2000;101:2503–9
.Wentz KU et al. High-resolution MR resonance angiography of hands with timed arterial
compression (tac-MRA). Lancet 2003;361:49–50.
See a case here
12. Anomalous Coronary arteries
Kim WY et al Coronary magnetic resonance angiography for the detection of coronary
stenoses. N Engl J Med 2001;345:190
Bunce NH et al. Coronary artery anomalies: assessment with free-breathing three-dimensional
coronary MR angiography. Radiology. 2003;227:201-8
See a case here
13. Pulmonary Vein Evaluation
Dill T et al. Pulmonary vein diameter reduction after radiofrequency catheter ablation for PAF
evaluated by contrast-enhanced 3D MRI. Circulation 2003;107:845–50.
Others
14. Non-ischemic cardiomyopathy
Full text review here
A good reference: DCM:
McCrohon JA et al Differentiation of heart failure related to dilated cardiomyopathy and
coronary artery disease using gadolinium-enhanced CMR. Circulation. 2003;108:54-9.
A Good reference: HCM:
Moon JC et al. Toward clinical risk assessment in hypertrophic cardiomyopathy with
gadolinium CMR. J Am Coll Cardiol. 2003;41:1561-7.
See a case here and here and here
A Good reference: sarcoid
Smedema JP et al. Evaluation of the accuracy of gadolinium-enhanced CMR in the diagnosis
of cardiac sarcoidosis.J Am Coll Cardiol. 2005;45:1683-90.
A Good reference: amyloid
Maceira AM et al. CMR in cardiac amyloidosis. Circulation. 2005;111:186-93.
A Good reference: myocarditis
Mahrholdt H et al. CMR assessment of human myocarditis: a comparison to histology and
molecular pathology. Circulation. 2004;109:1250-8.
See a case here
15. ARVC
A Good reference:
Sen-Chowdhry S et al CMR in arrhythmogenic right ventricular cardiomyopathy revisited:
comparison with task force criteria and genotype. J Am Coll Cardiol. 2006;48:2132-40.
16. Congenital heart disease
See "How I do" CMR of repaired Tetralogy of Fallot
Good references:
A full text review here
17. Valvular heart disease
"How I do CMR of valvular heart disease"
Full text review here
See a case here
18. Pericardial disease
see "How I Do" CMR in Pericardial Disease
see a case here
Full text review here
A good reference
Francone M et al. Assessment of ventricular coupling with real-time cine MRI and its value
to differentiate constrictive pericarditis from restrictive cardiomyopathy.
Eur Radiol. 2006;16:944-51.
19. Masses
See cases here and here and here
Education Committee
education-com@scmr.org
Chair: Lon Simonetti
Co-chair: Sven Plein