Home » Education » Documents and guidelines

Documents and Guidelines

Documents

• ACCF/ACR/ SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 Appropriateness Criteria for Cardiac Computed Tomography and Cardiac Magnetic Resonance Imaging
• Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report
• SCMR guidelines 2000
• SCMR guidelines 2007
• Under Dobutamine Stress echo: 2001 consensus document
• SCMR standardized imaging protocols
• SCMR standardized reporting protocols
• MRI: safety of cardiovascular devices
• USA practionners: new CPT codes from 01/2008 (*.doc)
• USA practionners: new CPT codes summary from 01/2008 (*.ppt)

CMR individual accreditation/training guidelines

Please note that the ACCF Taskforce 12 Guidelines (ACCF T12), below, differ from the SCMR guidelines as ACCF T12 covers only cardiac magnetic resonance (CMR) and not cardiovascular MR (CVMR).  While the SCMR fully endorses the ACCF T12 guidelines for CMR, the Society does not provide a letter of certification for completing these training requirements. SCMR provides a letter of certification only to those satisfying the SCMR guidelines published in 2000 and updated in 2007. 
Here are the guidelines however. ACCF training in Advanced CMR: 2006 guidelines

• Online SCMR Letter of Certification

"How I Do" Series
An educational series with embedded movies demonstrating how SCMR members perform specific CMR scans.*

• How I Do" CMR Scanning Safely (Elisabeth Burman, Royal Brompton Hospital, UK)
• "How I Do" a CMR Volume Study ( James Moon, The Heart Hospital, London)
• "How I do Iron overload and Thalassemia" (Mark Westwood, The Heart Hospital, London)
• "How we do CMR in acute infarction" (Derek Hausenloy, The Heart Hospital, London)
• "How I do CMR of valvular heart disease" (Saul Myerson, Oxford CMR unit)
• "How I do CMR of the Aorta" (Saul Myerson, Oxford CMR unit)
• "How I do" CMR of repaired Tetralogy of Fallot (Sonya Babu-Narayan, Royal Brompton Hospital)
• "How I do" CMR after atrial redirection surgery (Sonya Babu-Narayan, Royal Brompton Hospital)
• "How I do" anomalous coronaries (Gavin Bainbridge, Sven Plein, John Greenwood, Leeds)
• Late enhancement imaging quiz, provided by James Moon — Questions here, Answers here
• "How we do Dobutamine Stress CMR" (Ashraf Hamdan, Ingo Paetsch and Eike Nagel)
• "How we do Perfusion CMR" (Robert Manka, Rolf Gebker, Eike Nagel)
• "How I do" CMR in DCM (Sanjay Prasad, Royal Brompton Hospital)
• "How I do" CMR in HCM (Sanjay Prasad, Royal Brompton Hospital)
• "How I Do" CMR in Pericardial Disease (Brian J. Schietinger and Christopher M. Kramer)
• "How I Do" CMR of ARVC/D (David A. Bluemke, Johns Hopkins)
• How We Perform Delayed Enhancement Imaging (Ray Kim and Bob Judd, Duke University)
• "How I Do" Myocardial Perfusion (Christopher Klassen and Norbert Wilke, University of Florida Health Science Center)

*These represent personal opinions for your information and are not official SCMR policy.

MRI Physics

• MRI Physics Lectures (provided by GE Medical Systems)
• MR Physics and Image Quality
• Module 1: Nuclear Structure
• Module 5: MR Equipment
• MR Safety
• Module 6: Slice Selection
• Module 8: IQ: Acquisition Time
• Module 12: Spin Echo
• Module 15: GRE / SPGR
• Magnets, Spins, and Resonances (provided by Siemens, large file, 3420K, 238 pages).

• These external links may also be helpful.

CMR Scanning

• Cardiac MRI Anatomy Localization Presentation (provided by Siemens)
• Cardiac MRI Morphology (provided by Siemens)
• Myocardial Viability Concepts (provided by Siemens)
• Cardiac Views (provided by Philips)

Starting a CMR Service - Useful Documents

Do you have any documents useful for people starting out?  Please contact us.

• NEW: An xls spreadsheet for reference ranges. (Upload, save as template, enter data, cut and paste table into report) Normal and indexed CMR ssfp reference ranges by age (note: password is 'CMR' to change spreadsheet)
  DOBUTAMINE & ADENOSINE ADMINISTRATION FOR STRESS MRI from Southampton General Hospital, Uk
• Cardiac MRI Checklist for patient plus relative from Southampton General Hospital, UK
• Dobutamine Infusion Rate (4000mcg/mL) from Southampton General Hospital, UK
• Stress CMR BP/pulse documentation with cannula documentation from Southampton General Hospital, UK
• stress CMR BP/pulse documentation (no cannula documentation) from Southampton General Hospital, UK
• Dobutamine Flow Rates for Cardiac Stress (provided by Oxford CMR Unit)
• Generic Height and Weight Conversion Chart (provided by Oxford CMR Unit)
• Conversion Table x 0.1kg and 4ozs (provided by Oxford CMR Unit)
• Conversion Table Continued x 0.1kg and 4 ozs (provided by Oxford CMR Unit)

Please note that the information on these pages is educational and not intended to be used for instruction as to the practice of medicine.  Please use your own learning, training and expertise in dealing with individual patients.
Some of these presentations have been gleaned from non-US websites and may mention the use of gadolinium contrast agents for cardiac indications.  Readers must be aware that in the US, this is not an FDA approved use.