News & Press: SCMR News

Late Breaking Science Session, Focusing on Patients Suspected with Ischemia

Monday, August 27, 2018   (1 Comments)
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Dr. Raymond Kwong, SCMR member and lead investigator, presents study at the European Society of Cardiology Congress in Munich, Germany

MOUNT ROYAL, NJ – August 27, 2018 – The Society for Cardiovascular Magnetic Resonance (SCMR) member and renowned scientist and researcher Dr. Raymond Y. Kwong from the Harvard Medical School in Boston, presented his study on his findings on how multi-center stress cardiovascular magnetic resonance (CMR) studies have shown excellent values in management of patients with suspected ischemia at this past weekend’s European Society of Cardiology (ESC) Congress at the Internationales Congress Center München, Munich, Germany.

“SPINS cohort is a retrospective observation study from 13 US cardiac MRI centers (9 AMC, 4 private practice) consisting of N=2,371 patients who underwent stress CMR scanning between Jan 1, 2008 through Dec 31, 2013 for evaluation of clinical signs and symptoms suspicious of cardiac ischemia,” said lead investigator and presenter Dr. Kwong, “Patients overall had a 33% pretest likelihood of CAD by CAD consortium scores and 32% were found to have ischemia or myocardial infarction. All patients were aimed to have clinical follow-up of at least four years.”


New real-world data evaluating the clinical impact of gadolinium-enhanced stress cardiac magnetic resonance (CMR) perfusion imaging on more than 2,000 patients with suspected ischemia or CAD was presented as part of a Late Breaking Science Session on Saturday, August 25. The SPINS Registry was conducted by the Society for Cardiovascular Magnetic Resonance (SCMR) and was presented by lead investigator Dr. Raymond Kwong.

“Stress CMR is an effective modality in the real-world setting in detecting patients at high risk of cardiac events,” said Kwong. “In addition, preliminary costs analyses suggest its use may potentially reduce costs of downstream cardiac testing. Our evidence supports the expanded utilization of stress CMR in evaluation of chest pain syndromes in the United States.”

The objectives of the study were to:

  •   To evaluate the prognostic value of stress CMR in patients presenting with CP syndromes, in a real-world multicenter setting in the US
  • As a preliminary analysis, to assess the utilization and costs of cardiac tests, after performance of the index stress CMR study

Reasons for the SPINS Study of the SCMR Registry:

  • Numerous single-center studies demonstrated high diagnostic accuracy and prognostic values of stress CMR in patients with chest pain syndromes
  • Multiple guidelines had major recommendations for the use of stress CMR in these settings
  •   Yet, utilization of stress CMR in the US is disproportionately low, at <5% of noninvasive stress imaging
  • SCMR registry can provide real-world multicenter evidence of clinical impact and cost/effectiveness

The presentation that occurred this Saturday, August 25 at the Internationales Congress Center München in the Baku-Village 5 is briefly summarized below.

Date: Saturday, August 25,
Time: 14:45-14:55
Location: Baku Village 5, Internationales Congress Center München
Summary:
The Clinical Impact of Stress CMR Perfusion Imaging in the United States (SPINS): A Society for Cardiovascular Magnetic Resonance Registry Study

Dr. Kwong is available for interviews highlighting both the presentation and the overall study. For interviews, questions and other information related to the study, please contact Lauren Schoener-Gaynor.

Comments...

Victor A. Ferrari says...
Posted Saturday, September 8, 2018
Congratulations to Raymond and his team for a terrific presentation at this year's ESC meeting. The study showed the excellent predictive value of a negative stress CMR exam (low annual event rate and MACE), and a positive CMR for ischemia and infarction. Importantly, a negative stress CMR was associated with a major reduction (88%) in downstream costs for cardiac cath. Outstanding work!

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