Malene Bisgaard^1,2,3, Kim Christian Houlind^2,4, Anne Dorte Blankholm^5,6, Steffen Ringgaard⁷, Johnny Christensen³, and Helle Preht^1,3,8
1Health Sciences Research Centre, UCL University College Odense, Odense, Denmark, ²Regional Health Research,, University of Southern Denmark, Odense, Denmark, ³Radiology, Lillebealt Hospital, Kolding, Denmark, ⁴Vascular Surgery, Lillebealt Hospital, Kolding, Denmark, ⁵Radiology, Aarhus University Hospital,, Aarhus, Denmark, ⁶Institute of Clinical Medicine, Aarhus University, Aarhus, Denmark, ⁷MR Research Center, Aarhus University, Aarhus, Denmark, ⁸Regional Health Research, University of Southern Denmark, Odense, Denmark

Motivation: For patients with peripheral artery disease knowing the perfusion in different areas of the foot might have clinical relevance when treating ischemia.

Goal(s): The aim was to measure the reliability of five different MR sequences with quantitative parameters for measuring perfusion when imaging the foot.

Approach: We used a cuff induced ischemia protocol in a test/retest study of 16 healthy volunteers

Results: Flow-sensitive Alternating Inversion Recovery pulsed arterial spin labelling (FAIR) and Blood Oxygenation Level-Dependent (BOLD) sequences had high reliability and were able to distinguish between occluded blood flow and hyperactive response flow

Impact: Reliability test of five different MR sequences for quantitative perfusion measurements in the foot.

Angel G Houston¹, Molly Haberkorn¹, Darcy Loviscek¹, Paul Schoenhagen¹, Danielle Kara², Deborah Kwon³, and Christopher T Nguyen^1,2,4,5
1Imaging Institute, Cleveland Clinic, Cleveland, OH, United States, ²Cardiovascular Innovation Research Center, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, United States, ³Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, United States, ⁴Cardiovascular Medicine, Heart Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, OH, United States, ⁵Biomedical Engineering, Case Western Reserve University and Cleveland Clinic, Cleveland, OH, United States

Keywords:

Motivation: Many individuals undergoing MRI scans experience claustrophobia. The resulting anxiety often leads to reduced image quality and even the abandonment of exams.

Goal(s): Our goal is to use aromatherapy in a comprehensive stress reduction approach that we’ve developed to help improve MRI image quality, decrease nursing intervention and improve patient experience.

Approach: More than 300 patients were involved in retrospective and prospective studies offering aromatherapy and alprazolam for anxiety during Cardiac MRI. 

Results: Aromatherapy was associated with improved image quality compared to alprazolam and was a strong predictor of reduced scan duration, nursing time, and number of repeat images.

Impact: Aromatherapy has the ability to mitigate anxiety during MRI scans for patients with claustrophobia, yielding improved quality images and reduced scan time. As a result, implementation of aromatherapy has the ability to improve patient experience and clinical outcomes.

Cristian Montalba¹, Abdul Nashirudeen Mumuni², Aduluwa Harrison³, Surendra Maharjan⁴, Francis Botwe⁵, Marina Fernandez ⁶, Abderrazek Zeraii⁷, Katerina Eyre⁸, Matthias Friedrich⁸, Fatade Abiodun⁹, Ntobeko Ntusi¹⁰, Tchoyoson Lim¹¹, Ria Garg¹², Muhammad Umair¹³, Hameed Naniwolo¹⁴, Chinedum Anosike^15,16, Farouk Dako^17,18, Sola Adeleke¹⁹, and Udunna Anazodo^6,9
1Pontificia Universidad Catolica de Chile, Santiago, Chile, ²Department of Medical Imaging, University for Development Studies, Tamale, Ghana, ³Montreal Neurological Institute, McGill University, Montreal, QC, Canada, ⁴Department of Radiology & Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, United States, ⁵Clinical Imaging Sciences Centre, University of Sussex, Brighton, United Kingdom, ⁶Consortium for Advancement of MRI Education and Research in Africa (CAMERA), Montreal, QC, Canada, ⁷Biophysics department, Higher Institute of Medical Technologies of Tunis., Tunis, Tunisia, ⁸Division of Experimental Medicine, McGill University, Montreal, QC, Canada, ⁹Crestview Radiology Ltd, Lagos, Nigeria, ¹⁰Department of Medicine, University of Cape Town, Cape Town, South Africa, ¹¹National Neuroscience Institute, Singapore, Singapore, ¹²Department of Internal Medicine, Geisinger Wyoming Valley Hospital, Wilkes-Barre, PA, United States, ¹³John Hopkins School of Medicine, Baltimore, MD, United States, ¹⁴IRDOCNIGERIA, Lagos, Nigeria, ¹⁵Accuread Radiology, Nigeria Ltd, Lagos, Nigeria, ¹⁶Warrington and Halton Hospitals National Health Service Foundation Trust, Warrington, United Kingdom, ¹⁷RAD-AID International, Chevy Chase, MD, United States, ¹⁸Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States, ¹⁹Department of Oncology, Guy's & St Thomas' Hospital, London, United Kingdom

Keywords:

Motivation: There is a wide discrepancy in MRI accessibility globally, which has created an insurmountable challenge to fulfill the diagnostic healthcare needs of low- and middle- income countries. 

Goal(s): To train MRI radiographers who can train their peers in a growing network.

Approach: The RAD-AID Teach-Try-Use approach was used within 6 weeks to deploy basic to advanced cardiac MRI (CMR) knowledge, followed by expert  image acquisition demonstrations, and the use of cases to simulate, analyze and optimize scanner-specific imaging protocols for pathologies.

Results: 43 Participants from 16 countries gained practical CMR experience and implemented their own optimized protocols to generate high-quality images.

Impact: A sustainable skill set training approach was used to provide expertise to MRI radiographers who will then serve as trainers of their peers in resource-limited settings. Outcome of the training was measured by trainee evaluations and engagement and the high-quality images acquired by participants.