Joint Annual Meeting ISMRM-ESMRMB & ISMRT 31st Annual Meeting • 07-12 May 2022 • London, UK

2022 Joint Annual Meeting ISMRM-ESMRMB and 31st ISMRT Annual Meeting

Weekend Course

Introduction to Cardiovascular MR

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Introduction to Cardiovascular MR
Weekend Course
ORGANIZERS: Christopher François, Ruud van Heeswijk, Pim van Ooij
Sunday, 08 May 2022
ICC Capital Suite 8-9
07:45 -  11:45
Moderators: 
Common Clinical Applications of CMR: Michael Salerno
Routine Clinical Thoracic & Abdominal MRA: Martin Prince
Efficient & Focused Clinical Cardiovascular MR: Steve Leung
Skill Level: Basic
Session Number: WE-16
 

Session Number: WE-16

Overview
This course will provide a basic overview of cardiac anatomy and function with cardiac magnetic resonance (CMR). Sessions will include topics on imaging cardiac anatomy and function, ischemic and non-ischemic heart disease, thoracic and abdominal magnetic resonance angiography, and setting up efficient and focused clinical CMR protocols.

Target Audience
Early career physicians and scientists, students, technologists.

Educational Objectives
As a result of attending this course, participants should be able to:
- Explain which sequences are commonly used for routine clinical CMR;
- Describe the role of CMR in imaging patients with cardiovascular diseases; and
- Identify ways of optimizing the imaging of patients with cardiovascular disease with CMR.

    Introduction to Cardiac Anatomy & Function with CMR
07:45   Cardiac Anatomy & Tissue Characterization with CMR

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Kate Hanneman
This presentation will review cardiac anatomy on CMR and will discuss key sequences and findings for myocardial tissue characterization.
08:05   Cardiac Function & Blood Flow with CMR
Video Permission Withheld
Elsie Nguyen
This review highlights the most common MR imaging sequences used for evaluation of ventricular function such as steady state free precession imaging and briefly reviews the role of strain imaging. Tips and tricks for image optimization for functional imaging will be highlighted as well as common pitfalls. Blood flow assessment with phase contrast imaging will be explained along with practical tips for image optimization, recognizing and minimizing artifacts such as aliasing and background correction techniques. 
  08:25   Live demos: Systems and Components
 
    Common Clinical Applications of CMR
08:45 CMR in Ischemic Heart Disease

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Chiara Bucciarelli-Ducci
CMR has a unique role is both acute and chronic ischemic heart disease for its ability to provided in vivo tissue characterisation. The talk will focus how the imaging biomarkers from cine imaging (regional wall motion abnormalities(, edema imaging (acute myocardial injury), first pass perfusion (myocardial ischemia), late enhancement imaging (myocardial and microvascular damage) can be used by the clinician to guide decision making and treatment. 
09:05 CMR for Heart Failure & Hereditary Cardiomyopathies

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Stefan Zimmerman
A review of clinical applications of CMR in management of patients with heart failure and hereditary cardiomyopathies
  09:25   Live demos: Systems and Components
 
  09:45   Break & Meet the Teachers
 
    Routine Clinical Thoracic & Abdominal MRA
10:05 Clinical Thoracic MRA

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Kimberly Kallianos
Computed tomography angiography (CTA) has been the test of choice for thoracic vascular imaging. The iodinated contrast required, however, increases the risk of renal dysfunction in patients with pre-existing renal failure, which is a common comorbidity in patients undergoing vascular imaging. Clinical thoracic MRA may be performed without contrast, with gadolinium-based contrast, and with ferumoxytol, and iron-based contrast agent.  Each of these approaches has unique benefits and limitations particularly in the imaging of patients with renal failure. Clinical indications, benefits, and risks of each approach will be discussed in this talk. 
10:25 Clinical Abdominal MRA

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Robert Edelman
MR angiography (MRA) provides a radiation-free approach for evaluating the abdominal vessels.  Time-resolved contrast-enhanced MRA shows flow patterns that are not well assessed by CTA.  In patients with impaired renal function, ferumoxytol can be used as an off-label contrast agent with the benefit of a prolonged intravascular half-life and excellent delineation of the venous system.  Non-contrast MRA techniques avoid the need for a gadolinium-based contrast agent, while dark blood imaging techniques can be used to evaluate the vessel wall.  In this presentation, we will consider contrast-enhanced and non-contrast MRA techniques, and present various clinical examples of MRA in the abdomen.
  10:45   Live demos: Systems and Components
 
    Efficient & Focused Clinical Cardiovascular MR
11:05   Clinially Available Accelerated CMR Techniques

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Katia Menacho
11:25   How to Incorporate Focused CMR Protocols in a Busy MRI Practice

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Elizabeth Johnson

Several strategies exist to accommodate for increased access to cardiac MR in a busy practice. Our cardiovascular division worked closely with technologists and physicists to design, build and incorporate disease specific CMR protocols into our daily practice. I will discuss the design and benefits of our focused CMR protocols, talk about the challenges in making these changes, and the ongoing work we are doing to fully streamline our CMR practice.

  11:45   Live demos: Systems and Components

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