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Guidelines for Cardiovascular Magnetic Resonance Imaging from Korean Society of Cardiovascular Imaging (KOSCI) - Part 1: Standardized Protocol

  • Jo, Yeseul (Department of Radiology, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, JeongJae (Department of Radiology, Jeju National University Hospital) ;
  • Park, Chul Hwan (Department of Radiology and Research Institute of Radiological Science, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Jae Wook (Department of Radiology, Soonchunhyang University Bucheon Hospital) ;
  • Hur, Jee Hye (Department of Radiology, Hanil General Hospital) ;
  • Yang, Dong Hyun (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Bae Young (Department of Radiology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Im, Dong Jin (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Hong, Su Jin (Department of Radiology, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Kim, Eun Young (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Eun-Ah (Department of Radiology, Seoul National University Hospital) ;
  • Kim, Pan Ki (Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) ;
  • Yong, Hwan Seok (Department of Radiology, Korea University Guro Hospital)
  • Received : 2019.07.08
  • Accepted : 2019.07.10
  • Published : 2019.12.30

Abstract

Cardiac magnetic resonance (CMR) imaging is widely used in many areas of cardiovascular disease assessment. This is a practical, standard CMR protocol for beginners that is designed to be easy to follow and implement. This protocol guideline is based on previously reported CMR guidelines and includes sequence terminology used by vendors, essential MR physics, imaging planes, field strength considerations, MRI-conditional devices, drugs for stress tests, various CMR modules, and disease/symptom-based protocols based on a survey of cardiologists and various appropriate-use criteria. It will be of considerable help in planning and implementing tests. In addressing CMR usage and creating this protocol guideline, we particularly tried to include useful tips to overcome various practical issues and improve CMR imaging. We hope that this document will continue to standardize and simplify a patient-based approach to clinical CMR and contribute to the promotion of public health.

Keywords

References

  1. Yoon YE, Hong YJ, Kim HK, et al. 2014 Korean guidelines for appropriate utilization of cardiovascular magnetic resonance imaging: a joint report of the Korean Society of Cardiology and the Korean Society of Radiology. Korean J Radiol 2014;15:659-688 https://doi.org/10.3348/kjr.2014.15.6.659
  2. ASCI CCT and CMR Guideline Working Group, Chan CW, Choi BW, et al. ASCI 2010 standardized practice protocol for cardiac magnetic resonance imaging: a report of the Asian society of cardiovascular imaging cardiac computed tomography and cardiac magnetic resonance imaging guideline working group. Int J Cardiovasc Imaging 2010;26:187-202 https://doi.org/10.1007/s10554-010-9708-y
  3. Kramer CM, Barkhausen J, Flamm SD, Kim RJ, Nagel E, Society for Cardiovascular Magnetic Resonance Board of Trustees Task Force on Standardized Protocols. Standardized cardiovascular magnetic resonance (CMR) protocols 2013 update. J Cardiovasc Magn Reson 2013;15:91 https://doi.org/10.1186/1532-429X-15-91
  4. Woodard PK, Bluemke DA, Cascade PN, et al. ACR practice guideline for the performance and interpretation of cardiac magnetic resonance imaging (MRI). J Am Coll Radiol 2006;3:665-676 https://doi.org/10.1016/j.jacr.2006.06.007
  5. Kramer CM, Barkhausen J, Flamm SD, Kim RJ, Nagel E; Society for Cardiovascular Magnetic Resonance Board of Trustees Task Force on Standardized Protocols. Standardized cardiovascular magnetic resonance imaging (CMR) protocols, society for cardiovascular magnetic resonance: board of trustees task force on standardized protocols. J Cardiovasc Magn Reson 2008;10:35 https://doi.org/10.1186/1532-429X-10-35
  6. Fratz S, Chung T, Greil GF, et al. Guidelines and protocols for cardiovascular magnetic resonance in children and adults with congenital heart disease: SCMR expert consensus group on congenital heart disease. J Cardiovasc Magn Reson 2013;15:51 https://doi.org/10.1186/1532-429X-15-51
  7. ASCI Practice Guideline Working Group, Beck KS, Kim JA, et al. 2017 multimodality appropriate use criteria for noninvasive cardiac imaging: expert consensus of the Asian Society of Cardiovascular Imaging. Korean J Radiol 2017;18:871-880 https://doi.org/10.3348/kjr.2017.18.6.871
  8. Friedrich MG, Larose E, Patton D, et al. Canadian Society for Cardiovascular Magnetic Resonance (CanSCMR) recommendations for cardiovascular magnetic resonance image analysis and reporting. Can J Cardiol 2013;29:260-265 https://doi.org/10.1016/j.cjca.2012.07.007
  9. Hundley WG, Bluemke D, Bogaert JG, et al. Society for Cardiovascular Magnetic Resonance guidelines for reporting cardiovascular magnetic resonance examinations. J Cardiovasc Magn Reson 2009;11:5 https://doi.org/10.1186/1532-429X-11-5
  10. Levine GN, Gomes AS, Arai AE, et al. Safety of magnetic resonance imaging in patients with cardiovascular devices: an American Heart Association scientific statement from the Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology, and the Council on Cardiovascular Radiology and Intervention: endorsed by the American College of Cardiology Foundation, the North American Society for Cardiac Imaging, and the Society for Cardiovascular Magnetic Resonance. Circulation 2007;116:2878-2891 https://doi.org/10.1161/CIRCULATIONAHA.107.187256
  11. Ridgway JP. Cardiovascular magnetic resonance physics for clinicians: part I. J Cardiovasc Magn Reson 2010;12:71 https://doi.org/10.1186/1532-429X-12-71
  12. Biglands JD, Radjenovic A, Ridgway JP. Cardiovascular magnetic resonance physics for clinicians: Part II. J Cardiovasc Magn Reson 2012;14:66 https://doi.org/10.1186/1532-429X-14-66
  13. Ferreira PF, Gatehouse PD, Mohiaddin RH, Firmin DN. Cardiovascular magnetic resonance artefacts. J Cardiovasc Magn Reson 2013;15:41 https://doi.org/10.1186/1532-429X-15-41
  14. Huang SY, Seethamraju RT, Patel P, Hahn PF, Kirsch JE, Guimaraes AR. Body MR imaging: artifacts, k-Space, and solutions. Radiographics 2015;35:1439-1460 https://doi.org/10.1148/rg.2015140289
  15. Saloner D, Liu J, Haraldsson H. MR physics in practice: how to optimize acquisition quality and time for cardiac MR imaging. Magn Reson Imaging Clin N Am 2015;23:1-6 https://doi.org/10.1016/j.mric.2014.08.004
  16. Ibrahim el-SH. Imaging sequences in cardiovascular magnetic resonance: current role, evolving applications, and technical challenges. Int J Cardiovasc Imaging 2012;28:2027-2047 https://doi.org/10.1007/s10554-012-0038-0
  17. Sena L. Cardiac MR imaging: from physics to protocols. Pediatr Radiol 2008;38 Suppl 2:S185-191 https://doi.org/10.1007/s00247-008-0819-8
  18. Ginat DT, Fong MW, Tuttle DJ, Hobbs SK, Vyas RC. Cardiac imaging: part 1, MR pulse sequences, imaging planes, and basic anatomy. AJR Am J Roentgenol 2011;197:808-815 https://doi.org/10.2214/AJR.10.7231
  19. Nael K, Fenchel M, Saleh R, Finn JP. Cardiac MR imaging: new advances and role of 3T. Magn Reson Imaging Clin N Am 2007;15:291-300 https://doi.org/10.1016/j.mric.2007.08.002
  20. Gimbel JR. Magnetic resonance imaging of implantable cardiac rhythm devices at 3.0 tesla. Pacing Clin Electrophysiol 2008;31:795-801 https://doi.org/10.1111/j.1540-8159.2008.01117.x
  21. Rajiah P, Bolen MA. Cardiovascular MR imaging at 3 T: opportunities, challenges, and solutions. Radiographics 2014;34:1612-1635 https://doi.org/10.1148/rg.346140048
  22. Mangion K, Clerfond G, McComb C, et al. Myocardial strain in healthy adults across a broad age range as revealed by cardiac magnetic resonance imaging at 1.5 and 3.0T: Associations of myocardial strain with myocardial region, age, and sex. J Magn Reson Imaging 2016;44:1197-1205 https://doi.org/10.1002/jmri.25280
  23. Oshinski JN, Delfino JG, Sharma P, Gharib AM, Pettigrew RI. Cardiovascular magnetic resonance at 3.0 T: current state of the art. J Cardiovasc Magn Reson 2010;12:55 https://doi.org/10.1186/1532-429X-12-55
  24. Lim J, Park EA, Song YS, Lee W. Single-dose gadoterate meglumine for 3T late gadolinium enhancement MRI for the assessment of chronic myocardial infarction: intraindividual comparison with conventional double-dose 1.5T MRI. Korean J Radiol 2018;19:372-380 https://doi.org/10.3348/kjr.2018.19.3.372
  25. Min JY, Ko SM, Song IY, Yi JG, Hwang HK, Shin JK. Comparison of the diagnostic accuracies of 1.5T and 3T stress myocardial perfusion cardiovascular magnetic resonance for detecting significant coronary artery disease. Korean J Radiol 2018;19:1007-1020 https://doi.org/10.3348/kjr.2018.19.6.1007
  26. Roguin A, Schwitter J, Vahlhaus C, et al. Magnetic resonance imaging in individuals with cardiovascular implantable electronic devices. Europace 2008;10:336-346 https://doi.org/10.1093/europace/eun021
  27. Sierra M, Machado C. Magnetic resonance imaging in patients with implantable cardiac devices. Rev Cardiovasc Med 2008;9:232-238
  28. Burke PT, Ghanbari H, Alexander PB, Shaw MK, Daccarett M, Machado C. A protocol for patients with cardiovascular implantable devices undergoing magnetic resonance imaging (MRI): should defibrillation threshold testing be performed post-(MRI). J Interv Card Electrophysiol 2010;28:59-66 https://doi.org/10.1007/s10840-009-9463-y
  29. Halshtok O, Goitein O, Abu Sham'a R, Granit H, Glikson M, Konen E. Pacemakers and magnetic resonance imaging: no longer an absolute contraindication when scanned correctly. Isr Med Assoc J 2010;12:391-395
  30. Cronin EM, Wilkoff BL. Magnetic resonance imaging conditional pacemakers: rationale, development and future directions. Indian Pacing Electrophysiol J 2012;12:204-212 https://doi.org/10.1016/S0972-6292(16)30543-5
  31. Miller JD, Nazarian S, Halperin HR. Implantable electronic cardiac devices and compatibility with magnetic resonance imaging. J Am Coll Cardiol 2016;68:1590-1598 https://doi.org/10.1016/j.jacc.2016.06.068
  32. Shulman RM, Hunt B. Cardiac implanted electronic devices and MRI safety in 2018-the state of play. Eur Radiol 2018;28:4062-4065 https://doi.org/10.1007/s00330-018-5396-0
  33. Hsu C, Parker G, Puranik R. Implantable devices and magnetic resonance imaging. Heart Lung Circ 2012;21:358-363 https://doi.org/10.1016/j.hlc.2012.04.004
  34. Strach K, Meyer C, Schild H, Sommer T. Cardiac stress MR imaging with dobutamine. Eur Radiol 2006;16:2728-2738 https://doi.org/10.1007/s00330-006-0295-1
  35. Ordovas KG, Higgins CB. Delayed contrast enhancement on MR images of myocardium: past, present, future. Radiology 2011;261:358-374 https://doi.org/10.1148/radiol.11091882
  36. Kim PK, Hong YJ, Im DJ, et al. Myocardial T1 and T2 mapping: techniques and clinical applications. Korean J Radiol 2017;18:113-131 https://doi.org/10.3348/kjr.2017.18.1.113
  37. Hamdy A, Ishida M, Sakuma H. Cardiac MR assessment of coronary arteries. Cardiovasc Imaging Asia;1:49-59 https://doi.org/10.22468/cvia.2016.00066
  38. Montant P, Sigovan M, Revel D, Douek P. MR imaging assessment of myocardial edema with T2 mapping. Diagn Interv Imaging 2015;96:885-890 https://doi.org/10.1016/j.diii.2014.07.008
  39. Kim HW, Van Assche L, Jennings RB, et al. Relationship of T2-weighted MRI myocardial hyperintensity and the ischemic area-at-risk. Circ Res 2015;117:254-265 https://doi.org/10.1161/CIRCRESAHA.117.305771
  40. Srichai MB, Lim RP, Wong S, Lee VS. Cardiovascular applications of phase-contrast MRI. AJR Am J Roentgenol 2009;192:662-675 https://doi.org/10.2214/AJR.07.3744
  41. Lotz J, Meier C, Leppert A, Galanski M. Cardiovascular flow measurement with phase-contrast MR imaging: basic facts and implementation. Radiographics 2002;22:651-671 https://doi.org/10.1148/radiographics.22.3.g02ma11651
  42. Verhaert D, Thavendiranathan P, Giri S, et al. Direct T2 quantification of myocardial edema in acute ischemic injury. JACC Cardiovasc Imaging 2011;4:269-278 https://doi.org/10.1016/j.jcmg.2010.09.023
  43. Goo HW. Comparison between three-dimensional navigator-gated whole-heart MRI and two-dimensional cine MRI in quantifying ventricular volumes. Korean J Radiol 2018;19:704-714 https://doi.org/10.3348/kjr.2018.19.4.704
  44. Wang L, Chen Y, Zhang B, et al. Self-gated late gadolinium enhancement at 7T to image rats with reperfused acute myocardial infarction. Korean J Radiol 2018;19:247-255 https://doi.org/10.3348/kjr.2018.19.2.247
  45. Karimi S, Pourmehdi M, Naderi M. Re: prediction of the left ventricular functional outcome by myocardial extracellular volume fraction measured using magnetic resonance imaging: methodological issue. Korean J Radiol 2019;20:1001-1002 https://doi.org/10.3348/kjr.2019.0062
  46. Cui C, Yin G, Lu M, et al. Retrospective electrocardiographygated real-time cardiac cine MRI at 3T: comparison with conventional segmented cine MRI. Korean J Radiol 2019;20:114-125 https://doi.org/10.3348/kjr.2018.0243
  47. Sakuma H. Magnetic resonance imaging for ischemic heart disease. J Magn Reson Imaging 2007;26:3-13 https://doi.org/10.1002/jmri.20976
  48. Childs H, Friedrich MG. Cardiovascular magnetic resonance imaging in myocarditis. Prog Cardiovasc Dis 2011;54:266-275 https://doi.org/10.1016/j.pcad.2011.09.003
  49. Florian A, Jurcut R, Ginghina C, Bogaert J. Cardiac magnetic resonance imaging in ischemic heart disease: a clinical review. J Med Life 2011;4:330-345
  50. Nikolaou K, Alkadhi H, Bamberg F, Leschka S, Wintersperger BJ. MRI and CT in the diagnosis of coronary artery disease: indications and applications. Insights Imaging 2011;2:9-24 https://doi.org/10.1007/s13244-010-0049-0
  51. Francone M. Role of cardiac magnetic resonance in the evaluation of dilated cardiomyopathy: diagnostic contribution and prognostic significance. ISRN Radiol 2014;2014:365404 https://doi.org/10.1155/2014/365404
  52. Tavano A, Maurel B, Gaubert JY, et al. MR imaging of arrhythmogenic right ventricular dysplasia: what the radiologist needs to know. Diagn Interv Imaging 2015;96:449-460 https://doi.org/10.1016/j.diii.2014.07.009
  53. von Knobelsdorff-Brenkenhoff F, Schulz-Menger J. Role of cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology. J Cardiovasc Magn Reson 2016;18:6 https://doi.org/10.1186/s12968-016-0225-6
  54. Pizzino F, Recupero A, Pugliatti P, Maffei S, Di Bella G. Re: multi-parameter CMR approach in acute myocarditis to improve diagnosis and prognostic stratification. Korean J Radiol 2018;19:366-367 https://doi.org/10.3348/kjr.2018.19.2.366
  55. Chen Y, Zheng X, Jin H, et al. Role of myocardial extracellular volume fraction measured with magnetic resonance imaging in the prediction of left ventricular functional outcome after revascularization of chronic total occlusion of coronary arteries. Korean J Radiol 2019;20:83-93 https://doi.org/10.3348/kjr.2018.0069
  56. Lee HG, Shim J, Choi JI, Kim YH, Oh YW, Hwang SH. Use of cardiac computed tomography and magnetic resonance imaging in case management of atrial fibrillation with catheter ablation. Korean J Radiol 2019;20:695-708 https://doi.org/10.3348/kjr.2018.0774
  57. Lee JW, Jeong YJ, Lee G, et al. Predictive value of cardiac magnetic resonance imaging-derived myocardial strain for poor outcomes in patients with acute myocarditis. Korean J Radiol 2017;18:643-654 https://doi.org/10.3348/kjr.2017.18.4.643
  58. Ahn H, Chun EJ, Lee HJ, et al. Multimodality imaging in patients with secondary hypertension: with a focus on appropriate imaging approaches depending on the etiologies. Korean J Radiol 2018;19:272-283 https://doi.org/10.3348/kjr.2018.19.2.272
  59. Patel AR, Kramer CM. Role of cardiac magnetic resonance in the diagnosis and prognosis of nonischemic cardiomyopathy. JACC Cardiovasc Imaging 2017;10:1180-1193 https://doi.org/10.1016/j.jcmg.2017.08.005
  60. Peterzan MA, Rider OJ, Anderson LJ. The role of cardiovascular magnetic resonance imaging in heart failure. Card Fail Rev 2016;2:115-122 https://doi.org/10.15420/cfr.2016.2.2.115
  61. Kim YJ, Yong HS, Kim SM, et al. Korean guidelines for the appropriate use of cardiac CT. Korean J Radiol 2015;16:251-285 https://doi.org/10.3348/kjr.2015.16.2.251
  62. Saremi F, Grizzard JD, Kim RJ. Optimizing cardiac MR imaging: practical remedies for artifacts. Radiographics 2008;28:1161-1187 https://doi.org/10.1148/rg.284065718