- Poster presentation
- Open Access
Appropriateness and diagnostic yield of cardiac magnetic resonance imaging from a tertiary referral center in the Middle East
© AlJaroudi et al; licensee BioMed Central Ltd. 2015
- Published: 3 February 2015
- Cardiac Magnetic Resonance
- Diagnostic Yield
- Cardiac Magnetic Resonance Imaging
- Tertiary Referral Center
- Left Ventricular Myocardium
Cardiac magnetic resonance imaging (CMR) is a novel non-invasive modality with many potential indications, and was recently introduced in Lebanon. We sought to assess the appropriateness and diagnostic yield of CMR studies performed at a tertiary referral center from the Middle East since the inception of the program.
All patients who underwent CMR studies between January 1st 2013 and June 18th 2014 were enrolled in this study. CMR reports were retrospectively reviewed. The study indication, clinical history, and findings were extracted and analyzed by a level III trained cardiologist. The appropriateness of the study was judged according to the 2010 updated Asian Society of Cardiac Imaging guidelines.
Details of non-appropriate indications for CMR studies
Patient had prior CMR showing myocarditis (LGE 15% LV) and mildly reduced EF. Follow-up echocardiogram showed normal EF. Follow-up CMR was ordered to assess residual LGE for risk stratification
Patient had prior CMR showing myocarditis (LGE 10% LV) and normal EF. Follow-up CMR was ordered to assess residual LGE for risk stratification
Positive family history of SCD. Normal echocardiogram. Concern for ARVD. No syncope or VT.
Patient with VT. Normal echocardiogram. CMR ordered to rule out scar or focus for arrhythmia
Palpitation and presyncope. Normal echocardiogram. Rule out scar or infiltrative disease
Patient had prior CMR showing minor ARVD criteria with frequent PVCs and low EF. CMR ordered post ablation to assess for scar at the site of ablation and improvement in EF.
38-LVEF in heart failure
Patient had an echocardiogram- did not add much information.
Echocardiogram clearly showed prominent Chiari network and not right atrial mass
Dizziness-concern for ARVD. Normal echocardiogram. No syncope or VT
Brother died while swimming. R/o ARVD. Normal echocardiogram. No VT or syncope
Palpitation with normal echocardiogram. Rule out scar or fibrosis
First episode of pericarditis. Negative cardiac enzymes. CMR ordered to assess for pericardial and myocardial LGE
Despite the recent launch of the CMR program at our institution, the majority of studies were appropriately indicated, provided relevant data and were clinically useful. Inappropriate or uncertain studies did not provide relevant data, and should be further minimized to avoid unnecessary costs and downstream testing. Large prospective CMR database with clinical follow-up is needed to provide more insight about cardiovascular disease and outcomes in our population.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.