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Table 1 General information pertaining to the CMR report

From: Society for Cardiovascular Magnetic Resonance (SCMR) guidelines for reporting cardiovascular magnetic resonance examinations

  Recommended Recommended if acquired/if present Optional
Administrative Site of service
Scanner
N/A Site ID
Accreditation entity and status
Demographics Unique patient ID
Patient date of birth (DOB) or age in years
Patient sex
Reasons for limited examinations
Summary of test findings
Physician signature and date (electronic signature and date must be clearly labeled)
Adequate description of test
Comparison with previous related studies Patient Race/Ethnicity
Study referral data Referring physician N/A Referring physician provider number
Referring physician specialty
Scheduling and performance of study Date of procedure
Personnel involved in procedure
N/A Time of procedure
Listing of sequences used Black-blood
Late gadolinium enhancement (LGE)
Edema
Cine
Strain
Perfusion
Flow
Iron
MR angiography
N/A N/A
History and risk factors Height (in or cm)
Weight (lb or kg)
Body surface area (BSA)
Heart rate (beats per min)
Rhythm
Blood pressure brachial or femoral (specify which) arterial cuff systolic and diastolic blood pressure (mmHg)
For studies using contrast agents, value and date of the most recent serum creatinine and estimated glomerular filtration rate (eGFR) N/A
Non-imaging findings associated with examinations
 Studies requiring 12-lead electrocardiogram Interpretation
Rhythm
Ventricular rate
Presence of Q-waves
ST segment
T-wave abnormalities
N/A N/A
 Tests incorporation stress testing Heart rates and rhythm
Oxygen saturation
Maximum predicted heart rate response for age
Each should be recorded during following points in time and more frequently as clinically indicated: at pre-test baseline, at each level of stress, after recovery
N/A Systolic and diastolic blood pressures
 Studies utilizing vasoactive or positive inotrope pharmacological cardioactive agents Type of agent
Quantity of agent
Duration of agent
Route of administration
Associated medications and presence/absence of any side effects
N/A N/A
 Studies utilizing contrast agents Type and name of contrast agent
Volume of agent
Route of administration
Dosage of agent and presence/absence of any side effects
N/A N/A
 Studies utilizing sedation General anesthesia
Continuous display (hemodynamic or electric)
Recording of heart rate and rhythm and/or blood pressure
Type, volume, route of administration
Any side effects
Patient’s cardiovascular and pulmonary response
Reason for administration
N/A N/A
Reporting criteria for CMR examinations Standardized report format agreed upon in facility
Final report reviewed by interpreting member of medical staff
Final interpretations verified and signed by medical staff (manual or electronic) within 2 business days of study for routine studies, but reported on the same day for patients referred for major acute issues
Permanent record of interpretation
Defined mechanism whereby results which demonstrate urgent or life-threatening findings are communicated to appropriate healthcare professionals
If preliminary reports are issued, preliminary nature must be indicated N/A