JCMR Articles (CME)
Collapse Prognostic utility of differential tissue characterization of cardiac neoplasm and thrombus via late gadolinium enhancement cardiovascular magnetic resonance among patients with advanced systemic cancer (CME)

Purpose/ Objective

A variety of cardiac imaging tests can be used to assess cardiac masses. Cardiac magnetic resonance provides particular utility for this purpose, as it enables assessment of mass location, size, and tissue properties with high spatial and temporal resolution. This study (JCMR paper) provides a comprehensive evaluation of state of the art CMR methods for assessment of cardiac neoplasm and thrombus among a broad cohort of patients with systemic cancer. This JCMR paper and associated CMR materials will provide the reader with an understanding of the incremental utility of late gadolinium enhancement CMR for identification and prognostic risk stratification of patients with cardiac neoplasm and thrombus. Following this activity, learners will better understand incremental utility of late gadolinium enhancement CMR tissue characterization (as compared to conventional cine-CMR) for identification and prognostic risk stratification of cancer-associated cardiac neoplasm and thrombus.

 

Accreditation Statement
The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

 

Credit Designation Statement
The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Instructions for Claiming CME

  • Attend the sessions in full for which credit is sought
  • Complete the post-activity evaluation
  • A certificate of completion will be available once the evaluation is submitted

 

Financial Disclosures
The planners and faculty for this activity did not have any relationships to disclose.

 

Disclosure of Commercial Support
SCMR received funding to support this activity from the following organizations:

 

Bibliography
Please see the bibliography at the end of the journal article.

 

 

Formats Available: Streaming
Original Course Date: November 01, 2017
On-Demand Release Date: Available Now

Approved Credit:
  • ACCME: 1 hour Total General Hours

  • REGISTERREGISTER Prognostic utility of differential tissue characterization of cardiac neoplasm and thrombus via late gadolinium enhancement cardiovascular magnetic resonance among patients with advanced systemic cancer (CME)
    Collapse Cardiac amyloidosis is prevalent in older patients with aortic stenosis and carries worse prognosis (CME)

    Purpose/ Objective

    Octogenarians presenting with cardiac symptoms and moderate-severe aortic stenosis were found to have concomitant cardiac amyloidosis by CMR. Importantly, the presence of cardiac amyloidosis was associated with nearly 3-fold higher mortality. Following this activity, learners will better understand that cardiac amyloidosis is commonly seen in elderly patients with aortic stenosis, that it is typically present in elderly male octogenarians, with lowflow, low-gradient aortic stenosis and mid-range LVEF, and is consider an identification of cardiac amyloidosis in such patients since mortality was nearly 3-fold higher, despite transcatheter aortic valve replacement.

     

    Accreditation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

     

    Credit Designation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

    Instructions for Claiming CME

    • Attend the sessions in full for which credit is sought
    • Complete the post-activity evaluation
    • A certificate of completion will be available once the evaluation is submitted

     

    Financial Disclosures
    The planners and faculty for this activity did not have any relationships to disclose.

     

    Disclosure of Commercial Support
    SCMR received funding to support this activity from the following organizations:

     

    Bibliography
    Please see the bibliography at the end of the journal article.

     

     

    Formats Available: Streaming
    Original Course Date: January 08, 2018

    Approved Credit:
  • ACCME: 1 hour Total General Hours

  • REGISTERREGISTER Cardiac amyloidosis is prevalent in older patients with aortic stenosis and carries worse prognosis (CME)
    Collapse Quantification of mitral regurgitation in patients with hypertrophic cardiomyopathy using aortic and pulmonary flow data: impacts of left ventricular outflow tract obstruction and different left ventricular segmentation methods (CME)

    Purpose/ Objective

    Following this session, learners will be better prepared to assess mitral regurgitation using cardiac magnetic resonance imaging by applying a few tactics:

    1. Being aware that left ventricular outflow tract obstruction causing turbulent, non-laminar flow in the ascending aorta may impact the accuracy of aortic flow quantification, leading to false conclusions regarding mitral regurgitation severity.
    2. Being aware that particular care must be taken in assessing mitral regurgitation using different left ventricular segmentation approaches – namely, with or without the inclusion of papillary muscles and trabeculae.
    3. Using pulmonary flow data as internal (intrapatient) validation of the aortic phase-contrast data acquired under turbulent flow conditions.

     

    Accreditation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

     

    Credit Designation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

    Instructions for Claiming CME

    • Attend the sessions in full for which credit is sought
    • Complete the post-activity evaluation
    • A certificate of completion will be available once the evaluation is submitted

     

    Financial Disclosures
    The planners and faculty for this activity did not have any relationships to disclose.

     

    Disclosure of Commercial Support
    SCMR received funding to support this activity from the following organizations:

     

    Bibliography
    Please see the bibliography at the end of the journal article.

     

     

    Formats Available: Streaming
    Original Course Date: January 08, 2018

    Approved Credit:
  • ACCME: 1 hour Total General Hours

  • REGISTERREGISTER Quantification of mitral regurgitation in patients with hypertrophic cardiomyopathy using aortic and pulmonary flow data: impacts of left ventricular outflow tract obstruction and different left ventricular segmentation methods (CME)
    Collapse Impact of bileaflet mitral valve prolapse on quantification of mitral regurgitation with cardiac magnetic resonance: a single-center study (CME)

    Purpose/ Objective

    With CMR, the left ventricular systolic volume is measured as the volume contained within the LV cavity between the apex and the mitral annular plane. In the presence of a significant mitral valve prolapse, the blood volume contained within the prolapsing leaflets is not measured as a part of the LV systolic volume. A correction of the LV end-systolic volume consisting in adding the blood volume contained between the mitral annular plane and the prolapsing mitral leaflets is proposed, in order to better assess mitral regurgitation severity by a more accurate quantification the mitral regurgitant volume. Following this activity, learners will be better prepared to recognize the usual method of disks is inaccurate for the measurement of the LV endsystolic volume in the presence of a significant mitral valve prolapse, that results in an inaccurate calculation of the LV stroke volume and, as a consequence, in an overestimation of the grade of mitral regurgitation severity, and the use of a simple correction method may improve the accuracy of LV endsystolic volume measurement and mitral regurgitation assessment with CMR.

     

    Accreditation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

     

    Credit Designation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

    Instructions for Claiming CME

    • Attend the sessions in full for which credit is sought
    • Complete the post-activity evaluation
    • A certificate of completion will be available once the evaluation is submitted

     

    Financial Disclosures
    The planners and faculty for this activity did not have any relationships to disclose.

     

    Disclosure of Commercial Support
    SCMR received funding to support this activity from the following organizations:

     

    Bibliography
    Please see the bibliography at the end of the journal article.

     

     

    Formats Available: Streaming
    Original Course Date: July 15, 2017

    Approved Credit:
  • ACCME: 1 hour Total General Hours

  • REGISTERREGISTER Impact of bileaflet mitral valve prolapse on quantification of mitral regurgitation with cardiac magnetic resonance: a single-center study (CME)
    Collapse The Reproducibility of Late Gadolinium Enhancement Cardiovascular Magnetic Resonance Imaging of Post-Ablation Atrial Scar: A Cross-Over Study (CME)

    Purpose/ Objective

    Cardiac magnetic resonance imaging of post-ablation atrial scar is a powerful tool to analyze the results of ablation procedures. However, many different imaging parameter sets are used between studies. This paper aims to understand the determinants of imaging quality Imaging of post-ablation atrial scar would be performed with techniques that optimize detection of permanent scar. This study assesses the impact of different imaging parameters. Following this activity, learners will be better able to improve their imaging parameters, with particular regard to:

    1. Timing of imaging post-gadolinium administration
    2. Selection of an appropriate threshold for scar detection
    3. Selection of an appropriate contrast dose

     

    Accreditation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

     

    Credit Designation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

    Instructions for Claiming CME

    • Attend the sessions in full for which credit is sought
    • Complete the post-activity evaluation
    • A certificate of completion will be available once the evaluation is submitted

     

    Financial Disclosures
    The planners and faculty for this activity did not have any relationships to disclose.

     

    Disclosure of Commercial Support
    SCMR received funding to support this activity from the following organizations:

     

    Bibliography
    Please see the bibliography at the end of the journal article.

    Formats Available: Streaming
    Original Course Date: May 01, 2018

    Approved Credit:
  • ACCME: 1 hour Total General Hours

  • REGISTERREGISTER The Reproducibility of Late Gadolinium Enhancement Cardiovascular Magnetic Resonance Imaging of Post-Ablation Atrial Scar: A Cross-Over Study (CME)
    Collapse A Comparison of Both DENSE and Feature Tracking Techniques with Tagging for the Cardiovascular Magnetic Resonance Assessment of Myocardial Strain (CME)

    Purpose/ Objective
    There are three major techniques available for strain evaluation by cardiac MRI, namely tagging, DENSE and feature tracking. Due to differences in image acquisition and post processing the strain values are different from technique to technique. Hence, a reference must be established not only for each technique but also for each analytical program in the case of feature tracking. Following this activity, learners will be better prepared to assess the differences of strain values acquired using different technique and establish reference range for each strain technique by cardiac MRI.

     

    Accreditation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

     

    Credit Designation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

    Instructions for Claiming CME

    • Attend the sessions in full for which credit is sought
    • Complete the post-activity evaluation
    • A certificate of completion will be available once the evaluation is submitted

     

    Financial Disclosures
    The planners and faculty for this activity did not have any relationships to disclose.

     

    Disclosure of Commercial Support
    SCMR received funding to support this activity from the following organizations:

     

    Bibliography
    Please see the bibliography at the end of the journal article.

    Formats Available: Streaming
    Original Course Date: May 01, 2018

    Approved Credit:
  • ACCME: 1 hour Total General Hours

  • REGISTERREGISTER A Comparison of Both DENSE and Feature Tracking Techniques with Tagging for the Cardiovascular Magnetic Resonance Assessment of Myocardial Strain (CME)
    Collapse Quantitative cardiovascular magnetic resonance: extracellular volume, native T1 and 18F-FDG PET/CMR imaging in patients after revascularized myocardial infarction and association with markers of myocardial damage and systemic inflammation (CME)

    Purpose/ Objective

    Following this session, learners will be better prepared to assess mitral regurgitation using cardiac magnetic resonance imaging by applying a few tactics:

    1.     Being aware that left ventricular outflow tract obstruction causing turbulent, non-laminar flow in the ascending aorta may impact the accuracy of aortic flow quantification, leading to false conclusions regarding mitral regurgitation severity,

    2.     Being aware that particular care must be taken in assessing mitral regurgitation using different left ventricular segmentation approaches – namely, with or without the inclusion of papillary muscles and trabeculae,

    3.     Using pulmonary flow data as internal (intrapatient) validation of the aortic phase-contrast data acquired under turbulent flow conditions.          

     

    Accreditation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

     

    Credit Designation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

    Instructions for Claiming CME

    • Attend the sessions in full for which credit is sought
    • Complete the post-activity evaluation
    • A certificate of completion will be available once the evaluation is submitted

     

    Financial Disclosures
    The planners and faculty for this activity did not have any relationships to disclose.

     

    Disclosure of Commercial Support
    SCMR received funding to support this activity from the following organizations:

     

    Bibliography
    Please see the bibliography at the end of the journal article.

     

    Formats Available: Streaming
    Original Course Date: June 01, 2018

    Approved Credit:
  • ACCME: 1 hour Total General Hours

  • REGISTERREGISTER Quantitative cardiovascular magnetic resonance: extracellular volume, native T1 and 18F-FDG PET/CMR imaging in patients after revascularized myocardial infarction and association with markers of myocardial damage and systemic inflammation (CME)
    Collapse Cardiovascular magnetic resonance black-blood thrombus imaging for the diagnosis of acute deep vein thrombosis at 1.5 Tesla (CME)

    Purpose/ Objective

    There is a gap in technological development. Several medical imaging techniques have been developed for diagnosing DVT in recent decades. X-ray contrast venography has traditionally been the gold standard; however, the need for iodinated contrast agent and radiation exposure, as well as the technique’s invasive nature, have led to its rare use in purely diagnostic settings. Ultrasonography is currently a first-line technique used for the diagnosis in patients with clinically suspected DVT because of operation convenience, low cost, and high diagnostic sensitivity (94%) and specificity (98%). However, the disadvantages of ultrasound include operator dependence, limited visualization in the pelvis station, and an inability to differentiate the phases of thrombus. Cardiovascular MRI may serve as an alternative or complementary imaging tool to ultrasound. Previous studies have demonstrated that contrast-enhanced MR venography is reliable for assessing deep and superficial venous systems and has a high sensitivity and specificity for detecting DVT. However, this technique may be contraindicated in patients with an allergy to gadolinium, and in pregnancy or severe renal dysfunction.

    Following this activity, learners will be able to describe the limitations of current imaging techniques for the diagnosis of DVT; understand the underlying mechanisms of BBTI for detecting acute thrombus; and describe the advantages and disadvantages of BBTI when compared to contrast-enhanced MR venography.

     

    Accreditation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

     

    Credit Designation Statement
    The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

    Instructions for Claiming CME

    • Attend the sessions in full for which credit is sought
    • Complete the post-activity evaluation
    • A certificate of completion will be available once the evaluation is submitted

     

    Financial Disclosures
    The planners and faculty for this activity did not have any relationships to disclose.

     

    Disclosure of Commercial Support
    SCMR received funding to support this activity from the following organizations:

     

    Bibliography
    Please see the bibliography at the end of the journal article.

     

    Formats Available: Streaming
    Original Course Date: July 01, 2018

    Approved Credit:
  • ACCME: 1 hour Total General Hours

  • REGISTERREGISTER Cardiovascular magnetic resonance black-blood thrombus imaging for the diagnosis of acute deep vein thrombosis at 1.5 Tesla (CME)
    Collapse Aortic flow patterns and wall shear stress maps by 4D-flow cardiovascular magnetic resonance in the assessment of aortic dilatation in bicuspid aortic valve disease

    Purpose/ Objective

    This manuscript explores the different components of flow, wall shear stress (axial and circumferential) and flow vortices, globally, along the ascending aorta (using 3D maps). Also, we investigated the different behavior of these parameters in the different valvular phenotypes and in the different ascending aortic morphotypes to obtain the main determinants of aortic dilatation in this population. We concluded that an eccentric jet and increased axial wall shear stress in the proximal aorta, mainly observed in the RL-phenotype, may determine the root dilatation morphotype, whereas increased rotational and vortical flow and circumferential WSS in mid and distal ascending aorta in the RN-phenotype may determine the ascending dilatation morphotype.

     

    To close the gap outlined above, learners 'need' to know other risk factors associated to aortic dilatation in bicuspid aortic valve patients:

     

    1. We explored for the first time the global distribution (using 3D maps) of the different parameters of flow and deformation.
    2. We obtained through multivariate analysis the main determinants associated with aortic dilatation.
    3. Our findings may constitute the basis of future longitudinal studies that allow the selection of patients at greater risk of aortic dilatation and events at follow-up.

     

    Accreditation Statement

    The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

     

    Credit Designation Statement

    The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

    Instructions for Claiming CME

    1. Attend the sessions in full for which credit is sought
    2. Complete the post-activity evaluation
    3. A certificate of completion will be available once the evaluation is submitted

     

    Financial Disclosures

    The planners and faculty for this activity did not have any relationships to disclose.

     

    Bibliography

    Please see the bibliography at the end of the journal article.

    Formats Available: Streaming
    Original Course Date: October 01, 2018

    Approved Credit:
  • ACCME: 1 hour AMA PRA Category 1 Credit(s)™

  • REGISTERREGISTER Aortic flow patterns and wall shear stress maps by 4D-flow cardiovascular magnetic resonance in the assessment of aortic dilatation in bicuspid aortic valve disease