Imaging Young Patients

Decription

 

This educational activity consists of a set of four talks addressing several aspects of imaging young patients. This activity gives the learner in depth insight into the unique challenges involved with imaging children: from technical to logistics of multi-disciplinary team, salient clinical pointers, understanding of quality improvement in congenital CMR imaging and strategies to address the challenges of imaging young patients.

 

Purpose/ Objective

 

Imaging of young patients is complicated, has its unique set of challenges, and requires a multi-disciplinary team to image young patients safely and successfully. Awareness of the needs and challenges of imaging young patients, knowledge of the strategies to address the above can help those develop safe and efficient practices, enable and empower multi-disciplinary teams to excel in the care of young patients and improve the quality of these processes.

Imaging young patients is often anxiety provoking for the CMR team in view of the challenges encountered at each stage of imaging such as getting good quality images, frequent need for anesthesia, congenital and pediatric specific pathology and knowledge of pediatric specific aspects during interpretation. Insight into the above and learning strategies to implement when imaging the young patients is vital for patient care and quality improvement. Following this activity, the CMR team will be well prepared to image young patients and addressing possible challenges that may be encountered, thus leading to improved image quality, patient care, and potentially decrease scan time.

 

PLANNING COMMITTEE MEMBERS

Divya Shakti, MD, MPH; Christopher Lam, MD

 

Presenters

  • Romina Linton  
  • Piers Barker  
  • Ahmed Kharabish  
  • Nadine Choueiter

The planners/faculty for this activity have no relevant relationships to disclose. 

 

Financial Disclosures

 

The planners and faculty for this activity did not have any relevant relationships to disclose, unless listed below:

 

Any resulting conflicts of interest were resolved prior to the start of the activity according to ACCME Criteria & Standards.

 

Disclosure of Commercial Support

 

SCMR received no funding to support this activity.

 

Bibliography and Resources:

  1. J P G van der Ven, Z Sadighy, E R Valsangiacomo Buechel, S Sarikouch, D Robbers-Visser, C J Kellenberger, T Kaiser, P Beerbaum, E Boersma, W A Helbing, Multicentre reference values for cardiac magnetic resonance imaging derived ventricular size and function for children aged 0–18 years, European Heart Journal - Cardiovascular Imaging, Volume 21, Issue 1, January 2020, Pages 102–113, https://doi.org/10.1093/ehjci/jez164
  2. Sarikouch S, Peters B, Gutberlet M, Leismann B, Kelter-Kloepping A, Koerperich H et al.  Sex-specific pediatric percentiles for ventricular size and mass as reference values for cardiac MRI: assessment by steady-state free-precession and phase-contrast MRI flow. Circ Cardiovasc Imaging 2010;3:65–76.
  3. Robbers-Visser D, Boersma E, Helbing WA. Normal biventricular function, volumes, and mass in children aged 8 to 17 years. J Magn Reson Imaging 2009;29:552–9.
  4. Buechel EV, Kaiser T, Jackson C, Schmitz A, Kellenberger CJ. Normal right- and left ventricular volumes and myocardial mass in children measured by steady state free precession cardiovascular magnetic resonance. J Cardiovasc Magn Reson 2009;11:19.
  5. Ntsinjana HN, Hughes ML, Taylor AM. The role of cardiovascular magnetic resonance in pediatric congenital heart disease. J Cardiovasc Magn Reson. 2011;13(1):51. Published 2011 Sep 21. doi:10.1186/1532-429X-13-51
  6. Valsangiacomo Buechel ER, Grosse-Wortmann L, Fratz S, Eichhorn J, Sarikouch S, Greil GF, Beerbaum P, Bucciarelli-Ducci C, Bonello B, Sieverding L, Schwitter J,  Helbing WA; EACVI, Galderisi M, Miller O, Sicari R, Rosa J, Thaulow E, Edvardsen  T, Brockmeier K, Qureshi S, Stein J. Indications for cardiovascular magnetic resonance in children with congenital and acquired heart disease: an expert consensus paper of the Imaging Working Group of the AEPC and the Cardiovascular Magnetic Resonance Section of the EACVI. Eur Heart J Cardiovasc Imaging. 2015 Mar;16(3):281-97. doi: 10.1093/ehjci/jeu129. Epub 2015 Feb 17. PubMed PMID: 25712078.
  7. Fratz S, Chung T, Greil GF, Samyn MM, Taylor AM, Valsangiacomo Buechel ER, Yoo SJ, Powell AJ. 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 Jun 13;15:51. doi: 10.1186/1532-429X-15-51. PubMed PMID: 23763839; PubMed Central PMCID: PMC3686659.
  8. Bonnemains L, Raimondi F, Odille F. Specifics of cardiac magnetic resonance imaging in children. Arch Cardiovasc Dis. 2016 Feb;109(2):143-9. doi: 10.1016/j.acvd.2015.11.004. Epub 2016 Jan 14. Review. PubMed PMID: 26778085.
  9. SCMR Survey of Centers Performing CMR in Pediatric/Congenital Heart Disease, September 20, 2014. Prepared by Andrew J. Powell, MD, on behalf of the?SCMR Pediatric and Congenital Heart Disease Executive Committee.
  10. Presentations from SCMR annual scientific sessions:
  • Imaging the Pediatric Patient. Speaker: Romina Linton  SCMR 2015
  • Pediatric CMR: Non congenital paediatric imaging. Speaker: Piers Barker, SCMR 2017.
  • Quality Improvement in congenital CMR imaging. Speaker: Nadine Choueiter, SCMR 2018.
  • Congenital 2. Speaker: Ahmed Kharabish, SCMR 2018
Course Information
Course Date:
December 17, 2019
Course Objectives
  • Apply the strategies to address these challenges
  • Recognize the specific challenges encountered in imaging young patients, from pre-imaging preparation to interpretation
  • Apply the concepts learnt to improve the quality of imaging and for process improvement in their own environments.
  • Know the available data and limitations pertaining to imaging young patients
Pediatric cardiac imaging
Quality Improvement in congenital CMR imaging
Imaging the Pediatric Patient in the MRI environment: sedation and other strategies
Cardiac MRI in Children Using GA
Individual topic purchase: Selected
Accreditation Council For Continuing Medical Education
Total General Hours: 1.00
Products
This course is no longer available for purchase.