Mini Series - I

Basics of Cardiac MRI

Envisoned and Edited by Dr. Vimal Raj

Special Credit to Mr. Kushagra Jaiswal of Gajraj Studios, Nagpur for Special Contribution

1. Introduction to the series and IACI

Dr. Vimal Raj

Introduction to the series, faculty and association. It covers the basic details of the whole program

2. Indications of CMR in day to day practice

Dr. Nilay Nimbalkar

Covers common indications of cardiac MRI in day to day practice and few rare indications with short case based illustrations. This lecture also compares CMR and gives its plus points in diagnostic radiology as compared to ECHO and SPECT scan.

3. CMR Basic Physics

Dr. A Pudhiavan

The basics of MR physics with the steps of image formation. We also look at the concepts of pulse sequences, the basic sequences and the importance of gradients. Lastly, a brief overview of various parameters of pulse sequences.

4. CMR Anatomy and Imaging Planes

Dr. Nilay Nimbalkar

CMR structural anatomy,methodological illustrations about getting your CMR planes right and how to interpret segmental myocardial anatomy in 17 segment model of heart.

5. CMR Basic Sequences and How to get Best Images

Dr. A Pudhiavan

We go through the list of basic sequences speciific to cardiac MR and briefly about their physics. We also look at the few parameters that can be modified to fine tune the image quality depending on patient parameters. We conclude with the basic protocols for different cardiac pathologies.

6. Live Scanning of CMR

Dr. A Pudhiavan

This is a screen capture of the MR console with step by step description of live cardiac MR scanning.

7. LV/RV Volumetry

Dr. Bhavana Reddy

This will be a video on how to do LV/RV volumetry using MAC with HOROS software

8. Software Review for CMR Assessment

Dr. Vishnu Vardhan Ravilla

Examples of a OEM and a vendor neutral CMR analysis software and two examples of freely available softwares which can be used for CMR analysis

9. T1/T2 Mapping in CMR

Dr. Richa Kothari

The physics of T1/ T2 mapping and its applications in cardiac MRI with case based examples across the spectrum.

10. T2* Imaging for Iron Overload Assessment

Dr. Onkar Auti

Significance of assessment of iron overload in cases of haemoglobinopathies. Different methods of quantification of iron overload. Detailed step wise explanation of quantification of iron overload in liver and heart using T2 star MRI technique.

11. CMR Assessment of Viability

Dr. Vimal Raj

How to assess viability on CMR with special focus on delayed enhancement imaging, low dose dobutamine and wall motion abnormality. We also compare CMR with SPECT and PET for assessment of viability. Role of viability in routine cardiology care is also discussed

12. Case Series on Viability

Dr. Vimal Raj

Case based review of role of CMR in viability assessment with examples of non viable, viable myocardium and LV thrombus etc

13. Stress CMR

Dr. Vimal Raj

Protocols and practice of stress CMR using adenosine and dobutamine is discussed. Case based review of role of stress CMR in assessment of ischemia. Cases of peri infarct ischemia, inducible ischemia and non viable myocardium.

14. CMR Assessment of HCM

Dr. Bhavana Reddy

This talk will cover on how to make a diagnosis of HCM in CMR, different morphologic types of HCM, markers for early or mild expression, high risk factors for sudden death and prognosis, utility of mapping techniques in HCM

15. Case Series on HCM

Dr. Vishnu Vardhan Ravilla

Clinical cases demonstrating important phenotypes of HCM and miral apparatus abnormalities frequently encountered in HCM

16. CMR Assessment of DCM/ARVD

Dr. Onkar Auti

Role of cardiac MRI in assessment of dilated cardiomyopathy including identification of etiology and assesing prognosis explained with the help of few case examples. Revised task force criteria in cases of ARVD and cardiac MRI role in diagnosis of ARVD

17. CMR Assessment of Infiltrative Cardiomyopathy

Dr. A Pudhiavan

An introduction to the basics of infiltrative cardiomyopathies with descriptions of the commonly encountered conditions. This is followed by an overview of the carciac MR findings and few typical case examples

18. CMR Assessment of Myocarditis

Dr. Bhavana Reddy

This talk will cover diagnostic tools for myocarditis in CMR, clinical indications to perform CMR, diagnostic targets of CMR, Lake Louise versus modified Lake Louise criteria and prognostic predictors for myocarditis in CMR

19. CMR Assessment of Mass Lesion

Dr. Nilay Nimbalkar

This lecture deals with locations and age wise distribution of cardiac masses. Characterization of lesion,enhancement patterns,tumour vs thrombus, benign vs malignant lesion and primary vs secondary lesions on CMR

20. CMR Assessment of Pericardial Pathologies

Dr. Vishnu Vardhan Ravilla

Overview of pericardial anatomy, pathology on MRI with case examples demonstrating important disease conditions

21. Valvular Heart Disease

Dr. Richa Kothari

Use of Cardiac MRI in valvular heart disease followed by discussion of individual valve lesions and pros/ cons of CMR over other modalities.

22. How to Report a CMR

Dr. Vimal Raj

Systematic description of CMR reporting technique with multiple sample reports for viability, stress imaging and cardiomyopathy

23. Role of Phase Contrast in CMR

Dr. Richa Kothari

Simplified explanation of physics of phase contrast MRI, the technique, artifacts and its appilactions in varoius cardiac conditions

24. CMR in CHD Part 1

Dr. Onkar Auti

Basic cardiac MRI protocol in assesment of congenital heart diseases. Basic approach towards CHD case on CMR. Detailed step wise explanation of role of CMR in preoperative as well as post operative follow up cases of Tetralogy of Fallot with few case examples. Significance of functional and anatomical assessment in Ebstein’s anomaly using cardiac MRI

25. CMR in CHD Part 2

Dr. Richa Kothari

Segmental approach in cases of congenital heart disease. Case based application of the approach using cases with increasing level of difficulty and in post-operative cases