2022/05 - 30-minute CMR for common clinical indications: a Society for Cardiovascular Magnetic Resonance white paper [Journal Club]-Journal Club Webinar

Video Transcription

Video Summary

The JCMR Journal Club featured a discussion of a paper by Suma Raman on the feasibility of performing a comprehensive cardiac MRI exam in about 30 minutes for common clinical indications. Raman argued that standard, well-established techniques—cine imaging, late gadolinium enhancement (LGE), and stress perfusion when needed—can answer many routine questions in patients with heart failure, ventricular arrhythmias, ischemic heart disease, or suspected myocardial injury.<br /><br />She emphasized that shorter exams benefit patients, referring clinicians, and imaging facilities by improving access, reducing uncertainty, and increasing scanner throughput. The discussion highlighted major barriers to implementation, including “protocol bloat,” lack of standardization, and workflow inefficiencies. Nicole Seiberlich noted that many centers keep adding sequences without removing older ones, making protocols unnecessarily long.<br /><br />The panel agreed that success depends on clinical champions, multidisciplinary teamwork, thoughtful scheduling, and regular protocol review. They also discussed how automation, AI, and lower-field systems could further expand access in the future, though the paper focused on what is already possible today. The session closed with a call to use existing technology more efficiently so more patients can benefit from CMR.

Keywords

cardiac MRI

comprehensive cardiac MRI

30-minute exam

cine imaging

late gadolinium enhancement

stress perfusion

protocol standardization

scanner throughput

artificial intelligence