Skip to main content
Erschienen in: Journal of Cardiovascular Magnetic Resonance 1/2022

Open Access 01.12.2022 | Position Paper

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

verfasst von: W. Gregory Hundley, David A. Bluemke, Jan Bogaert, Scott D. Flamm, Marianna Fontana, Matthias G. Friedrich, Lars Grosse-Wortmann, Theodoros D. Karamitsos, Christopher M. Kramer, Raymond Y. Kwong, Michael McConnell, Eike Nagel, Stefan Neubauer, Robin Nijveldt, Dudley J. Pennell, Steffen E. Petersen, Subha V. Raman, Albert van Rossum

Erschienen in: Journal of Cardiovascular Magnetic Resonance | Ausgabe 1/2022

insite
INHALT
download
DOWNLOAD
print
DRUCKEN
insite
SUCHEN
Hinweise

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Abkürzungen
ACC
American College of Cardiology
ACR
American College of Radiology
AHA
American Heart Association
ARVC
Arrhythmogenic right ventricular cardiomyopathy
BSA
Body surface area
bSSFP
Balanced steady state free precession
CABG
Coronary artery bypass graft
CMR
Cardiovascular magnetic resonance
EACVI
European Association of Cardiovascular Imaging
ECG
Electrocardiogram
ECV
Extracellular volume fraction
ESC
European Society of Cardiology
LA
Left atrium/left atrial
LGE
Late gadolinium enhancement
LV
Left ventricle/left ventricular
LVCO
Left ventricular cardiac output
LVEDV
Left ventricular end-diastolic volume
LVEDVI
Left ventricular end-diastolic volume index
LVEF
Left ventricular ejection fraction
LVESV
Left ventricular end-systolic volume
LVESVI
Left ventricular end-systolic volume index
LVM
Left ventricular mass
LVOT
Left ventricular outflow tract
LVSV
Left ventricular stroke volume
LVSVI
Left ventricular stroke volume index
MI
Myocardial infarction
MVO
Microvascular obstruction
PC
Phase contrast
PCI
Percutanous coronary intervention
RA
Right atrium/right atrial
RV
Right ventricle/right ventricular
RVCO
Right ventricular cardiac output
RVEDV
Right ventricular end-diastolic volume
RVEDVI
Right ventricular end-diastolic volume index
RVEF
Right ventricular ejection fraction
RVESV
Right ventricular end-systolic volume
RVESVI
Right ventricular end-systolic volume index
RVM
Right ventricular mass
RVSV
Right ventricular stroke volume
RVSVI
Right ventricular stroke volume index
SAM
Systolic anterior motion
SCMR
Society for Cardiovascular Magnetic Resonance
T1w
T1 weighted
T2w
T2 weighted
These reporting guidelines are recommended by the Society for Cardiovascular Magnetic Resonance (SCMR) to provide a framework for reporting results of cardiovascular magnetic resonance (CMR) examinations. This document builds on previously published guidelines from professional societies (ACC/AHA/ACR/ESC/EACVI and others) [13], and is customized here for CMR practice in particular. It is also recognized that the ultimate judgment regarding the propriety of any specific procedure or reporting methodology must be made by the physician or individuals participating within the healthcare delivery system that performs the CMR procedure. An alternative approach that differs from these guidelines, standing alone, does not necessarily imply that the different approach falls below the standard of care. To the contrary, a conscientious provider may reasonably adopt reporting elements different from those set forth in these recommendations when, in the reasonable judgment of the provider, such course of action is indicated by the condition of the patient, limitations of available resources, or a new advancement in knowledge or technology that may occur subsequent to the publication of this document.
Prior to scanning, the SCMR recommends that patients be referred for CMR scans in accordance with Appropriate Use Criteria developed by the SCMR, American College of Cardiology (ACC), American College of Radiology (ACR), American Heart Association (AHA), European Society of Cardiology (ESC) and European Association of Cardiovascular Imaging (EACVI) [4, 5]. The SCMR recommends that scans should be performed in accordance with SCMR developed guidelines for scan acquisition and analysis [6].
The SCMR recommends reporting key elements in all documents including information pertaining to (a) site and equipment information, (b) patient demographics, (c) indications for study, (d) study performance, (e) cardiovascular imaging features of the examination, and f) concluding statements that synthesize the study results into a comprehensive diagnosis that can be used for planning therapy or determining prognosis. If there are prior studies, the date of the prior study and comparison should be performed and included in the report.
The SCMR emphasizes that effective communication is an essential component of any diagnostic imaging procedure for a patient with known or suspected cardiovascular disease. Quality patient care is best achieved when study results are conveyed in a timely fashion to those responsible for treatment decisions. Accordingly, the SCMR recommends that a delivered, finalized report be available, where possible, within two business days of performance of the scan for routine studies, but reported on the same day for patients referred for major acute issues (e.g., suspected pulmonary embolism or aortic dissection).
This document serves as a guide to identify (a) recommended and optional report components, (b) principles used to generate a final report, and (c) suggested communications that may occur other than the final report. A final written interpretation or report should be generated and archived following any CMR examination, procedure, or officially requested consultation to review images regardless of the setting where the CMR scan was performed (hospital, imaging center, physician office, mobile unit, etc.). Within this document, all recommended and optional components are in bold, and the information is provided in outline form.
The general outline for the presentation of the material to be included in a structured CMR report is as follows.

1 I. General information (Table 1)

Table 1
General information pertaining to the CMR report
 
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

1.1 A. Administrative—5 total elements (3 recommended; 2 optional)

1.
Site ID (recommended): Site ID is a unique number assigned to each study performance site.
 
2.
Site of service (recommended): Indicate the type of facility submitting the reporting data. These would include inpatient hospital, outpatient facility, free standing imaging center, ambulatory care office, or mobile unit.
 
3.
Scanner (recommended): Indicate the type of magnet, manufacturer, model number, field strength, and software platform of the unit performing the procedure.
 
4.
Accreditation status (optional): This should be represented as yes, pending, or no.
 
5.
Accreditation entity (optional): For example, (i.e., Intersocietal Accreditation Commission—Magnetic Resonance Laboratories (https://​www.​intersocietal.​org/​mri/​), etc.).
 

1.2 B. Demographics—(4 recommended elements)

1.
Unique patient ID: medical record number used by the health care delivery system where the CMR examination was performed
 
2.
Patient Date of Birth
 
3.
Patient Gender
 
4.
Patient Race/Ethnicity
 

1.3 C. Study referral data—(2 optional elements)

1.
Referring Physician—National Provider Identifier (NPI)
 
2.
Referring Physician Specialty
 

1.4 D. Scheduling and performance of study—(6 recommended elements)

1.
Date of procedure
 
2.
Procedure start time
 
3.
Personnel involved in procedure
i.
Nursing
 
ii.
Trainees (e.g., fellows, residents, house officers)
 
iii.
Staff physicians
 
iv.
Technologists
 
 
4.
Primary indication for test
 
5.
Study quality
 
6.
Listing of sequences used
i.
Cine
 
ii.
Tagged and other strain-encoding cine
 
iii.
T1- and T2-weighted imaging (T1w; T2w)
 
iv.
Quantitative T1 and T2 mapping
 
v.
T2* mapping
 
vi.
Early gadolinium enhancement
 
vii.
Late gadolinium enhancement
 
viii.
Velocity-encoded / phase contrast cine
 
ix.
MR angiography
 
x.
Myocardial perfusion
 
 

1.5 E. History and risk factors—(3 recommended)

1.
Height
 
2.
Weight
 
3.
For studies using gadolinium-based contrast, value and date of acquisition of the most recent serum creatinine level and estimated glomerular filtration rate should be included
 

1.6 F. Non-imaging findings associated with examinations—(5 recommended elements)

1.
In those studies requiring 12-lead electrocardiogram (ECG), its interpretation should be provided. This includes the rate, rhythm, and presence of Q-waves, ST segment or T-wave abnormalities, or other rhythm disturbances.
 
2.
For studies evaluating hemodynamically important conditions (i.e., valvular heart disease, intracardiac shunting, cardiac output, etc.), heart rates and rhythm, and systolic and diastolic blood pressure should be provided during the CMR acquisition. For tests incorporating stress testing, the heart rates and rhythm, oxygen saturation, systolic and diastolic blood pressures, and the percent of maximum predicted heart rate response for age should all be recorded during the following points in time:
i.
At pre-test baseline
 
ii.
At each level of stress
 
iii.
After recovery
 
 
3.
For studies utilizing vasoactive or positive inotrope pharmacological agents, the agent, quantity, duration, and route of administration of the agents and associated medications should be provided.
 
4.
For studies utilizing contrast agents, the type (i.e., paramagnetic), name, dose, and administrative route should be provided.
 
5.
For studies utilizing sedation, general anesthesia, or supported ventilatory or cardiac (hemodynamic or electrical) assistance, the amount, type, route and measures of administration of these agents or support should be documented. Also, the patient’s cardiovascular and pulmonary response (heart rate, blood pressure, respiratory rate, and oxygen saturation) should be recorded. The reason for administration required of the agent should be provided.
 

2 II. General techniques (Table 2)

Table 2
Acquisition methods and procedures for cardiovascular structures
 
Recommended
Recommended if acquired/if present
Optional
Left ventricular (LV) structure and function
Method of acquisition
Method of analysis
LVEDV/LVEDVI
LVESV/LVESVI
LVSV/LVSVI
LVEF
CO/CI
LVM/LVM index
LV end diastolic wall thickness
Regional wall motion
Aneurysms
N/A
Qualitative assessment of wall thickening
Right ventricular (RV) structure and function
Method of acquisition
Method of analysis
RVEF
Regional wall motion
N/A
RVEDV/RVEDVI
RVESV/RVESVI
RVSV/RVSVI
RV mass
Qualitative assessment of wall thickening
Curvature of the interventricular septum
First pass perfusion
N/A
First-pass perfusion and late gadolinium enhancement
Post MI tissue characterization
N/A
Late gadolinium enhancement
Location
Myocardial distribution
Extent
Interpretation
N/A
Total mass of infarcted tissue
Stress perfusion (vasodilator)
Visual appearance of contrast enhancement
Number of segments involved and the suspected etiology of the perfusion defects
Extent
N/A
Myocardial perfusion in ml/min/g
Stress function (dobutamine)
Wall motion
Inducible LV wall motion abnormalities
Contractile reserve
Myocardial perfusion
Wall motion score index
Blood flow
Direction and range of the velocity encoding setting
Flow measurements
N/A
Peak and mean velocities and orifice areas
Advanced tissue characterization
Iron quantification: septal native myocardial T2*; global native myocardial T1
Hemorrhage: regional native myocardial T1; regional native myocardial T2; regional native myocardial T2*
Suspected global acute myocardial injury: global or regional native myocardial T2; global or regional native myocardial T1
Fibrosis/infiltration/scar in cardiomyopathies: global or regional native myocardial T1;
Inflammation − injury + edema: global or regional native myocardial T1; global or regional native myocardial T2
N/A
Iron quantification: Global native myocardial T2; global native myocardial T2
Suspected global acute myocardial injury: global or regional native myocardial T2 values; global or regional native myocardial T1 values;
Fibrosis/infiltration/scar in cardiomyopathies: global or regional ECV
Inflammation − injury + edema: global or regional ECV
Strain
Orientation
Global or regional extent
Absolute values for peak strain
N/A
Atrial structure and function
Evaluation of left atrial (LA and right atrial (RA) size as within normal limits or dilated
Presence of an atrial septal defect
Presence of lipomatous hypertrophy of the interatrial septum
N/A
Degree of dilation
Left and right atrial volumes and corresponding indices
Maximal LA volume
Maximal LA volume index to BSA
Maximal RA volume
Maximal RA volume indexed to BSA
Minimal LA volume
Minimal RA volume
LA longitudinal and transverse dimensions and areas, measured on end-systolic 2, 3, and 4 chamber cine images
RA length measured in the end-systolic 4 chamber cine image
Evaluation and post-processing recommendations Atrial dimensions or area
Pericardium
Pericardial thickness
Pericardial effusion
Signs of cardiac tamponade
Ventricular (inter)dependence
Inflammation of pericardial layers
Evidence of associated myocarditis
N/A
Mobility/fusion
RV/LV inflow patterns
Edema of pericardial layers
MR Angiography
Maximal external diameter, or maximal external perpendicular diameters for asymmetric dimensions
For plaque/stenosis: maximum external diameter
Location of atherosclerosis and plaque characteristics
Thickness/size of atherosclerosis and plaque characteristics
Mobility plaques of atherosclerosis and plaque characteristics
Estimate % stenosis of atherosclerosis and plaque characteristics if hemodynamically relevant
Aortic annulus of thoracic aorta
Sinsues of Valsalva of thoracic aorta
Sinotubular junction of thoracic aorta
Ascending and descending aorta diameters at the level of the pulmonary artery of thoracic aorta
Aortic arch diameter of thoracic aorta
Comment on sinotubular effacement of thoracic aorta
Comment on tortuosity of thoracic aorta
Maximal abdominal aortic diameter
Number and patency of renal arteries
Status of the celiac, superior mesenteric and inferior mesenteric arteries
Stent presence/absence; patency/occlusion; presence of thrombus
Post-operative/procedural appearance
Inflammatory disease of the major vessels
Comparison to prior examinations
Post-operative appearance
Post-contrast appearance/enhancement of atherosclerosis and plaque characteristics
Inflammation of atherosclerosis and plaque characteristics, if sequences acquired
Change from prior examinations (include prior dimension and date)
Minimal lumen diameters along common femoral arteries, external iliac arteries, common iliac arteries bilaterally
For plaque/stenosis: lumen diameter
Cross-sectional area(s), particularly when dimensions are asymmetric
Areas and volume measurements of abdominal aorta and peripheral arteries
Valvular assessment
Morphology to be reported as normal or abnormal
Qualitative descriptors of function
Quantitative findings of function (degree of stenosis or semilunar valves, valve area, degree of stenosis of atrioventricular valves)
Degree of valvular regurgitation
Severity of any stenosis or regurgitation
N/A
Relevant hemodynamic parameters
LA, left atrium/left atrial; LV, left ventricle/left ventricular; LVEDV, left ventricular end-diastolic volume; LVEDVI, left ventricular end-diastolic volume index; LVEF, left ventricular ejection fraction; LVESV, left ventricular end-systolic volume; LVESVI, left ventricular end-systolic volume index; RA, right atrium/right atrial; RVEDV, right ventricular end-diasolic volume; RVEDVI, right ventricular end-diastolic volume index; RVEF, right ventricular ejection fraction; RVESV, right ventricular end-systolic volume; RVESVI, right ventricular end-systolic volume index
In this section, SCMR recommends reporting the orientation in which images are acquired, for example whether a cine stack for the assessment of ventricular volumes was acquired in axial or short axis planes; the pulse sequences used; and whether the data set was two- or three-dimensional. The status of recommended versus optional for each described element in Sect. II is provided relative to the clinical disease specific protocol provided in Sect. III.
Below we provide the recommended and optional elements for each of these components.

2.1 A. Left ventricular (LV) structure and function

1.
LV Volume
i.
The method of acquisition (recommended): should be reported per SCMR Protocol Recommendations document (2).
 
ii.
The method of analysis (recommended): should be reported per SCMR Post-Processing Recommendations documents (1,9).
 
iii.
Measurements (6 recommended): should be reported relative to normal values for acquisition technique and field.
a.
LV end-diastolic volume (LVEDV): defined as the total volume of blood (ml) in the LV after maximal filling.
 
b.
LV end-systolic volume (LVESV): defined as the remaining volume of blood (ml) in the LV after maximal emptying.
 
c.
LV stroke volume (LVSV): defined as the amount of blood (ml) pumped per heart beat (LVESV subtracted from LVEDV).
 
d.
LV ejection fraction (LVEF): defined as the fraction or percentage (%) of blood that that leaves the LV during systole (LVSV/LVEDV).
 
e.
LV cardiac output (LVCO): defined as LVSV multiplied by heart rate.
 
f.
LV mass (LVM): defined as the LV myocardial volume multiplied by 1.05 reported in grams (g).
 
 
iv.
Indexed LV volumes (5 recommended): Method of indexing per SCMR Post-Processing Recommendations document (1,9), relative to normal values for acquisition technique and field strength. Note that values may be indexed to height as well.
a.
LVEDV index = LVEDV/body surface area (BSA)
 
b.
LVESV index = LVESV/BSA
 
c.
LVSV index = LVSV/BSA
 
d.
LVCO index = LVCO/BSA
 
e.
LVM index = LVM/BSA
 
 
v.
Wall thickness (recommended): should be reported as thin, hypertrophied, or normal.
a.
LV hypertrophy can be described as concentric, eccentric or asymmetric.
 
 
 
2.
LV Wall Motion
i.
Regional wall motion (recommended): should be described according to the 17-segment model. It is recommended that each segment be classified qualitatively as normal, hyperkinetic, hypokinetic, akinetic, dyskinetic, dyssynchronous, not evaluable due to artifact, or not assessed.
 
ii.
Quantitative measurement (optional): wall thickening or strain per segment
 
iii.
Aneurysms (recommended): need to be recognized as large dyskinetic segments, areas of multiple or discontinuous segments, and should be defined as true or false to include information pertinent to surrounding structures
 
 

2.2 B. Right ventricular (RV) structure and function

1.
RV volume
i.
The method of acquisition (recommended): should be reported per SCMR Protocol Recommendations document (2).
 
ii.
The method of analysis (recommended): should be reported per SCMR Post-Processing Recommendations document (1,9).
 
iii.
Measurements (6 optional): should be reported relative to normal values for acquisition technique and field.
a.
RV end-diastolic volume (RVEDV): defined as the total volume of blood (ml) in the right ventricle after maximal filling.
 
b.
RV end-systolic volume (RVESV): defined as the remaining volume of blood (ml) in the right ventricle after maximal emptying.
 
c.
RV stroke volume (RVSV): defined as the amount of blood (ml) pumped per heart beat (RVESV subtracted from RVEDV).
 
d.
RV ejection fraction (RVEF): defined as the fraction or percentage (%) of blood that that leaves the RV during systole (RVSV/RVEDV).
 
e.
RV cardiac output (RVCO): defined as RVSV multiplied by heart rate.
 
f.
RV mass (RVM): The reporting of RVM may be indicated in states of RV hypertrophy, such as hypertrophic cardiomyopathy or pulmonary hypertension.
 
 
iv.
Indexed RV volumes (5 recommended): Method of indexing per post-processing document (1,9), relative to normal values for acquisition technique and field strength. Indexing to height may also be done.
a.
RVEDV index = RVEDV/BSA
 
b.
RVESV index = RVESV/BSA
 
c.
RVSV index = RVSV/BSA
 
d.
RVCO index = RVCO/BSA
 
e.
RVM index = RVM/BSA
 
 
v.
Wall thickness (recommended): should be reported as thin, hypertrophied, or normal.
a.
Right ventricular hypertrophy can be described as concentric, eccentric or asymmetric.
 
 
 
2.
RV wall motion
i.
Regional wall motion (recommended): should be described qualitatively at the apex, septal and anterior wall and midventricular levels of the RV free wall. Regions should be identified as normokinetic, hyperkinetic, akinetic, dyskinetic, dyssynchronous, not evaluable, or not assessed.
 
ii.
Quantitative measurement (optional): wall thickening or strain per segment
 
 
3.
Curvature of the interventricular septum (optional): the position of the interventricular septum is a marker of RV pressure and volume load and should be described (separately for end-diastole and peak systole) as normal (right convex), flat, or bowing into the LV.
 
1.
Location
 
2.
Size
 
3.
Relationship with other structures
 
4.
Criteria for malignancy
 
5.
First-pass perfusion and LGE, if performed
i.
Present or absent
 
ii.
Pattern (homogenous or heterogeneous)
 
 

2.4 D. Late gadolinium enhancement (LGE)

1.
Location (recommended): Reference location of segments as per Section II.A. (LV structure and function) and section II.B. (RV structure and function).
 
2.
Intramural distribution (recommended): The intramural distribution of LGE should be classified as adjacent to the epicardium (subepicardial), within the substance of the walls (intramural), adjacent to the endocardium (subendocardial), or spanning the entire segment (transmural)
 
3.
Extent (recommended): Within each of the 17 LV segments, the transmural extent of enhancement within that segment should be described using the following incremental values:
i.
 ≤ 25%
 
ii.
26% to ≤ 50%
 
iii.
51% to ≤ 75%
 
iv.
76% to 100%
 
 
4.
Total mass of LGE tissue (optional): should be measured in grams (g) and also be reported as a percentage relative to the total myocardial mass.
 
5.
Pattern (recommended): The appearance of the enhancement should be described as:
i.
Focal, in which the pattern appears in one or a few non-contiguous areas
 
ii.
Multifocal, in which the pattern appears in multiple areas, possibly adjacent to one another
 
iii.
Diffuse, in which the pattern appears dispersed and perforated throughout multiple segments.
 
 
6.
Interpretation (recommended): the pattern should be interpreted as indicative of
a.
Ischemic injury (myocardial infarction)
 
b.
Nonischemic injury or infiltration (myocarditis, hypertrophic cardiomyopathy, sarcoidosis, etc.)
 
 

2.5 E. Vasodilator stress perfusion

At present, the majority of vasodilator stress perfusion studies qualitatively describe the transit of gadolinium contrast through the LV and RV myocardial tissue. As described in the non-imaging findings component of the reported list above, parameters such as vital signs, medications, and contrast agent administration should be reported. We recommend the reporting of LV myocardial information in the format of a 17-segment model through the use of a chart, table, or polar maps (so called “Bull’s Eye” plot).
1.
For each LV or RV myocardial segment, the visual appearance of contrast enhancement (recommended) within that segment should be characterized as:
i.
Present or Absent
a.
Additionally, after these assessments, the number of segments involved and the suspected etiology of the perfusion defects should be identified.
 
 
ii.
Persistence: defined as present for ≤ 5 heart beats, > 5 but ≤ 10 heart beats, or > 10 heart beats.
 
 
2.
Quantitative (optional): myocardial perfusion in ml/min/g
 

2.6 F. Stress function (dobutamine or exercise)

As described in the non-imaging findings component of the reported list above, parameters such as vital signs, medications, and contrast agent administration should be reported. We recommend the reporting of LV myocardial information in the format of a 17-segment model through the use of a chart, table, or polar maps (so called “Bullseye” plot).
1.
Wall Function (4 recommended, 1 optional)
i.
Wall motion (recommended): should be described qualitatively (wall motion as listed above in the left and right ventricular wall motion descriptions) or quantitatively (referenced measure such as % wall thickening, or strain) during testing.
 
ii.
Wall motion score index (optional): defined as the sum of the wall motion scores divided by the number of segments scored should be reported at each level of stress.
 
iii.
Inducible wall motion abnormalities (recommended): defined as an increment in the severity of wall motion (for example normal at rest to hypokinetic at stress) should be identified within each of the 17 myocardial segments. Also, identifying failure of global LV function to improve or worsen during stress should occur.
 
iv.
Contractile reserve (recommended): defined as improvement in wall motion assessment (for example akinesis improving to hypokinesis) during low levels of dobutamine infusion should be identified in each of the 17 myocardial segments when any LV dysfunction is present at rest.
 
v.
Myocardial perfusion (acquisition optional, but reporting recommended once acquired): The SCMR suggests that perfusion in each of the 17 segments be defined according to the transmurality and persistence of the defect. The committee recommends that stress-induced (exercise or inotropic) perfusion defects be compared with co-registered rest perfusion or late enhancement segments in order to identify ischemic, infarcted, or non-ischemic areas. We also recognize that artifacts may mimic defects. These should be described.
 
 

2.7 G. Flow

When quantitative flow measurements are acquired, the following parameters are recommended:
1.
Direction of the velocity encoding (optional): should be reported as anterior to posterior, superior to inferior, right to left, through plane or a combination thereof.
 
2.
Range of the velocity encoding, or Venc setting, (recommended): meters/sec.
 
3.
Flow measurements (recommended): milliliters or liters, per heartbeat or per minute
 
4.
Peak and mean velocities and orifice areas (recommended): with velocity measurements in m/sec and area results in cm2. When appropriate, peak and mean velocities should include corresponding estimates of peak and mean pressure gradients calculated according to the modified Bernoulli Equation [7].
 

2.8 H. Advanced tissue characterization

In addition to the standard sequences for LGE, other sequences, including edema-sensitive T2-weighted, iron- and hemorrhage-sensitive T2*-weighted, and early gadolinium enhancement, as well as myocardial T1 mapping, may be used for detecting myocardial tissue pathology [8]. For common suspected pathologies, we recommend reporting the following parameters in addition to standard parameters. Note that it is important that the field strength of the magnet (I.A.iii.) be identified when reporting myocardial T1 values.
1.
Iron Quantification (2 recommended, 2 optional)
i.
Septal native myocardial T2* should be reported as decreased or normal + value.
 
ii.
Septal native myocardial T1 should be reported as decreased or normal.
 
iii.
Global native myocardial T2* (optional)
 
iv.
Global native myocardial T1 (optional)
 
 
2.
Hemorrhage (3 recommended)
i.
Regional native myocardial T1 should be reported as decreased or normal.
 
ii.
Regional native myocardial T2 should be reported as decreased or normal.
 
iii.
Regional native myocardial T2* should be reported as decreased or normal.
 
 
3.
Edema-sensitive T2-weighted CMR: The signal intensity relative to the signal intensity in skeletal muscle can be reported. When assessed, it is recommended that the location of increases in T2 signal intensity be identified relative to the 17 segment model.
 
4.
Early gadolinium enhancement: Within the first minutes of the first pass of intravenous gadolinium chelates administration, areas of early enhancement or gradient echo inversion recovery (or comparable imaging sequence) images may be appreciated. The location of this enhancement within the 17-segment model should be identified when acquired.
 
5.
Global or regional edema in suspected global acute myocardial injury (2 recommended, 2 optional)
i.
Global or regional native myocardial T2 should be reported as increased or normal.
 
ii.
Global or regional native myocardial T1 should be reported as increased or normal.
 
iii.
Global or regional native myocardial T2 values (optional)
 
iv.
Global or regional native myocardial T1 values (optional)
 
 
6.
Global or regional fibrosis/infiltration/scar in cardiomyopathies (1 recommended, 1 optional)
i.
Global or regional native myocardial T1 should be reported as increased or normal.
 
ii.
Global or regional ECV (extra cellular volume fraction) should be reported as increased or normal and the absolute value (%) provided (optional)
 
 
7.
Global or regional myocardial inflammatory injury and edema (2 recommended, 1 optional)
i.
Global or regional native myocardial T1 should be reported as increased or normal.
 
ii.
Global or regional native myocardial T2 should be reported as increased or normal.
 
iii.
Global or regional ECV should be reported as increased or normal and the absolute value (%) provided (optional)
 
 

2.9 I. Strain

LV myocardial strain values are optional to report. When reported, the following information is suggested.
1.
Method of acquisition (source images)
 
2.
Orientation
i.
Circumferential, longitudinal, radial
 
 
3.
Regional distribution
i.
Global or regional extent and severity, absolute values for peak strain or strain rate can be reported (optional)
 
 

2.10 J. Atrial structure and function

1.
The following qualitative variables should be reported (3 optional, 3 recommended):
i.
Evaluation of left atrial (LA) and right atrial (RA) size as normal or dilated (recommended)
 
ii.
Degree of dilation classified as mild, moderate, severe (optional)
 
iii.
LA and RA volumes and corresponding BSA indices (optional)
 
iv.
Presence of patent foramen ovale or atrial septal defect, if identified (recommended).
 
v.
Presence of lipomatous hypertrophy of the interatrial septum, if identified (recommended).
 
vi.
LA function (optional)
 
 
2.
If quantified, maximal LA volume (in ml) should be calculated during onset of ventricular systole on the last cine image prior to opening of the mitral valve. The minimal LA volumes should be defined as the first cine image after closure of the mitral valve. Maximal and minimal RA volumes should be calculated using corresponding cine images of the tricuspid valve.
i.
Maximal LA and RA volumes and indexed for BSA (optional);
 
ii.
Minimal LA and RA volumes and indexed for BSA (optional);
 
iii.
Reporting of LA and RA longitudinal and transverse dimensions and areas, measured on 2, 3, and 4 chamber cine images (optional).
 
iv.
Imaging technique used for measurements, as per the SCMR Evaluation and Post-Processing Recommendations document (1,9) (recommended) (e.g., modified Simpson’s method, biplane area-length method, multi-slice disk summation, or qualitative):
 
v.
Reporting of LA and RA ejection fraction calculated from maximal and minimal volumes (optional)
 
vi.
Reporting of LA and RA stroke volumes and their respective indices calculated from maximal and minimal volumes (optional).
 
 

2.11 K. Pericardium—when evaluating the pericardium, the following should be reported

a.
Pericardial thickness (T1w dark blood, cine) (recommended) in mm
 
b.
Pericardial effusion (T1w dark blood, cine) (recommended) in circumferential or loculated
 
c.
Mobility/fusion of pericardial layers (optional)—CMR tagging
 
d.
Signs of cardiac tamponade physiology—diastolic collapse RV wall / early systolic collapse RA wall (recommended)
1.
May be intermittent (real-time cine during free breathing)
 
 
e.
Ventricular (inter)dependence—real-time cine during deep inspiration (recommended)
1.
Early-diastolic inspiratory septal inversion/flattening
 
2.
Total respiratory-related ventricular septal shift
 
 
f.
RV/LV inflow patterns—in case of constrictive pericarditis (optional)
1.
Inflow patterns atrioventricular valves / caval and pulmonary veins
 
2.
Real-time cardiac inflow during free breathing
 
 
g.
Edema of pericardial layers, i.e., high signal on T2 W images (optional)
 
h.
Inflammation of pericardial layers, i.e., high signal on LGE images if gadolinium administered (recommended)
 
i.
Evidence of associated myocarditis, non-ischemic myocardial LGE or edema on T2w / increased values on T1-T2 mapping (recommended)
 

2.12 L. Cardiac and paracardiac masses, including thrombi

a.
The presence, number, location and extent of cardiac and paracardiac masses should be reported (recommended).
 
b.
Functional questions relate to:
1.
Extent of myocardial infiltration (recommended). Tagged cine images may help define a mass as infiltrating the myocardium or pericardial space (optional)
 
2.
Impact on various aspects of cardiac function such as myocardial deformation and valvular competency (recommended)
 
3.
Routine measures of ventricular size and systolic function should be included from cine imaging in standard cardiac planes (e.g., horizontal long axis, short axis stack, etc.), and additional cine planes may help delineate the functional impact of a cardiac or paracardiac mass. (recommended)
 
4.
The enhancement of a mass on first-pass perfusion imaging endorses vascularity or communication with the vascular space; additional clues from morphologic imaging may help distinguish results of first-pass perfusion imaging. (recommended)
 
5.
Tissue Characterization
i.
Description of main signal intensity characteristics in T1w, T2w, LGE, and LGE/long TI images
 
ii.
Suspected predominant tissue composition, (e.g., fibrous, fatty, edema, necrotic core), if possible
 
 
 

2.13 M. MR angiography—for the vessels of intent, the following should be reported

1.
Dimensions—Maximal diameter, or perpendicular diameters for asymmetric dimensions, measured from planes perpendicular to the vessel centerline. Area may be reported as well. There is no consensus in the literature regarding whether diameters are to include lumen or aortic wall since this depends in part on the application and CMR/ MR angiographic technique. In cases of aneurysm and plaque/stenosis, maximum external diameter and lumen diameter may both be reported. We refer to the SCMR Post-Processing Recommendations (1,9) document for further details [9]. Indicate change from prior examination(s), including prior dimensions and date(s).
 
2.
Atherosclerosis and plaque characteristics—The following should be reported:
i.
Description of location
 
ii.
Mobility and extent of plaques
 
iii.
Estimate % diameter stenosis if hemodynamically relevant
 
iv.
Post-contrast appearance/enhancement (if sequences acquired)
 
 
3.
Flow: On CMR scans of the aorta in which phase-contrast (PC)-CMR or 4D-flow measures are obtained, the direction and magnitude of flow should be provided. In situations involving dissections, flow in the true and false lumens should be reported.
 
4.
Inflammation: Findings on T1w- or T2w images should be reported if the sequences are acquired. Presence/absence of contrast enhancement should also be reported if sequences were performed.
 

3 III. Disease-specific CMR protocols

Upon confirming the appropriateness of an ordered CMR procedure, it is incumbent upon the interpreting physician to report on one or more recommended elements pertinent to the management of the disease process evaluated during the CMR procedure. As such, the SCMR recommends reporting the following data elements that pertain to each of the clinical scenarios listed below and categorized in the following sections (Table 3): Anatomical/Structural, Functional, Perfusion, Tissue Characterization, and Clinical features related to the disease, such as duration of symptoms from onset to CMR / revascularization, duration of time from revascularization to CMR, prior revasculariation (type, localization), coronary and bypass status (open, significant stenosis, occluded).
Table 3
Cardiovascular disease specific protocols
Ischemic heart disease
Acute myocardial infarction (MI) or acute coronary syndromes
Chronic ischemic heart disease and viability
Cardiomyopathies and myocardial inflammation
 Myocarditis
 Hypertrophic cardiomyopathy
 Arrhythmogenic RV cardiomyopathy (ARVC)
 Hypertensive heart disease
 Left ventricular non-compaction
 Dilated cardiomyopathy
 Iron overload cardiomyopathy
 Restrictive cardiomyopathy (e.g., cardiac amyloidosis)
 Cardiac sarcoidosis
 Cancer-related cardiomyopathies
 Recreational drug-induced cardiomyopathies
 Heart transplantation
Vascular disease (thoracic aorta)
 Aortic aneurysm
 Aortic dissection, intramural hematoma, and penetrating ulcer
 Post-operative appearance
 Inflammatory diseases of the aorta
 Congenital disease
Vascular disease (coronary arteries)
 Coronary artery anomalies
 Aneurysms, coronary arteriovenous malformations, and coronary fistulae
Vascular disease (venous)
 Stenosis or thrombosis
 Pulmonary veins pre-post ablation
Valvular heart disease
 LVEDV, LVEDVI, LVESV, LVESVI, LVSV, LVSVI, LVEF, RVEDVI, RVESVI, RVSVI, and RVEF
 Degree of stenosis of atrioventricular valves

3.1 A. Ischemic cardiomyopathies

3.1.1 i. Acute MI or acute coronary syndromes

a.
Anatomical/Structural (4 recommended)
1.
LV and RV volumes at end-diastole and end-systole (absolute and normalized for BSA), aneurysms
 
2.
LVM
 
3.
Thrombi (localization, size), if present
 
4.
Pericardium
 
 
b.
Functional (3 recommended)
1.
LVEF and RVEF, stroke volume, and cardiac output
 
2.
Valvular function (mitral, aortic)
 
3.
Abnormal wall motion, if present, for each of 17 segments (hyperkinetic, hypokinetic, akinetic, dyskinetic)
 
 
c.
Perfusion (1 recommended)
1.
Microvascular obstruction (MVO) should be reported if assessed with first pass perfusion
 
 
d.
Tissue Characterization (2 recommended, 2 optional)
1.
Early enhancement (optional): presence, location, extent, segmental transmurality, optional: % LVM, % LGE
 
2.
LGE (recommended): presence, location, type, extent, segmental transmurality, optional: % LVM, relation of LGE to wall motion (i.e. hypokinetic segment without any LGE) and interpretation concerning hibernation; pericardial enhancement
 
3.
Intramyocardial hemorrhage (recommended): presence, location, extent
 
4.
T2 imaging or mapping (optional): presence, location, extent including T2 increase beyond LGE, % of LVM.
 
 
e.
Other (4 optional)
1.
Duration of symptoms from onset to CMR / revascularization
 
2.
Duration of time from revascularization to CMR
 
3.
Prior revascularization (type, localization)
 
4.
Coronary artery bypass graft (CABG) status – if available: open, significant stenosis, occluded
 
 
f.
Stress Perfusion
1.
Pertinent general information from Section I (recommended)
 
2.
Pertinent stress perfusion from Section II (recommended)
 
 
g.
Stress wall motion
1.
Pertinent general information from Section I (recommended)
 
2.
Pertinent stress wall motion from Section II (recommended)
 
 

3.1.2 ii. Chronic ischemic heart disease and viability

a.
Anatomical/Structural (5 recommended)
1.
LV and RV volumes at end-diastole and end-systole (absolute and normalized for BSA), aneurysms, wall thinning, remodeling
 
2.
LVM
 
3.
Intraventricular thrombi (size, location, shape as layer vs protruding mass)
 
4.
Pericardial effusion and / or thickening
 
5.
The presence and location of pleural effusions should be reported.
 
 
b.
Functional (3 recommended)
1.
LVEF and RVEF, cardiac output and stroke volume
 
2.
Valvular function (mitral, aortic, tricuspid)
 
3.
Wall motion for each of the 17 segments (hyperkinetic, normokinetic, hypokinetic, akinetic, dyskinetic)
 
 
c.
Tissue Characterization (2 recommended, 4 optional)
1.
Presence of lipomatous metaplasia (optional) from T1w images or LGE prior to contrast administration
 
2.
Acute vs chronic infarct from T2w images (optional)
 
3.
LGE (recommended): presence, location, size and intramural extent
 
4.
LGE % transmural extent for affected myocardial segments in case of myocardial dysfunction subtended by a flow limiting stenosis; (recommended)
 
5.
Information on prior revascularization (percutaneous coronary intervention (PCI) / CABG) and angiographic results (optional)
 
 
d.
Stress Perfusion
1.
Pertinent general information from Section I (recommended)
 
2.
Pertinent stress perfusion from Section II (recommended)
 
 
e.
Stress wall motion
1.
Pertinent general information from Section I (recommended)
 
2.
Pertinent stress wall motion from Section II (recommended)
 
 

3.2 B. Non-ischemic cardiomyopathies

3.2.1 i. Myocarditis

In addition to the standard sequences for myocardial tissue characterization (edema-sensitive T2w, iron- and hemorrhage-sensitive T2*-weighted, early gadolinium enhancement, and LGE), myocardial mapping is increasingly used for detecting myocardial inflammation. Recently, the expert consensus recommendations were updated and include the following targets for detecting non-ischemic inflammation [11]:
a.
Anatomical/Structural
1.
LV morphology (all recommended)
i.
LVEDV and LVEDVI
 
ii.
LVESV and LVESVI
 
 
 
b.
Functional (4 recommended, 1 optional)
1.
LVEF
 
2.
RVEF
 
3.
LVCO
 
4.
LV cardiac index
 
5.
Regional LV wall motion score (optional)
 
 
c.
Tissue Characterization
1.
Edema: Global or regional signal intensity increase in T2w images (present vs. absent or global or regional native myocardial T2 increased vs. normal) with location
 
2.
Inflammatory/post-inflammatory injury/scar: Regional or native T1 (increased vs. normal) or regional LGE in a non-ischemic regional distribution (present or absent) or Global or regional ECV (increased vs. normal)
 
 
d.
Other (1 recommended, 3 optional)
1.
Wall motion score index (optional)
 
2.
Pericardial effusion (recommended)
 
3.
RVEDV, RVEDVI, RVESV, RVESVI, RVEF (optional)
 
4.
LVM index (optional)
 
 

3.2.2 ii. Hypertrophic cardiomyopathy

a.
Anatomical/Structural (all recommended)
1.
Anatomy, pattern of hypertrophy
i.
Predominant regional distribution of hypertrophy (e.g. apical, septal, mid-cavity), if asymmetric
 
ii.
Reverse septal curvature
 
iii.
Mid-cavity or LV outflow tract (LVOT) obstruction
 
iv.
Presence and location of clefts or crypts
 
v.
Involvement of RV
 
 
2.
Severity of hypertrophy (measurement on short-axis balanced steady state free precession (bSSFP) cine)
i.
Maximal wall thickness
 
ii.
Thickness of non-hypertrophied segments
 
 
3.
Papillary muscle anatomy
i.
Hypertrophied or not
 
ii.
Apical displacement
 
 
4.
Intraventricular thrombus
i.
Size, location, mobility of the thrombus
 
 
5.
LV volume
i.
LVEDV, LVEDVI, LVESV, LVESVI
 
ii.
LVM, and LVM index
 
 
6.
RV volume
i.
RVEDV, RVEDVI, RVESV, RVESVI
 
 
7.
Atrial size
i.
LA diameter on 3-chamber view of the LV
 
ii.
LA volume
 
 
8.
Apical aneurysm, if present
 
 
b.
Functional (all recommended)
1.
LVEF
 
2.
RVEF
 
3.
Systolic anterior motion (SAM) of the mitral valve leaflets or chordae
i.
Turbulence on LVOT on LV 3-chamber view cine images
 
ii.
Peak systolic LVOT velocity/gradient (note that peak gradient may be underestimated on CMR compared to Doppler echocardiography due to technical reasons)
 
 
4.
Mitral regurgitation
i.
Eccentric jet or not, describe mechanism of mitral regurgitation e.g. association with valvular SAM
 
ii.
Quantification of regurgitant volume and fraction
 
 
 
c.
Perfusion (optional)
1.
Vasodilator stress perfusion
i.
In patients with chest pain to identify microvascular ischemia and differentiate from ischemia due to epicardial coronary artery disease
 
 
 
d.
Tissue Characterization (recommended-if acquired)
1.
Regional fibrosis on LGE (presence, extent, location, intramural regional distribution pattern
 
2.
Advanced tissue characterization indexes (3 recommended - if acquired, 4 optional)
i.
Native T1 for assessed myocardial segments (optional)
 
ii.
Location of abnormal T1 (recommended - if acquired)
 
iii.
Location and magnitude of regional T2 increase in patients with troponin rise (recommended - if acquired)
 
iv.
ECV in assessed myocardial segments (optional)
 
v.
Global ECV (optional)
 
vi.
Location and magnitude (%) of ECV elevation (recommended - if acquired)
 
 
 

3.2.3 iii. Arrhythmogenic right ventricular cardiomyopathy (ARVC)

In addition to comments specified in other components of these reporting guideline for LV and RV function, the CMR report for ARVC should specifically comment on the following elements of the ARVC Task Force criteria [10]:
a.
Anatomical/Structural (all recommended)
1.
LVEDV, LVEDVI, LVESV, LVESVI, LVM, LVM index
 
2.
RVEDV, RVEDVI, RVESV, RVESVI
 
3.
RV wall motion abnormalities (RV akinesia, dyskinesia, or dyssynchronous contraction, and if present, location of the wall motion abnormality.
 
 
b.
Functional (all recommended)
1.
LVEF
 
2.
RVEF
 
 
c.
Tissue Characterization (all optional)—Secondary imaging features that either support the diagnosis of ARVC or that lead to alternative diagnoses (e.g., sarcoidosis, myocarditis) should also be mentioned. These include:
1.
The presence and location of LGE (e.g., RV, LV—ischemic or nonischemic pattern)
 
2.
The presence and location of abnormal T1 that may suggest fatty infiltration
 
3.
The presence and location of myocardial edema (if T2w images are acquired)
 
 

3.2.4 iv. Hypertensive heart disease

a.
Anatomical/Structural (all recommended)
1.
LV volumes and mass
i.
LVEDV, LVEDVI, LVESV, LVESVI
 
ii.
LVM, LVM index
 
 
2.
Mean and maximal wall thickness (indexed to BSA or height)
i.
Normal or increased
 
 
3.
RV volumes
i.
RVEDV, RVEDVI, RVESV, RVESVI
 
 
4.
Atrial size
i.
LA diameter on 3-chamber view of the left ventricle
 
ii.
LA volume
 
 
 
b.
Functional
1.
LVEF (recommended)
 
2.
RVEF (recommended)
 
3.
LV regional wall motion abnormalities
 
4.
Mitral regurgitation
i.
Central or eccentric, describe likely mechanism of MR, e.g., dilatation of mitral annulus
 
ii.
Quantification of regurgitant volume and fraction
 
 
5.
Assess aortic valve function for regurgitation, particularly in patients with dilated aortic root and/or ascending aorta (recommended)
Assess thoracic aorta diameters: annulus, sinuses, ascending aorta, arch, descending thoracic aorta
 
 
c.
Perfusion
1.
Vasodilator stress perfusion (optional)
i.
in patients with known coronary artery disease to assess for inducible ischemia
 
ii.
in patients where coronary anatomy is not known to exclude inducible ischemia
 
 
 
d.
Tissue Characterization
1.
Regional abnormality on LGE (all recommended)
i.
Presence of regional abnormality (yes/no)
 
ii.
Location of regional abnormality
 
iii.
Pattern of non-ischemic LGE (midwall, patchy)
 
iv.
Describe the presence of any co-existing infarct scar
 
v.
Extent of LGE (qualitative assessment of extent)
 
 
2.
Advanced tissue characterization indexes (optional)
i.
Native T1
 
ii.
ECV
 
 
 

3.2.5 v. LV non-compaction

a.
Anatomical/Structural (all recommended)
1.
LV volumes
i.
LVEDV, LVEDVI, LVESV, LVESVI, LVEF, LVSV
 
 
2.
RV volumes
i.
RVEDV, RVEDVI, RVESV, RVESVI, RVEF, RVSV
 
 
3.
Excessive trabeculation in combination with thin solid myocardium:
i.
Measurement of maximal ratio between the thickness of the trabeculated endocardial layer and the solid epicardial layer in cross-sectional cine images (recommended).
 
ii.
Percentage of LVM that consists of trabeculation (optional).
 
iii.
Systolic rotation of the apex (optional)
 
Iv.
Wall motion abnormalities of non-compacted segments (recommended)
 
 
 
b.
Functional (all recommended)
1.
LVEF
 
2.
RVEF
 
 
c.
Tissue Characterization
1.
Myocardial fibrosis
i.
CMR features: LGE of LV myocardium (recommended)
 
 
2.
LV or RV thrombi in trabecular recesses, if present (recommended)
 
3.
Advanced tissue characterization
i.
Features of associated phenotypes such as hypertrophic cardiomyopathy and dilated cardiomyopathy (recommended if pertinent images were acquired)
 
 
 

3.2.6 vi. Dilated cardiomyopathy

a.
Anatomical/Structural (all recommended)
1.
LV volumes and mass
i.
LVEDV, LVEDVI, LVESV, LVESVI
 
ii.
LVM, LVM index
 
 
2.
Wall thickness
i.
Preserved, thin-walled or increased
 
 
3.
Trabeculations
i.
Normal
 
ii.
Prominent
 
iii.
Fulfilling LV non-compaction criteria
 
 
4.
RV volumes
i.
RVEDV, RVEDVI, RVESV, RVESVI
 
 
5.
Atria
i.
LA diameter on 3-chamber view of the LV
 
ii.
LA volume
 
iii.
Pulmonary vein anatomy in patients with atrial fibrillation who may need ablation (optional)
 
 
 
b.
Functional (all recommended)
1.
LVEF
 
2.
RVEF
 
3.
Regional wall motion abnormalities (hypokinesis, akinesis, dyskinesis)
 
4.
Dyssynchrony
i.
Presence and location of dyssynchrony (recommended)
 
ii.
Strain-related data (optional)
 
 
5.
Intraventricular thrombus if present (recommended)
i.
Size, location, mobility of the thrombus
 
 
6.
Mitral regurgitation (recommended)
i.
Central or eccentric, describe likely mechanism of mitral regurgitation, e.g., dilatation of mitral annulus
 
ii.
Quantification of regurgitant volume and fraction
 
 
7.
Aortic valve function / exclude significant aortic regurgitation
 
 
c.
Perfusion
1.
Vasodilator stress perfusion (optional)
i.
In patients with known coronary artery disease to assess for inducible ischemia
 
ii.
In patients where coronary anatomy is not known to exclude inducible ischemia
 
 
 
d.
Tissue Characterization
1.
Regional fibrosis on LGE images (presence, location, regional distribution pattern) (recommended)
 
2.
Extent of LGE (% of LV mass (optional)
 
3.
Advanced tissue characterization indexes (optional)
i.
Native T1
 
ii.
T2 (in patients with troponin rise)
 
iii.
ECV
 
 
 

3.2.7 vii. Iron overload cardiomyopathy

a.
Anatomical/Structural (all recommended)
1.
LV volumes and mass
i.
LVEDV, LVEDVI, LVESV, LVESVI
 
ii.
LVM
 
 
2.
RV volumes
i.
RVEDV, RVEDVI, RVESV, RVESVI
 
 
3.
Atrial size
i.
LA area normalized to BSA
 
 
 
b.
Functional (all recommended)
1.
LVEF
 
2.
RVEF
 
 
c.
Tissue Characterization
i.
T2* values of the full width of the interventricular septum (recommended).
 
ii.
Native T1 (optional)
 
 

3.2.8 viii. Restrictive cardiomyopathy, amyloidosis

a.
Anatomical/Structural (all recommended)
1.
LV and RV mass and volumes: increased LVM, LV wall thickness and concentric remodeling.
 
2.
Atrial size: atrial dilatation contraction, atrial wall thickening.
 
3.
Extracardiac findings: pericardial and pleural effusion.
 
 
b.
Functional (all recommended)
1.
LVEF
 
2.
RVEF
 
 
c.
Tissue Characterization (all recommended)
1.
LGE Presence of diffuse subendocardial or transmural LGE coupled with abnormally low blood pool signal. Difficulties in achieving myocardial nulling over a range of inversion times. Quantification of LGE is not recommended.
 
2.
Native myocardial T1 (increased vs. normal)
 
3.
ECV (diffusely increased, early marker).
 
4.
T2 (increased vs normal)
 
 

3.2.9 ix. Cardiac sarcoidosis

a.
Anatomical/Structural (all recommended)
1.
Presence of regions with significant wall thinning or LV aneurysms
 
2.
LV and RV volumes and mass:
i.
LVEDV
 
ii.
LVESV
 
iIi.
LVESV
 
iv.
LVM
 
 
3.
LV and RV systolic function
i.
LVEF, RVEF
 
ii.
CO, CI
 
 
4.
Atrial size and function:
i.
Descriptive atrial size and function (recommended)
 
ii.
LA and RA diameters (optional)
 
iIi.
LA and RA volumes (optional)
 
iv.
LA emptying fraction (optional)
 
 
5.
Overall myocardial function and structure can be normal in a large proportion of patients with proven cardiac sarcoidosis.
 
 
b.
Functional (all recommended)
1.
LVEF
 
2.
RVEF
 
 
c.
Tissue Characterization (all recommended)
1.
Presence, location and extent of LGE abnormalities
 
2.
Pattern of LGE distribution (co-existence of ischemic and non-ischemic distribution)
 
3.
Edema (T2w sequences / T2 mapping) with location and magnitude of T2 elevation.
 
 
a.
Anatomical/Structural (all recommended)
1.
LV volumes and mass
i.
LVEDV, LVEDVI, LVESV, LVESVI
 
ii.
LVM, LVM index
 
 
2.
Wall thickness
i.
Preserved, thin-walled or increased
 
 
3.
RV volumes
i.
RVEDV, RVEDVI, RVESV, RVESVI
 
 
4.
Atrial size
i.
LA diameter on 3-chamber view of the left ventricle
 
ii.
LA volume
 
 
 
b.
Functional (recommended)
1.
LVEF
 
2.
RVEF
 
3.
Regional wall motion abnormalities
 
4.
Vasodilator stress perfusion (optional)
i.
In patients with known coronary artery disease to assess for inducible ischemia
 
ii.
In patients where coronary anatomy is not known to exclude inducible ischemia
 
 
5.
Pericardial disease (if present)
 
 
c.
Tissue Characterization
1.
Regional myocardial abnormality by LGE presence, extent, location, regional distribution pattern (recommended)
 
2.
Advanced tissue characterization indexes
i.
Native T1 for assessed myocardial segments (optional)
 
ii.
Location and magnitude of elevation in T1 (recommended)
 
iii.
T2 for assessed myocardial segments in patients with troponin rise (optional)
 
iv.
Location and magnitude of regional T2 increase in patients with troponin rise (recommended)
 
v.
ECV in assessed myocardial segments (optional)
 
vi.
Global ECV (optional if performed)
 
vii.
Location and magnitude (%) of ECV elevation (recommended if performed)
 
 
 
d.
Other
1.
Valvular function
i.
Valvular stenosis
a.
Assess qualitatively the presence of valve thickening (see valvular disease)
 
b.
Report severity of valve stenosis by planimetry and continuity methods
 
c.
Report mean and peak transvalvular gradients
 
 
 
2.
Mitral regurgitation
i.
Central or eccentric, mechanism of mitral regurgitation, e.g. dilatation of mitral annulus, if applicable
 
ii.
Quantification of regurgitant volume and fraction
 
 
3.
Myocardial masses
i.
Cardiac or paracardiac tumor
 
ii.
Intraventricular thrombus
a.
Size, mobility, location
 
b.
Perfusion
qualitative appearance and heterogeneity of perfusion in 2 orthogonal planes
 
 
 
 

3.2.11 xi. Recreational drug-induced cardiomyopathies (cocaine, amphetamine and alcohol)

a.
Anatomical/Structural
1.
LV hypertrophy, dilatation (recommended)
i.
LVEDV, LVEDVI, LVESV, LVESVI, LVSV, LVM
 
 
2.
RV involvement (RV dilatation) (recommended)
i.
RVEDV, RVEDVI, RVESV, RVESVI, RVSV
 
 
3.
Vascular involvement
i.
Aortic aneurysm, dissection/ hematoma or dissection or aneurysm of the proximal coronary arteries (optional)
 
 
 
b.
Functional (recommended)
1.
LVEF
 
2.
RVEF
 
3.
Regional wall motion abnormalities
 
 
c.
Perfusion
1.
Inducible myocardial perfusion deficits associated with microvascular disease (optional)
 
 
d.
Tissue Characterization (recommended):
1.
Myocardial abnormality by LGE
i.
Presence, location, extent, intramural distribution
 
 
2.
Myocardial Edema
i.
Presence, location, extent
 
 
 

3.2.12 xii. Heart transplantation

The following should be reported post-cardiac transplant:
a.
Anatomical/Structural:
1.
LV and RV volumes (recommended) -
 
2.
LVM mass (optional)
 
3.
Atrial size (recommended)
i.
Bi-atrial surgical approach: bilaterally enlarged atria (predominantly the longitudinal dimensions) with “double LA” appearance. Changes in the atrial structure of the transplanted heart are caused almost universally by structural alterations necessitated by surgical implantation.
 
 
 
b.
Functional (recommended)
1.
LVEF and RVEF: Similar to patients who have undergone other forms of cardiac surgery, post–cardiac transplant patients often have abnormalities of interventricular septal motion (recommended)
 
2.
Aortic regurgitation and mitral regurgitation
 
 
c.
Tissue Characterization (recommended)
1.
Infarct-atypical LGE.
 
 
d.
Extracardiac findings: Pericardial effusions
 
e.
Criteria for primary graft failure (optional), identified as:
1.
Severe LV systolic dysfunction
 
2.
Global elevation in T2
 
3.
Absence of LGE
 
 
f.
Criteria for acute rejection (optional)
1.
Acute deterioration in LV function
 
2.
Increased myocardial native T1 and T2
 
3.
Increase in ECV
 
 
g.
Criteria for cardiac vasculopathy (optional)
1.
Infarct-typical LGE
 
2.
Reduced myocardial perfusion reserve
 
 
h.
Criteria for chronic graft failure (optional)
1.
Global dysfunction or regional dysfunction
 
2.
LGE secondary to vasculopathy-related infarction.
 
 

3.3 C. Vascular disease (Arterial)

3.3.1 1. Thoracic aorta

i.
Dimensions/areas to include (all recommended):
a.
Aortic annulus
 
b.
Sinuses of Valsalva
 
c.
Sinotubular junction
 
d.
Ascending and descending aorta at the level of the pulmonary artery
 
e.
Aortic arch—proximal and distal; comment regarding whether the aorta is right- or left-sided
 
 
ii.
Findings when present (all):
a.
Comment on sinotubular effacement (recommended)
 
b.
Comment on tortuosity (recommended)
 
c.
Aortic aneurysm
1.
Maximum diameter
 
2.
Morphology (saccular versus fusiform)
 
3.
Location in the aorta
 
4.
Relation to branch vessels
 
5.
Presence, size and location of mural thrombus
 
6.
Visceral compressive effects (effacement, expansion of the aorta against surrounding structures)
 
7.
Presence of aortic valve abnormalities
 
8.
Presence of periaortic, mediastinal, pericardial, or pleural effusion.
 
 
d.
Aortic dissection, intramural hematoma, and penetrating ulcer (recommended):
1.
Dissection classification (per either Stanford or DeBakey)
 
2.
Presence of intimal flap, location of tear or areas of communication (if possible)
 
3.
Description of the size and extent of the true and false lumens
 
4.
Presence of thrombus in false lumen
 
5.
Description of flow in false lumen
 
6.
Branch vessel involvement
 
7.
Presence of periaortic, mediastinal, pericardial, or pleural fluid
 
 
e.
Post-operative appearance (recommended):
1.
as above, noting any graft insertion points and dimensions.
 
 
f.
Inflammatory diseases of the aorta (recommended):
1.
Aortic wall thickness
 
2.
Tissue characterization (T2, contrast agent uptake)
 
3.
Branch vessel involvement
 
4.
Presence of periaortic, mediastinal, pleural, or pericardial fluid.
 
 
g.
Congenital disease involving the aorta and ventriculoarterial connections (recommended):
1.
See separate SCMR Recommendations for Reporting CMR in Congenital Heart Disease document [12].
 
 
 
iii.
Plaque characteristics, as described in section II.M.2.
 
iv.
Flow, as described in section II.M.3.
 
v.
Inflammation, as described in section II.M.4.
 

3.3.2 2. Coronary arteries

a.
Anatomical/Structural
1.
Origins of coronary arteries are normal or anomalous (recommended)
i.
If anomalous, report on proximal course of the anomalous vessels
 
ii.
Refer to SCMR Recommendations on CMR for Congenital Heart Disease document for further details
 
 
2.
Presence of additional acquired or congenital findings, if present (recommended)
i.
Aneurysms
 
ii.
Coronary arteriovenous malformations, coronary fistulae
 
 
 
b.
Tissue Characterization (optional)
1.
Coronary vasculitis
i.
Presence/absence of contrast enhancement (if sequences performed)
 
 
 

3.4 D. Vascular disease (Venous) (all recommended)

The number and position of pulmonary veins should be accounted for with notation of common trunks and accessory pulmonary veins. Evidence for stenosis or thrombosis by cross sectional area of the pulmonary vein may be provided. A 3D workstation may be used to calculate major and minor axes, and/or cross-sectional area of each pulmonary vein ostium. Pre- and post-ablation cross-sectional areas and dimensions of the pulmonary veins should be compared side by side.
i.
Qualitative elements that should be included in CMR-based pulmonary vein reporting include (recommended):
a.
Number of pulmonary veins, specifically whether there are four pulmonary veins (right superior, right inferior, left superior, and left inferior);
 
b.
Atrial side (right or left) and position (superior or inferior) of pulmonary vein return;
 
c.
In separate statements, recognition of accessory or anomalous pulmonary veins;
 
d.
Presence or absence of stenosis in each pulmonary vein, especially in reporting post-ablation exams;
 
e.
Position of esophagus relative to the closest pulmonary vein.
 
f.
Overall statement on whether pulmonary venous return is normal or anomalous.
 
 
ii.
Quantitative elements that should be included in pulmonary vein reporting are (recommended):
a.
Cross-sectional area and maximum ostial dimension of each pulmonary vein, ideally derived from imaging with two orthogonal planes;
 
b.
Cardiac phase (e.g., end-atrial diastole) and respiratory phase (e.g., end-expiration) during acquisition of images used for measurements;
 
c.
Cross-sectional area and minimum ostial dimension of each stenotic pulmonary vein; and
 
d.
Imaging technique used for measurements.
 
 

3.5 E. Valvular heart disease

i.
Anatomical/Structural (all recommended)
a.
LVEDV, LVEDVI, LVESV, LVESVI, LVSV, LVEF, RVEDVI, RVESVI, RVSV, RVEF
 
b.
For the valve(s) of interest, morphology should be reported as normal or abnormal with details on any abnormalities (e.g., bicuspid aortic valve, cleft mitral valve, apically-displaced tricuspid annulus with foreshortened septal tricuspid valve leaflet).
 
 
ii.
Functional (all recommended)
a.
For the valve(s) of interest, qualitative descriptors of function should be reported as normal (e.g., normal excursion of aortic leaflets) or abnormal (e.g., restricted opening of aortic leaflets).
 
b.
For the valve(s) of interest, quantitative findings of function should be reported, relevant to the pathology.
1.
Degree of stenosis of semilunar valves
i.
peak systolic velocity,
 
ii.
mean gradient,
 
iii.
valve area, including method used to compute valve area.
 
 
2.
Degree of stenosis of atrioventricular valves
i.
mean gradient
 
ii.
other relevant hemodynamic parameters (e.g., deceleration time in mitral stenosis).
 
 
3.
Degree of valvular regurgitation should be reported as regurgitant fraction.
 
 
d.
Any stenosis or regurgitation should be described as mild, moderate or severe based on a collective interpretation of qualitative and quantitative findings (e.g., moderate pulmonary regurgitation, mild aortic stenosis).
 
 
iii.
Tissue Characterization
a.
Concomitant findings of myocardial pathology by LGE, T1, and T2 if acquired are recommended.
 
b.
Quantitative results when obtained are recommended to report with indications where feasible of the potential underlying mechanism of abnormality (e.g., extensive midwall LGE enhancement or suspected cardiac amyloidosis).
 
 
iv.
Angiography
a.
Aortic dimensions when feasible are recommended to report, especially in valvular heart lesions with associated aortopathy (e.g., bicuspid aortic valve).
 
b.
Other angiographic findings are recommended to report where relevant (e.g., pulmonary artery dimensions in patients with significant pulmonary regurgitation after tetralogy of Fallot repair; any abnormal findings).
 
c.
Clinical features related to the disease
1.
Relevant patient history and background data that informed design and interpretation of the CMR examination are optional to report.
 
 
 

4 IV. Extra-cardiac findings

A.
It is recognized that there may be findings unrelated to the cardiovascular system identified during CMR imaging procedures. Such findings should be reported in accordance with local standards. However, SCMR recognizes that the techniques/contrast, resolution and field of view of a CMR study are optimized for the cardiovascular system rather than to assess for abnormalities outside of the cardiovascular system.
 

5 V. Summary and conclusions

SCMR recommends that each report concludes with appropriate statements that specifically relate the findings to the study indications. We recommend that these statements provide referring physicians with conclusions that allow the prescription of therapy based on the study findings. We recommend that the conclusion of the report provide the written or electronic signature of the individual accomplishing the report along with the time and date of the signature. We consider it optional to provide the Health Care Provider Identifier for the physician signing the report.

6 VI. Principles of disseminating the final report

A.
The final signed report is considered to be the definitive means of communicating to the referring physician or other relevant health care provider. Other methods of rapid communication are encouraged in certain situations, such as critical findings, unexpected abnormal findings, or findings that may immediately alter the patient’s course of treatment. When urgent findings are communicated, the mode of contact, name, date, and time of contact should be included in the report.
 
B.
The report should be reviewed for interpretive, descriptive, or transcription errors prior transmitting the final results.
 
C.
The final report should be completed in accordance with governmental or health care facility medical records regulations.
 
D.
The signed written report should be immediately transmitted to the referring physician or health care provider who is treating the patient once it has been finalized and in accordance with appropriate governmental requirements.
 
E.
When feasible, a copy of relevant key images should accompany the final report.
 
F.
A copy of the final report should be archived at the imaging facility as part of the patient’s medical record and be retrievable for future reference. Retention and distribution of these records should be in accordance with governmental regulations and facility policies.
 
G.
Communications other than the final report
1.
We strongly encourage the rapid dissemination of a finalized report. It is recognized however, that preliminary reports may be necessary in certain situations. Preliminary reports should be identified as such; however, it is recognized that their accuracy may be limited.
 
2.
If a change is made by a disseminated preliminary report discrepant from the final interpretation, then written documentation and communication to all treating or referring physicians is indicated.
 
3.
It is recommended that all methods of such communications be included in the final report.
 
 
H.
Self-referred and Third-Party Referred Patients: We recognize that some individuals may seek imaging studies as part of a self-referral or referred by a third party, such as an insurer or an employer.
1.
Self-referred patients
i.
Imagers should recognize that performing imaging studies on self-referred patients establishes a doctor-patient relationship that includes responsibility for communicating the results of imaging studies directly to the patient and arranging for appropriate follow-up.
 
 
2.
Third-Party Referred Patients
i.
Patients may be referred for imaging studies by insurance companies, employers, research studies, other benefit programs, or in some instances, attorneys. In such cases, the reports of these studies are frequently communicated through their requesting entity to a clinician or directly to the third party designated clinician. The results of these examinations are then communicated to the patient directly. Regardless of the source of the referral, the diagnostic imager has an ethical responsibility to insure communication of unexpected or serious findings to the patients. It is suggested that each imaging organization that desires to scan and generate reports on self-referred or third-party referred patients develop communication policies within their centers to address evolving issues in this arena.
 
 
 

Acknowledgements

Not applicable.

Declarations

Not applicable.
Not applicable.

Competing interests

MF, SF, RN, DJP, SN, AR, JB, DB, RYK, TK, SVR, LGW declares no competing interests. SEP provides consultancy to Circle Cardiovascular Imaging, Inc., Calgary, Alberta, Canada and is a shareholder. MM: Employee and shareholder of Google. MF: Shareholder, adviser, and board member of Circle CVI Inc (Calgary Canada), a company that produces software for evaluating CMR images. CMK: Consultant for Eli Lilly, Bristol Meyers Squibb, and Cytokinetics. WGH: University of Michigan Advisory Board, AHA Weekly Circulation on the Run podcast, Cardiology Today, ACC Lectures and Review Board, Wake Forest University faculty, Prova owner (Image display software), Imaging technology related patents held through Wake Forest University Health Sciences. EN: NeoSoft, Medis: support in kind; Bayer: speaker fees, consulting fees, grant support.
Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
insite
INHALT
download
DOWNLOAD
print
DRUCKEN
Literatur
1.
Zurück zum Zitat Schulz-Menger J, Bluemke DA, Bremerich J, Flamm SD, Fogel MA, Friedrich MG, Kim RJ, von Knobelsdorff-Brenkenhoff F, Kramer CM, Pennell DJ, Plein S, Nagel E. Standardized image interpretation and post processing in cardiovascular magnetic resonance: society for Cardiovascular Magnetic Resonance (SCMR) Board of Trustees Task Force on Standardized Post Processing. J Cardiovasc Magn Reson. 2013;15:35.CrossRef Schulz-Menger J, Bluemke DA, Bremerich J, Flamm SD, Fogel MA, Friedrich MG, Kim RJ, von Knobelsdorff-Brenkenhoff F, Kramer CM, Pennell DJ, Plein S, Nagel E. Standardized image interpretation and post processing in cardiovascular magnetic resonance: society for Cardiovascular Magnetic Resonance (SCMR) Board of Trustees Task Force on Standardized Post Processing. J Cardiovasc Magn Reson. 2013;15:35.CrossRef
2.
Zurück zum Zitat Kramer CM, Barkhausen J, Bucciarelli-Ducci C, Flamm SD, Kim RJ, Nagel E. Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update. J Cardiovasc Magn Reson. 2020;17:22. Kramer CM, Barkhausen J, Bucciarelli-Ducci C, Flamm SD, Kim RJ, Nagel E. Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update. J Cardiovasc Magn Reson. 2020;17:22.
3.
Zurück zum Zitat Wolk MJ, Bailey SR, Doherty JU, Douglas PS, Hendel RC, Kramer CM, Min JK, Patel MR, Rosenbaum L, Shaw LJ, Stainback RF, Allen JM. American College of Cardiology Foundation Appropriate Use Criteria Task Force. ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2014;63(4):380–406. Wolk MJ, Bailey SR, Doherty JU, Douglas PS, Hendel RC, Kramer CM, Min JK, Patel MR, Rosenbaum L, Shaw LJ, Stainback RF, Allen JM. American College of Cardiology Foundation Appropriate Use Criteria Task Force. ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2014;63(4):380–406.
4.
Zurück zum Zitat American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions; Society of Interventional Radiology. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging. A report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group. J Am Coll Radiol. 2006;3(10):751–71. American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions; Society of Interventional Radiology. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging. A report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group. J Am Coll Radiol. 2006;3(10):751–71.
5.
Zurück zum Zitat Friedrich MG, Larose E, Patton D, Dick A, Merchant N, Paterson I. Canadian Society for CMR. Canadian Society for Cardiovascular Magnetic Resonance (CanSCMR) recommendations for cardiovascular magnetic resonance image analysis and reporting. Can J Cardiol. 2013;29(3):260–5.CrossRef Friedrich MG, Larose E, Patton D, Dick A, Merchant N, Paterson I. Canadian Society for CMR. Canadian Society for Cardiovascular Magnetic Resonance (CanSCMR) recommendations for cardiovascular magnetic resonance image analysis and reporting. Can J Cardiol. 2013;29(3):260–5.CrossRef
6.
Zurück zum Zitat Kramer CM, Barkhausen J, Bucciarelli-Ducci C, Flamm SD, Kim RJ, Nagel E. Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update. J Cardiovasc Magn Reson. 2020;22:17.CrossRef Kramer CM, Barkhausen J, Bucciarelli-Ducci C, Flamm SD, Kim RJ, Nagel E. Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update. J Cardiovasc Magn Reson. 2020;22:17.CrossRef
7.
Zurück zum Zitat Lotz J, Meier C, Leppert A, Galanski M. Cardiovascular flow measurement with phase-contrast MR imaging: basic facts and implementation. Radiographics. 2002;22(3):651–71.CrossRef Lotz J, Meier C, Leppert A, Galanski M. Cardiovascular flow measurement with phase-contrast MR imaging: basic facts and implementation. Radiographics. 2002;22(3):651–71.CrossRef
8.
Zurück zum Zitat Messroghli DR, Moon JC, Ferreira VM, Grosse-Wortmann L, He T, Kellman P, Mascherbauer J, Nezafat R, Salerno M, Schelbert EB, Taylor AJ, Thompson R, Ugander M, van Heeswijk RB, Friedrich MG. Clinical recommendations for cardiovascular magnetic resonance mapping of T1, T2, T2* and extracellular volume: a consensus statement by the Society for Cardiovascular Magnetic Resonance (SCMR) endorsed by the European Association for Cardiovascular Imaging (EACVI). J Cardiovasc Magn Reson. 2017;19(1):75.CrossRef Messroghli DR, Moon JC, Ferreira VM, Grosse-Wortmann L, He T, Kellman P, Mascherbauer J, Nezafat R, Salerno M, Schelbert EB, Taylor AJ, Thompson R, Ugander M, van Heeswijk RB, Friedrich MG. Clinical recommendations for cardiovascular magnetic resonance mapping of T1, T2, T2* and extracellular volume: a consensus statement by the Society for Cardiovascular Magnetic Resonance (SCMR) endorsed by the European Association for Cardiovascular Imaging (EACVI). J Cardiovasc Magn Reson. 2017;19(1):75.CrossRef
9.
Zurück zum Zitat Schulz-Menger J, Bluemke DA, Bremerich J, Flamm SD, Fogel MA, Friedrich MG, Kim RJ, von Knobelsdorff-Brenkenhoff F, Kramer CM, Pennell DJ, Plein S, Nagel E. Standardized image interpretation and post-processing in cardiovascular magnetic resonance—2020 update. J Cardiovasc Magn Reson. 2020;22:19.CrossRef Schulz-Menger J, Bluemke DA, Bremerich J, Flamm SD, Fogel MA, Friedrich MG, Kim RJ, von Knobelsdorff-Brenkenhoff F, Kramer CM, Pennell DJ, Plein S, Nagel E. Standardized image interpretation and post-processing in cardiovascular magnetic resonance—2020 update. J Cardiovasc Magn Reson. 2020;22:19.CrossRef
10.
Zurück zum Zitat te Riele AS, Tandri H, Bluemke DA. Arrhythmogenic right ventricular cardiomyopathy (ARVC): cardiovascular magnetic resonance update. J Cardiovasc Magn Reson. 2014;16(1):50.CrossRef te Riele AS, Tandri H, Bluemke DA. Arrhythmogenic right ventricular cardiomyopathy (ARVC): cardiovascular magnetic resonance update. J Cardiovasc Magn Reson. 2014;16(1):50.CrossRef
11.
Zurück zum Zitat Ferreira VM, Schulz-Menger J, Holmvang G, Kramer CM, Carbone I, Sechtem U, Kindermann I, Gutberlet M, Cooper LT, Liu P, Friedrich MG. Cardiovascular magnetic resonance in nonischemic myocardial inflammation: expert recommendations. J Am Coll Cardiol. 2018;72(24):3158–76.CrossRef Ferreira VM, Schulz-Menger J, Holmvang G, Kramer CM, Carbone I, Sechtem U, Kindermann I, Gutberlet M, Cooper LT, Liu P, Friedrich MG. Cardiovascular magnetic resonance in nonischemic myocardial inflammation: expert recommendations. J Am Coll Cardiol. 2018;72(24):3158–76.CrossRef
12.
Zurück zum Zitat Fratz S, Chung T, Greil GF, et al. 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;15:51.CrossRef Fratz S, Chung T, Greil GF, et al. 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;15:51.CrossRef
Metadaten
Titel
Society for Cardiovascular Magnetic Resonance (SCMR) guidelines for reporting cardiovascular magnetic resonance examinations
verfasst von
W. Gregory Hundley
David A. Bluemke
Jan Bogaert
Scott D. Flamm
Marianna Fontana
Matthias G. Friedrich
Lars Grosse-Wortmann
Theodoros D. Karamitsos
Christopher M. Kramer
Raymond Y. Kwong
Michael McConnell
Eike Nagel
Stefan Neubauer
Robin Nijveldt
Dudley J. Pennell
Steffen E. Petersen
Subha V. Raman
Albert van Rossum
Publikationsdatum
01.12.2022
Verlag
BioMed Central
Erschienen in
Journal of Cardiovascular Magnetic Resonance / Ausgabe 1/2022
Elektronische ISSN: 1532-429X
DOI
https://doi.org/10.1186/s12968-021-00827-z

Weitere Artikel der Ausgabe 1/2022

Journal of Cardiovascular Magnetic Resonance 1/2022 Zur Ausgabe

Mammakarzinom: Brustdichte beeinflusst rezidivfreies Überleben

26.05.2024 Mammakarzinom Nachrichten

Frauen, die zum Zeitpunkt der Brustkrebsdiagnose eine hohe mammografische Brustdichte aufweisen, haben ein erhöhtes Risiko für ein baldiges Rezidiv, legen neue Daten nahe.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.