Learning Goals
Basic MR physics
Basic pulse sequences for MR imaging
MRI safety
CMR and devices – patient preparation, safety and artifacts
CMR stress perfusion imaging
CMR for flow quantification
Optimize CMR image quality and troubleshooting during acquisition
Recognize and minimizing common CMR artifacts
Ischemic and nonischemic heart disease
CMR for T1 and T2 mapping
CMR for assessing acute coronary syndromes
Acute myocarditis and the Lake Louise Criteria
Pericardial disease
CMR for cardiac involvement in systemic diseases and infections
CMR for assessing cardiac masses and tumors
CMR for assessing HCM
CMR for assessing DCM and ARVC
CMR for infiltrative and storage heart disease
CMR for assessing non-compaction cardiomyopathy
CMR for iron overload
CMR for differentiating athlete's heart from cardiomyopathies
CMR for valvular heart disease
Common congenital heart disease
Complex congenital heart disease
Understanding shunts
Vascular disease
CMR for assessment of aortic diseases
CMR for assessment of pulmonary arteries and veins
CMR for assessment of coronary arteries
CMR for assessment of peripheral vascular disease
Extracardiac and extravascular findings
Perform pre‐exam tasks
Review prior focused medical history and clinical information
- Evaluate clinical indications considering appropriate use criteria
- Educate referring physician and other healthcare providers
- Perform or direct pre‐test counseling for patient
- Screen for contraindications
- Perform or direct pre‐test patient preparation and test Instructions
Supervise patient (pre‐test, intra‐scan, post‐test) treatment optimization
- Manage heart rate and recognize arrhythmias
- Select scanning protocol and troubleshoot scanning acquisition problems
- Perform scan quality assessment
- Practice radiation safety principle
Identify artifacts
Assess coronary anatomy
Quantify coronary artery stenosis
Assess coronary stents
Assess coronary artery bypass grafts
Assess chronic total occlusions
Perform plaque characterizations (e.g., identify high risk plaque)
Assess coronary anomalies
Assess pulmonary veins
Assess cardiac veins
Assess cardiac chambers
Assess cardiac function
Assess pericardium
Assess native/artificial valves
Assess myocardium
Assess appendage
Assess septum (atrial/ventricular)
Assess percutaneous valvuloplasty procedures (e.g., feasibility AVR, etc.)
Assess congenital heart disease
Assess aorta
Assess pulmonary artery
Assess vascular anomalies
Assess common lung disease, pulmonary nodules/tumors and pleural effusions
Assess mediastinal and hilar pathology
Assess other non‐vascular structures (e.g., bones, soft tissue)
Assess calcium scoring
Supervise reconstruction protocols
Actively perform post-processing (i.e., manipulation and reformatting at workstation)
Evaluate and treat adverse contrast reactions and extravasations
Evaluate and manage contrast-induced nephropathy