MRI Information for Physicians

Indications for a Cardiovascular MRI Study

Cardiac

  1. Global and regional left and right ventricular function, volumes and mass
  2. Cardiomyopathies
  3. Myocarditis
  4. Valvular function (qualitative/quantitative)
  5. Pericardial disease
  6. Cardiac and extra-cardiac masses
  7. Congenital heart disease
  8. Myocardial perfusion stress MRI for ischemia
  9. Myocardial viability
  10. Poor quality echocardiograms

 

Vascular

  1. Aortic diseases
  2. Aortic arch branch vessel disease
  3. Carotid artery disease
  4. Renal artery disease
  5. Mesenteric disease
  6. Iliofemoral, popliteal and infrapopliteal disease
  7. Anomalous coronary arteries
  8. Coronary artery graft patency
  9. Pulmonary emboli
  10. Venous abnormalities

 

Major Contraindications

  1. Severe claustrophobia
  2. Foreign body near vital structures
  3. First trimester of pregnancy
  4. Neurostimulators
  5. Cochlear implants
  6. Bone growth stimulators
  7. Intracranial aneurysm clips
  8. Aneurysm clips
  9. Vascular clamp
  10. Insulin or infusion pump or implanted drug infusion device
  11. Implanted cardiac devices (pacemakers, ICDs)*

 

*At Oklahoma Heart Institute MRI Department this is currently a relative contraindication. Device patients can undergo physician-monitored MRI under a current research study. See the research section for more details.

From a device/implant standpoint anything that is activated magnetically, electrically, mechanically, or with radio frequency is contraindicated for MRI. However for a complete and regularly updated list of MR safe/unsafe/conditional devices and implants go to www.mrisafety.com.

 

Physician Publications

Huber S, Muthupillaj R, Cheong B, Wible JH, Shah D, Woodard P, Grothues F, Mahrholdt H, Rochitte C, Masoli O, Kim R, Schwaiger C, Fuisz A, Kramer C, van Rossum A, Biedermann R, Lombardi M, Martin E, Kevorkian R, Flamm S. Safety of gadoversetamide in patients with acute and chronic myocardial infarction. J Magn Reson Imaging 2008;6:1368-78.

 

Levine GN, Arai A, Bluemke D, Flamm S, Gomes A, Kanal E, Manning W, Martin ET,  Smith JM, Wilke N, Shellock FS.  Safety of magnetic resonance imaging in patients with cardiovascular devices: An American Heart Association Scientific Statement from the Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology, and the Council on Cardiovascular Radiology and Intervention.  Circulation 2007;116:2878-2891.

 

Kramer, CM, Budoff MJ, Fayad, ZA, Ferrari, VA, Goldman C, Lesser JR,  Martin ET, Rajagopalan S, Reilly JP, Rodgers GP, Wechsler L. ACCF/AHA 2007 Clinical competence statement on vascular imaging with computed tomography and magnetic resonance: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training. Circulation 2007;116:1318-1335 and  J Am Coll Cardiol 2007;50:1097-114.

 

Douglas PS, Khandheria B, Stainback RF, Weissman, NJ, Brindis RG, Patel MR, Alpert JS, Fitzgerald D, Heidenreich P, Martin ET, Messer JV, Miller AB, Picard MH, Raggi P, Reed KD, Rumsfeld JS, Steimle AE, Tonkovic R, Vijayaraghavan K, Weissman NJ, Yeon SB. ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 Appropriateness Criteria for transthoracic and transesophageal echocardiography:  A Report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American Society of Echocardiography, American College of Emergency Physicians, American Society of Nuclear Cardiology, Society of Cardiovascular Computed Tomography,  and the Society for Cardiovascular Magnetic Resonance.  J Am Coll Cardiol 2007;50:187-204.

 

Martin ET, Sandler DA.  Magnetic Resonance Imaging in Patients with Cardiac Devices.  Current Cardiology Reports, 2007;9:63-71.

 

Mikolich JR, Martin ET.  Constrictive Pericarditis Diagnosed by Cardiac Magnetic Resonance Imaging in a Pacemaker Patient, Circulation, 2007;115:e191-93.

 

Hendel RC, Patel MR, Kramer CM, Poon M, Hendel RC, Carr JC, Gerstad NA, Gillam LD, Hodgson JM, Kim RJ, Kramer CM, Lesser JR, Martin ET, Messer JV, Redberg RF, Rubin GD, Rumsfeld JS, Taylor AJ, Weigold WG, Woodard PK, Brindis RG, Hendel RC, Douglas PS, Peterson ED, Wolk MJ, Allen JM, Patel MR.  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, 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, and Society of Interventional Radiology.   J Am Coll Cardiol.  2006 Oct 3;48(7):1475-97.

 

Martin, ET, Can Cardiac Pacemakers and Magnetic Resonance Imaging Systems Co-exist?  Eur Heart J 2005; 26:325-327.

 

Martin ET, Coman JA, [Response to the letter of Sommer, T, Naehle CP, Schild H, Magnetic Resonance Imaging in Patients With Cardiac Pacemakers].  J Am Coll Cardiol

2005; 46:561-562

 

Coman JA, Martin ET, [Response to the letter of Rozner, MA, Burton AW, Kumar A, Pacemaker Complication during Magnetic Resonance Imaging].  J Am Coll Cardiol 2005; 45:161-162

 

Auerbach EG, Martin ET. Magnetic Resonance Imaging of the Peripheral Vasculature.  Am Heart J 2004; 148:75-63.

 

Wolff SD, Schwitter J, Coulden R, Friedrich MG, Bluemke DA, Biederman RW, Martin ET, et al, Myocardial First-Pass Perfusion Magnetic Resonance Imaging: A Multicenter Dose-Ranging Study.  Circulation 2004; 110:732-737.

 

Martin ET, Coman JA, Shellock FG, Pulling CC, Fair R, Jenkins K. Magnetic resonance imaging and cardiac pacemaker safety at 1.5 Tesla.  J Am Coll Cardiol 2004; 43:001-010.

 

Doyle M, Fuisz A, Kortright E, Biederman RWW, Walsh E, Martin ET, et al; The Impact of Myocardial Flow Reserve on the Detection of Coronary Artery Disease by Perfusion Imaging Methods:  An NHLBI WISE Study.  J Cardiovasc Magn Reson 2003; Vol. 5, No. 3, 475-485.

 

Martin ET, Fuisz AR, and Pohost GM. Imaging Cardiac Structure and Pump Function. In: Reichek N, editor. Cardiology Clinics: Cardiac Magnetic Resonance Imaging. Philadelphia: WB Saunders, 1998; 16(2): 135-60.