Society for Cardiovascular Magnetic Resonance (SCMR) recommended CMR protocols for scanning patients with active or conv
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(2020) 22:61
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Society for Cardiovascular Magnetic Resonance (SCMR) recommended CMR protocols for scanning patients with active or convalescent phase COVID-19 infection Sebastian Kelle1,2* , Chiara Bucciarelli-Ducci3, Robert M. Judd4, Raymond Y. Kwong5, Orlando Simonetti6, Sven Plein7, Francesca Raimondi8, Jonathan W. Weinsaft9, Timothy C. Wong10 and James Carr11
Abstract The aim of this document is to provide specific recommendations on the use of cardiovascular magnetic resonance (CMR) protocols in the era of the COVID-19 pandemic. In patients without COVID-19, standard CMR protocols should be used based on clinical indication as usual. Protocols used in patients who have known / suspected active COVID-19 or post COVID-19 should be performed based on the specific clinical question with an emphasis on cardiac function and myocardial tissue characterization. Short and dedicated protocols are recommended. Keywords: Recommendations, CMR, COVID-19, Protocol, Indication, SCMR, SARS-CoV-2, Cardiac MRI, Pandemic, Heart
Purpose Society for Cardiovascular Magnetic Resonance (SCMR) guidance for the practice of cardiovascular magnetic resonance (CMR) during the COVID-19 pandemic have recently been published [1]. The aim of this document is to provide more specific recommendations on the CMR protocols for scanning patients with known or suspected severe acute respiratory syndrome coronavirus 2 (SARSCoV-19) infection or those recovering from the disease. These recommendations are not meant to be restrictive but rather to serve as a general framework. They also serve as the basis for registries and clinical studies in patients with SARS-CoV-2 infection, to ensure consistency * Correspondence: [email protected] This article is a recommendation of the Society for Cardiovascular Magnetic Resonance (SCMR). Peer review of this article has been carried out within the society. 1 DZHK (German Centre for Cardiovascular Research), Berlin, Germany 2 German Heart Institute Berlin and Charité University Medicine Berlin, Augustenburger Platz 1, 13353 Berlin, Germany Full list of author information is available at the end of the article
between local, national and international efforts. All recommendations will be updated continuously and provided online in the SCMR’s coronavirus disease 2019 (COVID-19) Preparedness Toolkit https://scmr.org/ page/COVID19.
Common CMR-indications in patients with COVID-19 The effects of COVID-19 on cardiac structure, function, and tissue properties are largely uncertain. First reports are indicating potential myocardial injury or involvement in the acute phase of COVID-19 and post infection [2–9]. CMR is the non-invasive imaging method of choice for structural and functional evaluation of the heart and has unique tissue characterization abilities and will therefore play a key role in many patients recovering from COVID19 and cardiac involvement [10–12]. Adults and children appear to have different presentations with some reports of children being affected by a hyperinflammatory syndr
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