October 29, 2020
Call for Volunteers
Dear SCMR Members,
 
I hope you and your families are all well. Even with the challenges of COVID-19, SCMR committees and staff continue to meet and work as usual to fulfill our shared goals of education, advocacy, networking, research, and clinical excellence. Member volunteers are the lifeblood and driving force for our society. You provide inspirational new ideas and ensure that our activities are grounded in the realities of our members’ practices all over the world. You create fresh engaging educational programs, develop important guideline documents, advance science, and knit us together through communications and global outreach efforts. I encourage you to share your time and talent. By volunteering, you can impact our field, gain new insights from your colleagues, network, and demonstrate your commitment to the specialty. As always, SCMR is steadfastly committed to diverse membership participation: junior through senior, all genders, small and large programs, all specialties, and multinational. SCMR is now making its annual call for committee membership applications. Learn about our committee opportunities here and express your interest by submitting an applicationThroughout the year, members can also join our Sections and Special Interest Groups
 
Thank you to all of our current and past volunteers, and a heartfelt welcome to the newest ones.
 
Sincerely,
 
Andrew J. Powell, MD, FSCMR
Immediate Past President, SCMR
SCMR Committee Update
Call for SCMR Committee Members
SCMR Committee Members play a vital role in the success of SCMR. By joining a committee, you’ll have the opportunity to actively contribute to our organization’s strategic objectives and programs, expand your network of colleagues, and provide insight and expertise.
To be eligible you must be a member in good standing – to renew your dues for 2021, click here.

Terms:
This call for volunteers is for the committee term of February 2021 – February 2024.
Committee terms are three (3) years, and committee members can serve one (1) additional consecutive three (3) year term.
For more information, please refer to Article VIII in the SCMR Bylaws.

Meetings:
✤ Frequency: Each committee meets at minimum twice a year, but some meet as frequently as monthly, every other month or quarterly.
✤ Location: Teleconference / Video Conference 

To express your interest, apply here

**Please apply by November 8 to be considered**
CMR News
Landmark GadaCAD Study Published
Despite a strong body of evidence, use of gadolinium contrast media for stress perfusion CMR to detect CAD was until recently considered off-label by the U.S. Food and Drug Administration (FDA). However, last month, the GadaCAD investigators published their results in JACC, of an international multi-center study evaluating use of gadobutrol in stress perfusion CMR designed to support regulatory approval. GadaCAD included 2 phase III clinical trials, GadaCAD1 and GadaCAD2, enrolling a total of 764 patients with suspected CAD. The study built upon the previous single-center CE-MARC and multicenter MR-IMPACT II trials demonstrating high diagnostic accuracy of stress perfusion CMR for the detection of angiographically significant CAD. CMR had a sensitivity of 79% and specificity of 87% for detecting single-vessel CAD, and a sensitivity of 87% and specificity of 73% for diagnosing multivessel CAD. Many of the “missed” intermediate-QCA lesions may indeed be “true-negative” in their hemodynamic significance rather than “false-negative,” - a fundamental challenge in comparing physiological and anatomical standards. These results exceeded the anticipated standards needed for clinical practice by a wide margin. Further, as expected, gadobutrol was well-tolerated, leading to FDA approval in July 2019 for evaluation of CAD - at a dose of 0.05 mmol/kg for each stress and rest perfusion, and cumulative 0.1 mmol/kg for late gadolinium enhancement, which will provide further standardization and help expand clinical adaptation of stress perfusion CMR in the U.S.
LAST CALL!
Member Success Stories
CMR in South Africa
by Ntobeko Ntusi

Our imaging centre, based at the University of Cape Town (UCT) and Groote Schuur Hospital, commenced with nascent CMR activity in 1995, and for many years was the only centre performing CMR on the African continent. In the last decade, it has been gratifying to witness an exponential rise in MRI machines installed, paralleled with substantial increase in interest and capacity for CMR. Currently, there are 4 academic centres and 24 private practices with variable degrees of CMR activity in South Africa.
 
UCT has played a pioneering role in leading CMR projects and participating in multi-centre CMR studies. We have established a research program that has produced masters and doctoral graduates on CMR-based projects, as well as established a fellowship program for clinical training in CMR. In addition, we regularly run short, practical training courses for radiographers/technicians, and have contributed substantially to building CMR capacity in South Africa, the rest of the Africa continent and the Middle East. For the past 5 years, we have run the only dedicated CMR congress in Africa, which unfortunately had to be cancelled this year due to the global COVID-19 pandemic. The CMR Congress of South Africa has built a strong relationship with the SCMR, and has been a popular destination for SCMR faculty.
 
CMR in South Africa has several challenges: (1) most MRI scanners are located in the private sector, in radiology practices, whereas most patients needing imaging are in the public sector, under the care of cardiologists. The collaboration between cardiology and radiology has not been optimal. Private healthcare is unaffordable for most South Africans; (2) There is no accredited fellowship program, hence there is variable experience and expertise in different centres. Some individuals have attained level III accreditation and many have attended training for only a few weeks; (3) many cardiologists who have practiced for many years without CMR still prefer other modalities for cardiovascular imaging and referral rates remain low.
Send us Your Success Stories!
SCMR would like to hear about your own local success stories – small, big or massive! Examples include a new service, clinical developments or research success.

Please submit some brief initial details and we will contact you for further information if there is scope to include in the monthly newsletter.
SCMR Education Corner
The SCMR "How I Do" CMR Series
The SCMR "HOW I DO" CMR Series is a members only educational series demonstrating how specific CMR scans are performed.* The series is coordinated and developed by the SCMR Clinical Practice Committee.

Find the newest presentations below:
This presentation covers:
  • When to perform the myocarditis protocol
  • Diagnostic targets
  • Updated Lake Louise Criteria (2018)
  • Image analysis
  • Reporting
  • Integration of results into clinical decisions
This presentation covers:
  • Algorithm for the Integration of Parameters of AR Severity
  • Cardiac MR Provides Comprehensive Assessment for Valvular Regurgitation
  • CMR Assessment of AR: Pulse Sequences
  • Determining Mechanism of Aortic Regurgitation (AR)
  • Quantitating AR Severity
  • Determining Consequence of AR
  • Magnetic Resonance Angiography
  • When is CMR Indicated in Aortic Regurgitation?
JCMR Journal Club
with moderator Matthias Stuber

Wed., November 11 @ 11:00 am ET

Article to be discussed:

Craven, Simonetti

SCMR Endorsed Meetings
November 17-19, 2020
Kings College, London, UK
Online Course- MS Teams

The online course covers the basic principles of CMR, its clinical indications and role in a multi-modality imaging environment. Delegates will learn in lectures and interactive sessions, at the end of the course they will have a solid understanding of when to refer a patient for Cardiovascular MRI and how to interpret CMR images and reporting. This established 3-day course has been running for 10 years at King's, with an exceptional faculty of internationally renowned experts in the field of cardiac MRI. Find more information here.
November 25 - December 11, 2020
Mexico City, Mexico
100% Online

This online course will develop skills, increase the knowledge of attendees in various areas of related to imaging and technology in Cardiology and promote interaction between the various branches of cardiology to exchange and enrich knowledge and experiences. Find more information here.



If you'd like your meeting to be endorsed by SCMR, click here for details.
SCMR Case of the Week

We report a case of suspected hypertrophic cardiomyopathy (HCM) with a rare diagnosis that was uncovered using cardiac MRI. A 75-year-old man, with a family history positive for hypertrophic cardiomyopathy (HCM). His transthoracic echo revealed asymmetrical myocardial thickening without outflow obstruction or papillary muscles hypertrophy, mild to moderate mitral regurgitation, and normal sized right and left ventricles. Cardiac MRI was requested for further assessment of HCM, hemodynamics and tissue characterisation.

#WhyCMR | Social Media
September 22 to October 21, 2020
#WhyCMR Activity
by Omar Khalique
Each month our social media committee correspondents update us on the latest #WhyCMR activity stats, most popular tweets or threads. Join the conversation and use the #WhyCMR in your social media posts!
Just for Fun
CMR Picture Puzzle
What well known MRI pulse sequence is illustrated below?
Answer available next month.
Last month's CMR Picture Puzzle answer:

Chemical Shift Artifact
JCMR Articles
CMR Literature Search
Please use this link for a filtered PubMed list of all CMR-related manuscripts for October 2020 – more than 200 in total!