Review

. 2020 Aug 10;22(1):58.

doi: 10.1186/s12968-020-00654-8.

Society for Cardiovascular Magnetic Resonance (SCMR) guidance for re-activation of cardiovascular magnetic resonance practice after peak phase of the COVID-19 pandemic

Bradley D Allen¹, Timothy C Wong², Chiara Bucciarelli-Ducci³, Jennifer Bryant⁴, Tiffany Chen⁵, Erica Dall'Armellina⁶, J Paul Finn⁷, Marianna Fontana⁸, Marco Francone⁹, Yuchi Han¹⁰, Allison G Hays¹¹, Ron Jacob¹², Chris Lawton³, Warren J Manning¹³, Karen Ordovas¹⁴, Purvi Parwani¹⁵, Sven Plein⁶, Andrew J Powell^{16

17}, Subha V Raman¹⁸, Michael Salerno¹⁹, James C Carr²⁰

Affiliations

¹ Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. bdallen@northwestern.edu.
² Department of Medicine (Cardiology), University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
³ Bristol Heart Institute, Bristol NIHR Biomedical Research Centre, University Hospitals Bristol and University of Bristol, Bristol, UK.
⁴ National Heart Research Institute Singapore, National Heart Center Singapore, 5 Hospital Drive, Singapore, Singapore.
⁵ Cardiovascular Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
⁶ Leeds Institute of Cardiovascular and Metabolic Medicine, Department of Biomedical Imaging Sciences, University of Leeds, Leeds, UK.
⁷ Departments of Radiology and Medicine, UCLA, Los Angeles, California, USA.
⁸ Division of Medicine, University College London, London, UK.
⁹ Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy.
¹⁰ Departments of Medicine (Cardiovascular Division) and Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
¹¹ Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
¹² The Heart and Vascular Institute, Lancaster General Health/PENN Medicine, Lancaster, PA, USA.
¹³ Departments of Medicine (Cardiovascular Division) and Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
¹⁴ Departments of Radiology and Medicine, University of California, San Francisco, San Francisco, California, USA.
¹⁵ Department of Medicine (Cardiology), Loma Linda University, Loma Linda, California, USA.
¹⁶ Department of Cardiology, Boston Children's Hospital, Boston, MA, USA.
¹⁷ Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
¹⁸ Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
¹⁹ Departments of Medicine, Radiology, and Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
²⁰ Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

PMID: 32772930
PMCID: PMC7415346
DOI: 10.1186/s12968-020-00654-8

Review

Society for Cardiovascular Magnetic Resonance (SCMR) guidance for re-activation of cardiovascular magnetic resonance practice after peak phase of the COVID-19 pandemic

Bradley D Allen et al. J Cardiovasc Magn Reson. 2020.

. 2020 Aug 10;22(1):58.

doi: 10.1186/s12968-020-00654-8.

Authors

Affiliations

¹ Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. bdallen@northwestern.edu.
² Department of Medicine (Cardiology), University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
³ Bristol Heart Institute, Bristol NIHR Biomedical Research Centre, University Hospitals Bristol and University of Bristol, Bristol, UK.
⁴ National Heart Research Institute Singapore, National Heart Center Singapore, 5 Hospital Drive, Singapore, Singapore.
⁵ Cardiovascular Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
⁶ Leeds Institute of Cardiovascular and Metabolic Medicine, Department of Biomedical Imaging Sciences, University of Leeds, Leeds, UK.
⁷ Departments of Radiology and Medicine, UCLA, Los Angeles, California, USA.
⁸ Division of Medicine, University College London, London, UK.
⁹ Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy.
¹⁰ Departments of Medicine (Cardiovascular Division) and Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
¹¹ Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
¹² The Heart and Vascular Institute, Lancaster General Health/PENN Medicine, Lancaster, PA, USA.
¹³ Departments of Medicine (Cardiovascular Division) and Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
¹⁴ Departments of Radiology and Medicine, University of California, San Francisco, San Francisco, California, USA.
¹⁵ Department of Medicine (Cardiology), Loma Linda University, Loma Linda, California, USA.
¹⁶ Department of Cardiology, Boston Children's Hospital, Boston, MA, USA.
¹⁷ Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
¹⁸ Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
¹⁹ Departments of Medicine, Radiology, and Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
²⁰ Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

PMID: 32772930
PMCID: PMC7415346
DOI: 10.1186/s12968-020-00654-8

Abstract

During the peak phase of the COVID-19 pandemic, alterations of standard operating procedures were necessary for health systems to protect patients and healthcare workers and ensure access to vital hospital resources. As the peak phase passes, re-activation plans are required to safely manage increasing clinical volumes. In the context of cardiovascular magnetic resonance (CMR), re-activation objectives include continued performance of urgent CMR studies and resumption of CMR in patients with semi-urgent and elective indications in an environment that is safe for both patients and health care workers.

Keywords: COVID-19; Cardiovascular magnetic resonance; Safety; Workflow.

PubMed Disclaimer

Conflict of interest statement

N/A.

Figures

**Fig. 1**
Example cardiovascular magnetic resonance (CMR) images of a patient with COVID-19 infection and acute myocarditis. Short axis cine of the basal infero-lateral wall (a), corresponding T2-map (b) demonstrating elevation of T2 indicating presence of edema (black arrow) and phase sensitive inversion recovery (PSIR) late gadolinium enhancement (LGE) (c) showing sub-epicardial enhancement (arrow)

**Fig. 2**
Key considerations for successful CMR COVID-19 re-activation. The CMR demand from referring services and the availability of resources (scanners,personal protective equipment (PPE), staff) must be aligned. A multidisciplinary, risk-benefit approach is required to select patients, indications, and protocols appropriately. The entire imaging pipeline including check-in, waiting, changing, and imaging must be safe and adhere to guidelines related to screening, physical distancing, masks, and cleaning. Finally, in order to be effective, CMR must result in diagnostic images with comprehensive interpretation

**Fig. 3**
Overview of CMR reactivation COVID-19 screening protocol

See this image and copyright information in PMC

References

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1. Center JHCR. Coronavirus COVID-19 global cases by Center for Systems Science ad Engineering (CSSE) at Johns Hopkins University 2020 [Available from: https://coronavirus.jhu.edu/map.html. Accessed 5 Jul 2020.
1. Emanuel EJ, Persad G, Upshur R, et al. Fair Allocation of Scarce Medical Resources in the Time of Covid-19. N Engl J Med. 2020;382(21):2049-55. 10.1056/NEJMsb2005114. - PubMed
1. CMS Adult Elective Surgery and Procedures Recommendations: Limit all non-essential planned surgery and procedures, including dental, until further notice. [Available from: https://www.cms.gov/files/document/covid-elective-surgery-recommendation.... Accessed 11 May 2020..

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Society for Cardiovascular Magnetic Resonance (SCMR) guidance for re-activation of cardiovascular magnetic resonance practice after peak phase of the COVID-19 pandemic

Affiliations

Society for Cardiovascular Magnetic Resonance (SCMR) guidance for re-activation of cardiovascular magnetic resonance practice after peak phase of the COVID-19 pandemic

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Research Materials