International Day of Radiology

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For International Day of Radiology 2018, the theme is cardiology. We focus on radiologists and radiographers in cardiac care, who contribute to the diagnosis, pre-procedural work-up and follow-up of patients with a wide variety of cardiac pathology, from coronary artery disease and leaky heart valves to defects in the size and shape of the heart.


Cardiac MRI webinar

Swamy GedelaThe BIR marks International Day of Radiology with a live webinar recorded on 7 November 2018 by Dr Swamy Gedela. BIR members can watch this recorded webinar here: Cardiac MRI - revolutionising the investigation and management of heart disease.

Dr Gedela is the lead consultant cardio-thoracic radiologist and the cardiac MRI director based at the Essex Cardio-thoracic Centre. He developed and pioneered the creation of the Essex CTC CMR Unit which he also leads providing cardiac MRI for over 6 referring NHS trusts. The service is one of larger UK CMR centres performing in excess of 2000/year and takes part in multinational research trials.
He is at the forefront of developing and utilising the most advanced techniques and protocols in Cardiac CT and MRI Imaging and is often used as an expert second opinion on numerous cases. He is committed and passionate in enhancing and developing the clinical use of cardiac MRI and cardiac CT in the management of patients with Heart Disease. He also provides imaging on interstitial lung disease and lung cancer.


Cardiac Imaging Podcast

Marc Dweck    Alastair Moss

Cardiac Imaging: An interview with Dr Marc Dweck and Dr Alastair Moss

Dr Marc Dweck, British Heart Foundation Senior Lecturer and Consultant Cardiologist, and Dr Alastair Moss, Wellcome Trust Clinical Research Fellow in cardiovascular imaging, both based at the University of Edinburgh talk about ongoing research projects at the University of Edinburgh, their thoughts on the future of cardiac imaging following the SCOT-HEART trial, and their recent BJR Pictorial review 'Cardiac CT in prosthetic aortic valve complications'.



Cardiac CT in prosthetic aortic valve complications 

Image 1 IDORAuthors and affiliation: Jack Patrick Morrell Andrews, Timothy RG Cartlidge, Marc Robert Dweck and Alastair J Moss, Centre for Cardiovascular Science, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK

In this pictorial review, the authors present a series of common prosthetic aortic valve complications imaged with cardiac CT and demonstrate how use of this modality can enhance diagnostic accuracy.


Clinical application and technical considerations of T1 & T2(*) mapping in cardiac, liver, and renal imaging  

Image 2 IDORAuthors and affiliation: Ilona A Dekkers and Hildo J Lamb, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands

This review provides an overview of potential clinical applications of T1 and T2(*) mapping for imaging of cardiac, liver and renal disease. In addition, they provide an overview of important technical considerations necessary for clinical implementation of quantitative parametric imaging, involving data acquisition, data analysis, quality assessment and interpretation.


Pictorial review: non-anatomical cardiovascular gas: causes, appearances and consequences

Image 3 IDORAuthors and affiliation: Sze Mun Mak, Department of Radiology, Guy’s & St Thomas Hospital, London, UK and Deepa Gopalan, Department of Radiology, Imperial College Hospitals, London & Cambridge University Hospital, Cambridge, UK

This pictorial review aims to give an overview of the causes (with particular emphasis on the conditions that may be encountered by a Radiologist), appearances of cardiovascular gas, and any subsequent treatment.


CT angiography prior to TAVI procedure using third-generation scanner with wide volume coverage: feasibility, renal safety and diagnostic accuracy for coronary tree 

Image 4 IDORAuthors: [1] Andrea D Annoni, Daniele Andreini, Gianluca Pontone, Maria Elisabetta Mancini, Alberto Formenti, Saima Mushtaq, Andrea Baggiano, Edoardo Conte, Marco Guglielmo, Giuseppe Muscogiuri, Manuela Muratori, Laura Fusini, Mauro Pepi, Daniela Trabattoni, Giovanni Teruzzi. [2] Ana I Coutinho Santos. [3] Marco Agrifoglio. [4] Marco Agrifoglio.


Affiliations by number:

[1] Department of Cardiovascular Imaging, Centro Cardiologico Monzino, IRCCS, Milan, Italy
[2] Imaging Department, Centro Hospitalar de Lisboa Ocidental, E.P.E, Lisboa, Portugal
[3] Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
[4] Cardiac Surgery Department, Centro Cardiologico Monzino, IRCCS, Milan, Italy

The authors evaluate feasibility, image quality and accuracy of a reduced contrast volume protocol for pre-procedural CT imaging in transcatheter aortic valve implantation using a third generation wide array CT scanner.


Aortic valvular imaging with cardiovascular magnetic resonance: seeking for comprehensiveness

Image 5 IDORAuthors and affiliation: Gianluca De Rubeis, Nicola Galea, Isabella Ceravolo, Gian Marco Dacquino, Iacopo Carbone, Carlo Catalano and   Marco Francone, Department of Radiological, Oncological and Pathological Sciences,"Sapienza” University of Rome, Rome, Italy

Summary: This review encompasses the existing literature regarding the role of CMR in AVD, exploring all the aspects of the disease, from diagnosis to prognosis.


Computed tomography in paediatric heart disease

Image 6 IDORAuthors and affiliation: Kristian H Mortensen and Oliver Tann, Cardiorespiratory Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK

The application of CCT in paediatric congenital and acquired heart disease can be both technically and diagnostically challenging. This review highlights important considerations for current state of the art CCT across the spectrum of heart disease encountered in children.



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