EuroCMR (European Cardiovascular Magnetic Resonance) Registry

OBJECTIVES: During its German pilot phase, the EuroCMR (European Cardiovascular Magnetic Resonance) registry sought to evaluate indications, image quality, safety, and impact on patient management of routine CMR. Background: CMR has a broad range of applications and is increasingly used in clinical practice.

METHODS: This was a multicenter registry with consecutive enrollment of patients in 20 German centers.

RESULTS: A total of 11,040 consecutive patients were enrolled. Eighty-eight percent of patients received gadolinium-based contrast agents. Twenty-one percent underwent adenosine perfusion, and 11% high-dose dobutamine-stress CMR. The most important indications were workup of myocarditis/cardiomyopathies (32%), risk stratification in suspected coronary artery disease/ischemia (31%), as well as assessment of viability (15%). Image quality was good in 90.1%, moderate in 8.1%, and inadequate in 1.8% of cases. Severe complications occurred in 0.05%, and were all associated with stress testing. No patient died during or due to CMR. In nearly two-thirds of patients, CMR findings impacted patient management. Importantly, in 16% of cases the final diagnosis based on CMR was different from the diagnosis before CMR, leading to a complete change in management. In more than 86% of cases, CMR was capable of satisfying all imaging needs so that no further imaging was required.

CONCLUSIONS: CMR is frequently performed in clinical practice in many participating centers. The most important indications are workup of myocarditis/cardiomyopathies, risk stratification in suspected coronary artery disease/ischemia, and assessment of viability. CMR imaging as used in the centers of the pilot registry is a safe procedure, has diagnostic image quality in 98% of cases, and its results have strong impact on patient management. 

PMID: 19682818

Posted in Magnetic Resonance Imaging and tagged , , .

One Comment

  1. This paper presents data on the use MR in 11,040 consecutive patients! And revealed that MRI was able to answer the specific clinical question in over 98% of cases!
    A very interesting piece of information was that in 23% of the enrolled patients, MRI was the first imaging modality ordered. In my guess-timation, this is much higher than what I think my clinical practice is currently at, where patients usually had at least an echocardiogram done. Additionally, study data showed that in 80% of these patients, no further non-invasive imaging was required.

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