Italian registry of cardiac magnetic resonance.
OBJECTIVE
Forty sites were involved in this multicenter and multivendor registry, which sought to evaluate indications, spectrum of protocols, impact on clinical decision making and safety profile of cardiac magnetic resonance (CMR).


METHODS
Data were prospectively collected on a 6-month period and included 3376 patients (47.2 ± 19 years; range 1-92 years). Recruited centers were asked to complete a preliminary general report followed by a single form/patient. Referral physicians were not required to exhibit any specific certificate of competency in CMR imaging.


RESULTS
Exams were performed with 1.5T scanners in 96% of cases followed by 3T (3%) and 1T (1%) magnets and contrast was administered in 84% of cases. The majority of cases were performed for the workup of inflammatory heart disease/cardiomyopathies representing overall 55.7% of exams followed by the assessment of myocardial viability and acute infarction (respectively 6.9% and 5.9% of patients). In 49% of cases the final diagnosis provided was considered relevant and with impact on patient's clinical/therapeutic management. Safety evaluation revealed 30 (0.88%) clinical events, most of which due to patient's preexisting conditions. Radiological reporting was recorded in 73% of exams.


CONCLUSIONS
CMR is performed in a large number of centers in Italy with relevant impact on clinical decision making and high safety profile.
Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Italy.
Marco
M
Francone
Dipartimento di Scienze Cliniche Applicate e Biotecnologie, Università di L'Aquila, Italy. Electronic address: ernesto.dicesare@cc.univaq.it.
Ernesto
E
Di Cesare
Cardio-Vascular Imaging Unit, Giovanni XXIII Hospital, Monastier di Treviso, TV, Italy; Erasmus Medical Center University, Rotterdam, The Netherlands.
Filippo
F
Cademartiri
IRCCS Centro Cardiologico Monzino, Italy.
Gianluca
G
Pontone
Policlinico S. Orsola Bologna, Italy.
Luigi
L
Lovato
Azienda ospedaliera G Brotzu Cagliari, Italy.
Gildo
G
Matta
IRCCS Policlinico San Donato, Radiology Unit, Milan, Italy.
Francesco
F
Secchi
Cardio-Vascular Imaging Unit, Giovanni XXIII Hospital, Monastier di Treviso, TV, Italy; Erasmus Medical Center University, Rotterdam, The Netherlands.
Erica
E
Maffei
Azienda Ospedaliera Universitaria Careggi, Italy.
Silvia
S
Pradella
Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Italy.
Iacopo
I
Carbone
Policlinico Gemelli, Università Cattolica Roma, Italy.
Riccardo
R
Marano
Ospedale Galliera, Genova, Italy.
Lorenzo
L
Bacigalupo
Ospedale S. Anna Ferrara, Italy.
Elisabetta
E
Chiodi
Azienda Ospedaliera Universitaria G. Martino, Me, Italy.
Rocco
R
Donato
Ospedale Madre Giuseppina Vannini, Roma, Italy.
Stefano
S
Sbarbati
IRCCS S. Raffaele, Università Vita Salute, Milano, Italy.
Francesco
F
De Cobelli
Fate Bene Fratelli Isola tiberina, Roma, Italy.
Paolo
P
di Renzi
Guido
G
Ligabue
Andrea
A
Mancini
Francesco
F
Palmierir
Gennaro
G
Restaino
Giovanni
G
Puppini
Maurizio
M
Centonze
Wiliam
W
Toscano
Carlo
C
Tessa
Riccardo
R
Faletti
Massimo
M
Conti
Arnaldo
A
Scardapane
Salvatore
S
Galea
Carlo
C
Liguori
Marzio
M
Pagliacci
Domenico
D
Lumia
Marco
M
di Girolamo
Andrea
A
Romagnoli
Alessandro
A
Guarise
Stefano
S
Cirillo
Biagio
B
Gagliardi
Claudia
C
Borghi
Matteo
M
Quarenghi
Franco
F
Contin
Fiorenzo
F
Scaranello
Armando
A
Tartaro
Carlo
C
Marinucci
Lorenzo
L
Monti
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis* / Q000453:epidemiology*; D006801:Humans; D007223:Infant; D007558:Italy / Q000453:epidemiology; D019028:Magnetic Resonance Imaging, Cine / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D015995:Prevalence; D012042:Registries; D014600:Utilization Review; D055815:Young Adult
Acquisition protocols; CAD; CMP; CMR; CMR-registry; Clinical indications; Italian Society of Medical Radiology; Patient's management; SIRM; Safety profile; cardiac magnetic resonance; cardiomyopathy; coronary artery disease