For a study, it was determined to quantify the influence of a faster and simplified cardiac magnetic resonance (CMR) protocol integrated into care and supported by a partner education program on the treatment of cardiomyopathy (CMP) in low- and middle-income nations. In 11 locations, 7 cities, 5 countries, and 3 continents linked to local professional training courses, rapid CMR mainly focused on CMP. To assess the outcomes, patients were followed up for 24 months. The success of subsequent adoption was observed. In addition, there were 5 CMR conferences held (920 attendees—potential referrers, radiographers, reporting cardiologists, or radiologists) and 5 new centers. Cardiovascular magnetic resonance indications were reported in 24% of non-contrast T2* scans [myocardial iron overload (MIO)] and 72% of presumed/known cardiomyopathies, including ischaemic and viable myocardial infarction. Hence, 98% of the research was of diagnostic value. The average scan duration was somewhere between 22 and 6 minutes (contrast) and somewhere between 12 and 4 minutes (non-contrast), resulting in a potential cost/throughput reduction of 30% to 60%. Furthermore, 62% of cardiovascular magnetic resonance findings influenced treatment, with a new diagnosis in 22% and MIO confirmed in 30% of non-contrast scans. LCR’s 30-minute slot system was used in 11 centers, which have been using it for 2 years (typically 1–2 days a week, 30-minute slots). In low-income countries, rapid diagnostic quality may be supplied using existing technology. As a result, costs were reduced, care was enhanced, and services might have been sustained over time when provided in conjunction with training.

 

Link:academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehac035/6525634?searchresult=1