University of KentuckyGill Heart Institute – Cardiovascular MRI Team

Lexington, KY, USA

About

• Dimmi Jackson, Nurse, 2013-2016• Simon Ratliff, Technologist, 2009-2010• Emily Whittaker, Technologist, 2009-2012

We have been performing CMR since 2009, including routine stress testing. We have also expanded our clinical service to patients with pacemaker/ICDs, complex congenital heart disease. Our research has been focusing on non-contrast enhancement assessment of fibrosis, and methods to improve diagnostic CMR imaging with existing sequences. Aside from the 1.5T and 3.0T clinical scanners, we also have a 3.0T and a 7.0T (Bruker Clinscan) research MRI scanners with cardiac applications.

• Jan 13, 2009 – First CMR performed at the Gill Heart Institute• July 29, 2009 – First stress CMR performed (in the state of Kentucky)• June, 2012 – Installation of Siemens MAGNETOM Aera 1.5T Scanner• July 1, 2012 – First advanced imaging fellow• June 19, 2014 – First pacemaker/ICD patient undergoing CMR (in the state of Kentucky)• Aug 25, 2015 – First pacemaker/ICD patient undergoing Stress CMR• 600+ CMRs a year with a fifth being Stress CMRs

Team Members

Physicists

Peter Hardy2009-Current

David Powell2016-Current

Nurses

Technologists

• Becky Baker 2015-Current• Mary Fudge 2015-Current• Becky Meyers 2013-Current• Gibb Mills 2017-Current

• Becca Egli 2014-Current• John Green 2009-Current• Joseph Jenkins 2012-Current

Former Team Members

PhD Students

Tori Stromp2014-2016

Wissam Hameed2016-Current

Kunal Bodiwala2012-2013

(Advocate HeartNormal, IL)

Vrinda Sardana2013-2014

(Kentucky OneLouisville, KY)

Michael Mikolaj2014-2016

(University of TNChattanooga, TN)

Arash Seratnahaei2014-2016

(King’s DaughtersAshland, KY)

Ashley Nickerson2015-2016

(Magnolia CardiologyCorinth, MS)

Vedant Gupta2016-2017

(University of KYStarting 7/2017)

Advanced Cardiovascular Imaging Fellows (Post-Grad Job)

• Global CMR Registry• T1MES Phantom Project• PRESERVE-AMI• ALLSTAR• Heart failure/Anti-fibrosis Study

CMR Projects

• Leung – Web, Educational• Sorrell – Web, COTW Reviewer

SCMR Committee Members

Members of the Advanced Cardiovascular Imaging team has had diverse training background

Vision of CMR in 20 Years• CMR will be head-to-head against echo as the primary cardiovascular imaging modality

due to shorter imaging time, providing more information, and not being limited by arrhythmia, breath holds, metallic implants, or renal insufficiency.

• CMR will outperform MPI-SPECT as the major stresstesting modality.

Sample References1. Leung SW, Elayi CS, Charnigo RJ Jr, Syed MA. Clinical significance of

right ventricular dysfunction in left ventricular non-compaction cardiomyopathy. Int J Cardiovasc Imaging. 2012 Jun;28(5):1123-31.

1. Stromp TA, Leung SW, Andres KN, Jing L, Fornwalt BK, Charnigo RJ, Sorrell VL, Vandsburger MH. Gadolinium free cardiovascular magnetic resonance with 2-point Cine balanced steady state free precession. J Cardiovasc Magn Reson. 2015 Oct 29;17:90.

1. Hamlet SM, Haggerty CM, Suever JD, Wehner GJ, Grabau JD, Andres KN, Vandsburger MH, Powell DK, Sorrell VL, Fornwalt BK. An interactive videogame designed to improve respiratory navigator efficiency in children undergoing cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 2016 Sep 6;18(1):54

Stromp et al. JCMR 2015

Visiting Fellows

Ahmed AsfourCairo, Egypt2013-2014

Miloslav ŠpačekPrague, Czech

2015

Current Cardiologists (Imaging Fellowship), Year Joined ACI at University of Kentucky1. Vincent L. Sorrell (Royal Brompton), CV Imaging Chief for the CV Service Line, 20122. Steve W. Leung (NIH), Director of Cardiac MRI, 20123. Vidya Nadig (Emory), 2014

Current Radiologists (Imaging Fellowship), Year Joined ACI at University of Kentucky4. Michael A. Brooks (Wake Forest), Division Chief of CV and Thoracic Imaging, 20095. Stephen B. Hobbs (U of Colorado, National Jewish) 20126. Conor M. Lowry (NYU) 20157. Michael A. Winkler (UCLA) 20098. Marianna Zagurovskaya (VCU) 2014

Former Physicians1. Anil Attili (U of Mich, German Heart Center, Guys and St. Thomas London UK), 2009-20132. Mushabbar A. Syed (NIH), 2009-2010

Former Scientists/Physicists3. Brandon K. Fornwalt (Georgia Tech, Boston Children’s Hospital), 2011-20144. Moriel H. Vandsburger (UVA, Weizmann Institute of Science Israel), 2013-2016

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SCMR 2015 Case PresentationPseudoaneurysm, Aneurysm, VSD, Thrombus

COTW 13-14Times They Are A Changin’(SCMR 2014 Presentation) COTW 15-04

Metastatic renal cell carcinomapresenting as ST-segment elevation

myocardial infarction(SCMR 2016 Presentation)

COTW 16-07Uhl's Anomaly

You'll recognize it when you see it. (SCMR 2017 Presentation)

Collaborators• Ahmed Abdel Latif – UK, Interventional Cardiology• Khaled M. Ziada – UK, Interventional Cardiology• Ryan E. Temel – UK, Pharm & Nutritional Science• Peng Hu – UCLA (Wideband IR)• Walter R. Witschey – UPenn (T1 Rho)• Siemens – WIP sequences evaluation

Hamlet SM et al. JCMR 2016

Sample Cases Selected for Presentation at SCMR Meetings