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Cardiovascular magnetic resonance activity in the United Kingdom: a survey on behalf of the British Society of Cardiovascular Magnetic Resonance.

Antony R, Daghem M, McCann GP, Daghem S, Moon J, Pennell DJ, Neubauer S, Dargie HJ, Berry C, Payne J, Petrie MC, Hawkins NM - J Cardiovasc Magn Reson (2011)

Bottom Line: Just over half of centres had a formal training programme, and few performed regular audit.The number of CMR scans performed in the UK has increased dramatically in just two years.Trainees are mainly located in large volume centres and enrolled in cardiology as opposed to radiology training programmes.

View Article: PubMed Central - HTML - PubMed

Affiliation: Scottish National Advanced Heart Failure Service, Golden Jubilee Hospital, Agamemnon Street, Glasgow, G81 4DY, UK.

ABSTRACT

Background: The indications, complexity and capabilities of cardiovascular magnetic resonance (CMR) have rapidly expanded. Whether actual service provision and training have developed in parallel is unknown.

Methods: We undertook a systematic telephone and postal survey of all public hospitals on behalf of the British Society of Cardiovascular Magnetic Resonance to identify all CMR providers within the United Kingdom.

Results: Of the 60 CMR centres identified, 88% responded to a detailed questionnaire. Services are led by cardiologists and radiologists in equal proportion, though the majority of current trainees are cardiologists. The mean number of CMR scans performed annually per centre increased by 44% over two years. This trend was consistent across centres of different scanning volumes. The commonest indication for CMR was assessment of heart failure and cardiomyopathy (39%), followed by coronary artery disease and congenital heart disease. There was striking geographical variation in CMR availability, numbers of scans performed, and distribution of trainees. Centres without on site scanning capability refer very few patients for CMR. Just over half of centres had a formal training programme, and few performed regular audit.

Conclusion: The number of CMR scans performed in the UK has increased dramatically in just two years. Trainees are mainly located in large volume centres and enrolled in cardiology as opposed to radiology training programmes.

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Annual increase in mean number of scans. Annual increase in mean number of scans performed among different volume centres.
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Figure 1: Annual increase in mean number of scans. Annual increase in mean number of scans performed among different volume centres.

Mentions: The total annual number of scans increased from 20597 in 2008, to 31018 in 2009, to 38485 in 2010. The median number of scans performed annually in each centre rose from 240 (IQR 100-730) in 2008, to 300 (IQR 100-1000) in 2009 and again to 332 (IQR 140-1200) in 2010. The mean number likewise increased, from 557 (SD 786) in 2008, to 674 (SD 835) in 2009 and again to 802 (SD 1007) in 2010. This trend was consistent across centres of different scanning volumes (Figure 1). Respectively, in centres performing 1-100, 101-500, 501-1000, 1001-1500, and > 1500 scans annually, the mean numbers of scans per centre increased by 73%, 49%, 72%, 27%, and 63%.


Cardiovascular magnetic resonance activity in the United Kingdom: a survey on behalf of the British Society of Cardiovascular Magnetic Resonance.

Antony R, Daghem M, McCann GP, Daghem S, Moon J, Pennell DJ, Neubauer S, Dargie HJ, Berry C, Payne J, Petrie MC, Hawkins NM - J Cardiovasc Magn Reson (2011)

Annual increase in mean number of scans. Annual increase in mean number of scans performed among different volume centres.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3198880&req=5

Figure 1: Annual increase in mean number of scans. Annual increase in mean number of scans performed among different volume centres.
Mentions: The total annual number of scans increased from 20597 in 2008, to 31018 in 2009, to 38485 in 2010. The median number of scans performed annually in each centre rose from 240 (IQR 100-730) in 2008, to 300 (IQR 100-1000) in 2009 and again to 332 (IQR 140-1200) in 2010. The mean number likewise increased, from 557 (SD 786) in 2008, to 674 (SD 835) in 2009 and again to 802 (SD 1007) in 2010. This trend was consistent across centres of different scanning volumes (Figure 1). Respectively, in centres performing 1-100, 101-500, 501-1000, 1001-1500, and > 1500 scans annually, the mean numbers of scans per centre increased by 73%, 49%, 72%, 27%, and 63%.

Bottom Line: Just over half of centres had a formal training programme, and few performed regular audit.The number of CMR scans performed in the UK has increased dramatically in just two years.Trainees are mainly located in large volume centres and enrolled in cardiology as opposed to radiology training programmes.

View Article: PubMed Central - HTML - PubMed

Affiliation: Scottish National Advanced Heart Failure Service, Golden Jubilee Hospital, Agamemnon Street, Glasgow, G81 4DY, UK.

ABSTRACT

Background: The indications, complexity and capabilities of cardiovascular magnetic resonance (CMR) have rapidly expanded. Whether actual service provision and training have developed in parallel is unknown.

Methods: We undertook a systematic telephone and postal survey of all public hospitals on behalf of the British Society of Cardiovascular Magnetic Resonance to identify all CMR providers within the United Kingdom.

Results: Of the 60 CMR centres identified, 88% responded to a detailed questionnaire. Services are led by cardiologists and radiologists in equal proportion, though the majority of current trainees are cardiologists. The mean number of CMR scans performed annually per centre increased by 44% over two years. This trend was consistent across centres of different scanning volumes. The commonest indication for CMR was assessment of heart failure and cardiomyopathy (39%), followed by coronary artery disease and congenital heart disease. There was striking geographical variation in CMR availability, numbers of scans performed, and distribution of trainees. Centres without on site scanning capability refer very few patients for CMR. Just over half of centres had a formal training programme, and few performed regular audit.

Conclusion: The number of CMR scans performed in the UK has increased dramatically in just two years. Trainees are mainly located in large volume centres and enrolled in cardiology as opposed to radiology training programmes.

Show MeSH
Related in: MedlinePlus