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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.

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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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Related in: MedlinePlus

Skewed distribution of CMR scans. Skewed distribution of CMR scans and training per centre within the United Kingdom in 2010.
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Figure 2: Skewed distribution of CMR scans. Skewed distribution of CMR scans and training per centre within the United Kingdom in 2010.

Mentions: There was marked geographical variation in the number of centres with CMR and also in the number of scans performed at each of these centre (Figure 2). In 2010, twelve high volume centres (> 1000 scans annually) performed 66% of UK scans, with just six very high volume centres (> 1500 scans annually) performing 46% of scans (Figure 2). The greatest concentration of high volume CMR centres was in the South East of England. In 2010, 22 centres performed less than 300 scans.


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)

Skewed distribution of CMR scans. Skewed distribution of CMR scans and training per centre within the United Kingdom in 2010.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Skewed distribution of CMR scans. Skewed distribution of CMR scans and training per centre within the United Kingdom in 2010.
Mentions: There was marked geographical variation in the number of centres with CMR and also in the number of scans performed at each of these centre (Figure 2). In 2010, twelve high volume centres (> 1000 scans annually) performed 66% of UK scans, with just six very high volume centres (> 1500 scans annually) performing 46% of scans (Figure 2). The greatest concentration of high volume CMR centres was in the South East of England. In 2010, 22 centres performed less than 300 scans.

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