Challenges and opportunities for early career medical professionals in cardiovascular magnetic resonance (CMR) imaging: a white paper from the Society for Cardiovascular Magnetic Resonance

Journal of Cardiovascular Magnetic Resonance - Tập 25 - Trang 1-10 - 2023
Purvi Parwani1, Tiffany Chen2, Bradley Allen3, Kimberly Kallianos4, Ming-Yen Ng5,6, Rebecca Kozor7, Olukayode O. Aremu8,9, Kanwal M. Farooqi10, Aurelio Secinaro11, Fabrizio Ricci12,13, Sarah Moharem-Elgamal14,15, Gabriela Liberato16,17, Akhil Narang18, Vineeta Ojha19, Chiara Bucciarelli Ducci20, Sven Plein21, Karen G. Ordovas22
1Division of Cardiology, Department of Medicine, Loma Linda University Health, Loma Linda, USA
2Department of Clinical Medicine, Division of Cardiovascular Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA
3Department of Radiology, Northwestern University, Chicago, USA
4Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, USA
5Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong Special Administrative Region, China
6Department of Medical Imaging, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China
7Cardiology Department, Royal North Shore Hospital and Faculty of Medicine and Health, University of Sydney, Sydney, Australia
8Division of Cardiology, Department of Medicine, University of Cape Town, Cape Town, South Africa
9Hatter Institute for Cardiovascular Research in Africa, Department of Medicine, University of Cape Town, Cape Town, South Africa
10Department of Pediatrics, Division of Cardiology, Columbia University Medical Center, New York, USA
11Advanced Cardiovascular Imaging Unit – Department of Imaging, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
12Institute of Advanced Biomedical Technologies, Department of Neuroscience, Imaging and Clinical Sciences, “G.d'Annunzio” University, Chieti, Italy
13Clinical Research Center, Department of Clinical Sciences, Lund University, Malmö, Sweden
14Cardiology Department, Liverpool Heart and Chest Hospital, Liverpool, UK
15Cardiology Department, National Heart Institute, Giza, Egypt
16Diagnostic Imaging Department, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil
17Department of Radiology, Sirio Libanês Hospital, São Paulo, Brazil
18Northwestern University Feinberg School of Medicine, Chicago, USA
19Department of Radiology, Mahajan Imaging, Pushpawati Singhania Research Institute (PSRI), New Delhi, India
20Department of Cardiology, Royal Brompton and Harefield Hospitals, London, UK
21Department of Biomedical Imaging Science, University of Leeds and Kings College London, London, UK
22Department of Radiology, University of Washington, Seattle, USA

Tóm tắt

The early career professionals in the field of Cardiovascular Magnetic Resonance (CMR) face unique challenges and hurdles while establishing their careers in the field. The Society for Cardiovascular Magnetic Resonance (SCMR) has expanded the role of the early career section within the society to foster the careers of future CMR leaders. This paper aims to describe the obstacles and available opportunities for the early career CMR professionals worldwide. Societal opportunities and actions targeted at the professional advancement of the early career CMR imagers are needed to ensure continuous growth of CMR as an imaging modality globally.

Tài liệu tham khảo

Tong CW, Madhur MS, Rzeszut AK, et al. Status of early-career academic cardiology: a global perspective. J Am Coll Cardiol. 2017;70(18):2290–303. https://doi.org/10.1016/j.jacc.2017.09.030. Hegde VA, Biederman RW, Mikolich JR. Cardiovascular magnetic resonance imaging-incremental value in a series of 361 patients demonstrating cost savings and clinical benefits: an outcome-based study. Clin Med Insights Cardiol. 2017;19(11):1179546817710026. https://doi.org/10.1177/1179546817710026. Kaushal N, Wijeysundera HC, Connelly KA, Roifman I. Appropriate utilization of cardiac magnetic resonance for the assessment of heart failure and potential associated cost savings. J Magn Reson Imaging. 2019;49(7):e132–8. https://doi.org/10.1002/jmri.26015. Moschetti K, Muzzarelli S, Pinget C, et al. Cost evaluation of cardiovascular magnetic resonance versus coronary angiography for the diagnostic work-up of coronary artery disease: application of the European Cardiovascular Magnetic Resonance registry data to the German, United Kingdom, Swiss, and United States health care systems. J Cardiovasc Magn Reson. 2012;14(1):35. https://doi.org/10.1186/1532-429X-14-35. Kramer CM, Barkhausen J, Bucciarelli-Ducci C, Flamm SD, Kim RJ, Nagel E. Standardized cardiovascular magnetic resonance imaging (CMR) protocols: 2020 update. J Cardiovasc Magn Reson. 2020;22(1):17. https://doi.org/10.1186/s12968-020-00607-1. Braga JR, Leong-Poi H, Rac VE, Austin PC, Ross HJ, Lee DS. Trends in the use of cardiac imaging for patients with heart failure in Canada. JAMA Netw Open. 2019;2(8): e198766. https://doi.org/10.1001/jamanetworkopen.2019. Doherty JU, Kort S, Mehran R, et al. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and the Society of Thoracic Surgeons. J Am Coll Cardiol. 2019;73(4):488–516. https://doi.org/10.1016/j.jacc.2018.10.038. White RD, Patel MR, Abbara S, et al. 2013 ACCF/ACR/ASE/ASNC/SCCT/SCMR appropriate utilization of cardiovascular imaging in heart failure: an executive summary: a joint report of the ACR Appropriateness Criteria ® Committee and the ACCF Appropriate Use Criteria Task Force. J Am Coll Radiol. 2013;10(7):493–500. https://doi.org/10.1016/j.jacr.2013.05.002. Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: a Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2021;144(22):e368–454. https://doi.org/10.1161/CIR.0000000000001029. Narula J, Chandrashekhar YS, Dilsizian V, et al. COCATS 4 task force 4: training in multimodality imaging. J Am Coll Cardiol. 2015;65(17):1778–85. https://doi.org/10.1016/j.jacc.2015.03.024. Parwani P, Lopez-Mattei J, Choi AD. Building bridges in cardiology and radiology: why collaboration is the future of cardiovascular imaging. J Am Coll Cardiol. 2018;72(20):2534–8. https://doi.org/10.1016/j.jacc.2018.10.004. Narang A, Sinha SS, Rajagopalan B, et al. The supply and demand of the cardiovascular workforce: striking the right balance. J Am Coll Cardiol. 2016;68(15):1680–9. https://doi.org/10.1016/j.jacc.2016.06.070. Spilberg G, Scholtz JE, Hoffman U, et al. Availability and location of cardiac CT and MR services in Massachusetts. J Am Coll Radiol. 2018;15(4):618–21. https://doi.org/10.1016/j.jacr.2017.11.030. Rosenkrantz AB, Wang W, Hughes DR, Duszak R Jr. Generalist versus Subspecialist Characteristics of the U.S. Radiologist Workforce. Radiology. 2018;286(3):929–37. https://doi.org/10.1148/radiol.2017171684. Budoff MJ, Cohen MC, Garcia MJ, et al; American College of Cardiology Foundation; American Heart Association; American College of Physicians Task Force on Clinical Competence; American Society of Echocardiography; American Society of Nuclear Cardiology; Society of Atherosclerosis Imaging; Society for Cardiovascular Angiography & Interventions; Society of Cardiovascular Computed Tomography. ACCF/AHA clinical competence statement on cardiac imaging with computed tomography and magnetic resonance. Circulation. 2005;112(4):598–617. https://doi.org/10.1161/CIRCULATIONAHA.105.168237. Advanced Imaging Training Program Database. American College of Cardiology. Accessed October 18, 2020. https://www.acc.org/membership/sections-and-councils/imaging-section/training-resources. Weissman G, Damp JB, Ferrari V, et al. The State of Cardiovascular Imaging Training: results of the Imaging Program Directors Survey. J Am Coll Cardiol. 2020;75(11 Supplement 1):3571. https://doi.org/10.1016/S0735-1097(20)34198-X. Kim RJ, Simonetti OP, Westwood M, et al. Guidelines for training in cardiovascular magnetic resonance (CMR). J Cardiovasc Magn Reson. 2018;20(1):57. https://doi.org/10.1186/s12968-018-0481-8. Abstract 13092: Cardiac MRI Practice: An Analysis of 2012 and 2013 Medicare Provider Utilization and Payment Data | Circulation. Accessed October 18, 2020. https://doi.org/10.1161/circ.132.suppl_3.13092. Weissman G, Damp J, Sivaram CA. Employment status after training in advanced CV imaging. JACC Cardiovasc Imaging. 2017;10(9):1080–1. https://doi.org/10.1016/j.jcmg.2016.09.017. Farmakis SG, Hardy AK, Thomas KB, Lampl BS, McDaniel JD, Bowling RH. Changes in factors influencing fellowship choices among radiology residents from 2008 to 2018 and methods that may increase interest in the pediatric radiology subspecialty. Pediatr Radiol. 2019;49(9):1132–41. https://doi.org/10.1007/s00247-019-04430-4. https://www.acr.org/-/media/ACR/Files/Practice-Parameters/MR-Perf-Interpret.pdf. Bruder O, Schneider S, Nothnagel D, et al. EuroCMR (European Cardiovascular Magnetic Resonance) registry: results of the German pilot phase. J Am Coll Cardiol. 2009;54(15):1457–66. https://doi.org/10.1016/j.jacc.2009.07.003. Antony R, Daghem M, McCann GP, et al. Cardiovascular magnetic resonance activity in the United Kingdom: a survey on behalf of the British society of cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 2011;13(1):57. https://doi.org/10.1186/1532-429X-13-57. European CMR centres. Accessed October 18, 2020. https://www.escardio.org/Sub-specialty-communities/European-Association-of-Cardiovascular-Imaging-(EACVI)/Membership-and-Communities/European-CMR-centres, https://www.escardio.org/Sub-specialty-communities/European-Association-of-Cardiovascular-Imaging-(EACVI)/Membership-and-Communities/European-CMR-centres. Moharem-Elgamal S, Cameli M, Muraru D, et al. HIT communication paper: strategies and tips to increase your chances of winning an EACVI grant. EHJ Cardiovasc Imaging. 2019;20(7):735–9. https://doi.org/10.1093/ehjci/jez088. Education—The European Society of Cardiovascular Radiology. Accessed October 18, 2020. https://www.escr.org/Education/#scholarship. EACVI Cardiovascular Magnetic Resonance (CMR) Certification. Accessed October 18, 2020. https://www.escardio.org/Education/Career-Development/Certification/Cardiovascular-Magnetic-Resonance, https://www.escardio.org/Education/Career-Development/Certification/Cardiovascular-Magnetic-Resonance. Diploma—The European Society of Cardiovascular Radiology. Accessed October 18, 2020. https://www.escr.org/diploma/. Rademakers F, Lombardi M, Kramer C. CMR in the Multi-Modality Environment: Status and Perspectives. Oxford University Press Accessed October 18, 2020. https://doi.org/10.1093/med/9780198779735.001.0001/med-9780198779735-chapter-59. MR/CT Registry—STARTPAGE. Accessed October 18, 2020. https://www.mrct-registry.org/. Francone M, Cesare ED, Cademartiri F, et al. Italian registry of cardiac magnetic resonance. Eur J Radiol. 2014;83(1):e15–22. https://doi.org/10.1016/j.ejrad.2013.10.006. I Diretriz de Ressonância e Tomografia Cardiovascular da Sociedade Brasileira de Cardiologia: sumário executivo. Arquivos Brasileiros de Cardiologia. 2006;87(3):e48-e59. https://doi.org/10.1590/S0066-782X2006001600034. Society for Cardiovascular Magnetic Resonance. Accessed October 25, 2020. https://scmr.org/default.aspx. Hundley WG, Bluemke D, Bogaert JG, et al. Society for Cardiovascular Magnetic Resonance guidelines for reporting cardiovascular magnetic resonance examinations. J Cardiovasc Magn Reson. 2009;11(1):5. https://doi.org/10.1186/1532-429X-11-5. Fernandes JL, Shiozaki AA, Azevedo Filho CF, Rochitte CE, Pinto IM, Lopes MM, Schvartzman PR. Technical competence in cardiovascular magnetic resonance and computed tomography. Revista Brasileira de Ecocardiografia e Imagem Cardiovascular. 2009;22(4):27–31. Medical doctors (per 10 000 population). Accessed October 18, 2020. https://www.who.int/data/gho/data/indicators/indicator-details/GHO/medical-doctors-(per-10-000-population). Ng MY, Chin CY, Yap PM, et al. Prognostic value of perfusion cardiovascular magnetic resonance with adenosine triphosphate stress in stable coronary artery disease. J Cardiovasc Magn Reson. 2021;23(1):75. https://doi.org/10.1186/s12968-021-00770-z. Welcome to ASCI-heart.org. Accessed October 18, 2020. https://www.asci-heart.org:4442/. Fellowships—Society for Cardiovascular Magnetic Resonance. Accessed October 18, 2020. https://scmr.org/general/custom.asp?page=Fellowships. Ntusi N. Cardiovascular imaging in South Africa: challenges and opportunities. SA Heart Journal. 2017;14(2):67–9. https://doi.org/10.24170/14-2-2490. Ogbole GI, Adeyomoye AO, Badu-Peprah A, Mensah Y, Nzeh DA. Survey of magnetic resonance imaging availability in West Africa. :9. Zühlke L, Sliwa K, Naidoo P, et al. Cardiovascular medicine and research in sub-Saharan Africa: challenges and opportunities. Nat Rev Cardiol. 2019;16(11):642–4. https://doi.org/10.1038/s41569-019-0269-z. ESC Guidelines for the management of grown-up congenital heart disease (new version 2010) | European Heart Journal | Oxford Academic. Accessed October 19, 2020. https://academic.oup.com/eurheartj/article/31/23/2915/2398053. Fratz S, Chung T, Greil GF, et al. Guidelines and protocols for cardiovascular magnetic resonance in children and adults with congenital heart disease: SCMR expert consensus group on congenital heart disease. J Cardiovasc Magn Reson. 2013;15(1):51. https://doi.org/10.1186/1532-429X-15-51. 1 Year Plus Fellowships—Society for Cardiovascular Magnetic Resonance. Accessed October 19, 2020. https://scmr.org/page/1YearFellowships? SPCTPD—Home. Accessed October 19, 2020. https://spctpd.org/. Srivastava S, Printz BF, Geva T, et al. Task Force 2: pediatric cardiology fellowship training in noninvasive cardiac imaging. Circulation. 2015;132(6):e57–67. https://doi.org/10.1161/CIR.0000000000000193. EACVI Cardiovascular magnetic resonance in congenital and paediatric heart disease certification (CMR CHD). Accessed October 19, 2020. https://www.escardio.org/Education/Career-Development/Certification/Congenital-heart-disease-CMR, https://www.escardio.org/Education/Career-Development/Certification/Congenital-heart-disease-CMR. EACVI Certification & Accreditation. Accessed October 19, 2020. https://www.escardio.org/Education/Career-Development/Certification/EACVI-Certification-Accreditation, https://www.escardio.org/Education/Career-Development/Certification/EACVI-Certification-Accreditation. Hauptmann A, Arridge S, Lucka F, Muthurangu V, Steeden JA. Real-time cardiovascular MR with spatio-temporal artifact suppression using deep learning–proof of concept in congenital heart disease. Magn Reson Med. 2019;81(2):1143–56. https://doi.org/10.1002/mrm.27480.