Sustainable low-field cardiovascular magnetic resonance in changing healthcare systems

Cathy Qin; Sanjana Murali; Elsa Lee; Vaishnavi Supramaniam; Derek J Hausenloy; Johnes Obungoloch; Joanna Brecher; Rongyu Lin; Hao Ding; Theophilus N Akudjedu; Udunna C Anazodo; Naranamangalam R Jagannathan; Ntobeko A B Ntusi; Orlando P Simonetti; Adrienne E Campbell-Washburn; Thoralf Niendorf; Regina Mammen; Sola Adeleke

doi:10.1093/ehjci/jeab286

Sustainable low-field cardiovascular magnetic resonance in changing healthcare systems

Eur Heart J Cardiovasc Imaging. 2022 Jun 1;23(6):e246-e260. doi: 10.1093/ehjci/jeab286.

Authors

Cathy Qin¹, Sanjana Murali¹, Elsa Lee², Vaishnavi Supramaniam³, Derek J Hausenloy^{4

5

6

7

8

9}, Johnes Obungoloch¹⁰, Joanna Brecher¹¹, Rongyu Lin¹², Hao Ding¹, Theophilus N Akudjedu¹³, Udunna C Anazodo¹⁴, Naranamangalam R Jagannathan^{15

16

17}, Ntobeko A B Ntusi¹⁸, Orlando P Simonetti^{19

20}, Adrienne E Campbell-Washburn²¹, Thoralf Niendorf²², Regina Mammen²³, Sola Adeleke^{24

25}

Affiliations

¹ Department of Imaging, Imperial College Healthcare NHS Trust, London, UK.
² School of Medicine, Faculty of Medicine, Imperial College London, London, UK.
³ School of Medicine, King's College London, London, UK.
⁴ Division of Medicine, University College London, London, UK.
⁵ Cardiovascular & Metabolic Disorders Program, Duke-National University of Singapore Medical School, Singapore, Singapore.
⁶ National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore, Singapore.
⁷ Yong Loo Lin School of Medicine, National University Singapore, Singapore, Singapore.
⁸ Hatter Cardiovascular Institue, UCL Institute of Cardiovascular Sciences, University College London, London, UK.
⁹ Cardiovascular Research Center, College of Medical and Health Sciences, Asia University, Taichung, Taiwan.
¹⁰ Department of Biomedical Engineering, Mbarara University of Science and Technology, Mbarara, Uganda.
¹¹ Medical Education, King George Hospital, Ilford, UK.
¹² School of Medicine, University College London, London, UK.
¹³ Institute of Medical Imaging and Visualisation, Faculty of Health and Social Science, Bournemouth University, Poole, UK.
¹⁴ Lawson Health Research Institute, London, Ontario, Canada.
¹⁵ Department of Electrical Engineering, Indian Institute of Technology, Chennai, India.
¹⁶ Department of Radiology, Sri Ramachandra University Medical College, Chennai, India.
¹⁷ Department of Radiology, Chettinad Hospital and Research Institute, Kelambakkam, India.
¹⁸ Department of Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, Western Cape, South Africa.
¹⁹ Division of Cardiovascular Medicine, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA.
²⁰ Department of Radiology, College of Medicine, The Ohio State University, Columbus, OH, USA.
²¹ Cardiovascular Branch, Division of Intramural Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
²² Berlin Ultrahigh Field Facility (B.U.F.F.), Max-Delbrück Centre for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
²³ Department of Cardiology, The Essex Cardiothoracic Centre, Basildon, UK.
²⁴ School of Cancer & Pharmaceutical Sciences, King's College London, Queen Square, London WC1N 3BG, UK.
²⁵ High Dimensional Neurology, Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, UK.

Abstract

Cardiovascular disease continues to be a major burden facing healthcare systems worldwide. In the developed world, cardiovascular magnetic resonance (CMR) is a well-established non-invasive imaging modality in the diagnosis of cardiovascular disease. However, there is significant global inequality in availability and access to CMR due to its high cost, technical demands as well as existing disparities in healthcare and technical infrastructures across high-income and low-income countries. Recent renewed interest in low-field CMR has been spurred by the clinical need to provide sustainable imaging technology capable of yielding diagnosticquality images whilst also being tailored to the local populations and healthcare ecosystems. This review aims to evaluate the technical, practical and cost considerations of low field CMR whilst also exploring the key barriers to implementing sustainable MRI in both the developing and developed world.

Keywords: Global Health; Low field; MRI; Sustainable; Technology.

Publication types

Review

MeSH terms

Cardiovascular Diseases* / diagnostic imaging
Delivery of Health Care
Ecosystem
Humans
Magnetic Resonance Imaging / methods
Magnetic Resonance Spectroscopy