Cardiac magnetic resonance imaging during the COVID-19 pandemic: A southern Italian single-center experience

Ponsiglione, Andrea; Nappi, Carmela; Imbriaco, Massimo; Ascione, Raffaele; Megna, Rosario; Petretta, Mario; Cuocolo, Alberto

doi:10.1016/j.ejro.2020.100319

Cited by 5 publications

(1 citation statement)

References 25 publications

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“…In the USA, the pandemic saw a 72% decrease in the number of cardiac magnetic resonance imaging (CMR) procedures [19]. Similar trends were observed in certain centers in southern Italy, reflecting a significant reduction in CMR use [38]. Assessing the presence and severity of myocardial injury, CMR emerges as a clinically valuable diagnostic tool, and in contrast to global trends, Croatia experienced an increase regarding the in-hospital use of CMR imaging during the pandemic period.…”

Section: Discussionmentioning

confidence: 95%

Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey

Lukenda,

Borovac

2024

Diseases

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The impact of the COVID-19 pandemic on cardiovascular healthcare in Croatia remains largely unexplored. This study aimed to compare the utilization and provision of cardiovascular services during the pre-pandemic (2017–2019) and pandemic (2020–2021) periods, leveraging nationwide data from the Croatian Health Insurance Fund, which covers 95% of all insurance claims in the country. Our findings reveal that while the use of coronary angiographies decreased during the pandemic, there was a notable increase in the utilization of advanced heart failure treatment modalities and percutaneous coronary interventions, particularly in the context of acute myocardial infarction. Additionally, transcatheter aortic valve implantations saw a significant rise during the pandemic period. Furthermore, laboratory diagnostic testing for troponin and natriuretic peptides experienced a marked increase, while the utilization of most other cardiovascular services remained stable or showed only minor declines compared to the pre-pandemic era. These observations suggest that the Croatian cardiovascular healthcare system displayed resilience during the COVID-19 pandemic, successfully maintaining and even expanding access to various diagnostic and interventional procedures despite facing widespread societal and logistical challenges.

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Section: Discussionmentioning

confidence: 95%

Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey

Lukenda,

Borovac

2024

Diseases

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The Additional Value of T1 Mapping in Cardiac Disease: State of the Art

Ascione,

De Giorgi,

Dell’Aversana

et al. 2023

Curr Cardiovasc Imaging Rep

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Purpose of the Review This paper delves into the emerging realm of T1 mapping, exploring recent innovations and their relevance across several cardiac diseases. Recent Findings T1 mapping with cardiovascular magnetic resonance (CMR) imaging has emerged as a valuable tool for cardiac disease evaluation, offering diagnostic, therapeutic, and prognostic insights. Tissue characterization using parametric mapping methods holds the promise of identifying and quantifying both focal and diffuse changes in myocardial structure, which cannot be adequately assessed through late gadolinium enhancement (LGE). Summary CMR imaging, particularly LGE, has enhanced cardiac tissue characterization. However, the detection of diffuse interstitial fibrosis remains challenging, necessitating the exploration of alternative techniques. T1 mapping could probably represent a game changer in the evaluation of diffuse and focal fibrosis in multiple cardiovascular conditions.

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Chest CT in COVID-19 patients: Structured vs conventional reporting

Stanzione

Ponsiglione

Cuocolo

et al. 2021

European Journal of Radiology

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Purpose To assess clinician satisfaction with structured (SR) and conventional (CR) radiological reports for chest CT exams in coronavirus disease 2019 (COVID-19) patients, objectively comparing both reporting strategies. Method We retrospectively included 68 CTs (61 patients) with COVID-19. CRs were collected from the digital database while corresponding SRs were written by an expert radiologist, including a sign checklist, severity score index and final impressions. New CRs were prepared for a random subset (n = 10) of cases, to allow comparisons in reporting time and word count. CRs were analyzed to record severity score and final impressions inclusion. A random subset of 40 paired CRs and SRs was evaluated by two clinicians to assess, using a Likert scale, readability, comprehensiveness, comprehensibility, conciseness, clinical impact, and overall quality. Results Overall, 19/68 (28%) and 9/68 (13%) of CRs included final impressions and severity score, respectively. SR writing required significantly ( p < 0.001) less time (mean = 308 s; SD ± 60 s) compared to CRs (mean = 458 s; SD ± 72 s). On the other hand, word count was not significantly different ( p = 0.059, median = 100 and 106, range = 106-139 and 88-131 for SRs and CRs, respectively). Both clinicians expressed significantly (all p < 0.01) higher scores for SRs compared to CRs in all categories. Conclusions Our study supports the use of chest CT SRs in COVID-19 patients to improve referring physician satisfaction, optimizing reporting time and provide a greater amount and quality of information within the report.

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Cardiac magnetic resonance imaging during the COVID-19 pandemic: A southern Italian single-center experience

Abstract: Highlights The number of CMR studies significantly decreased during COVID-19 pandemic. Proportion of abnormal CMR results was similar between two time-interval categories. Missed or delayed diagnoses may have occurred during the lockdown.

Cited by 5 publications

References 25 publications

Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey

Impact of COVID-19 Pandemic on Cardiovascular Healthcare in Croatia: A Comprehensive Nationwide Survey

The Additional Value of T1 Mapping in Cardiac Disease: State of the Art

Chest CT in COVID-19 patients: Structured vs conventional reporting

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