Download State-of-the-art cardiovaScular magnetic reSonance

State-of-the-art cardiovascular
magnetic resonance
Cardiovascular Magnetic Resonance Center
The UPMC Cardiovascular Magnetic Resonance Center,
located at UPMC Presbyterian, can accurately and precisely
characterize almost all forms of cardiovascular disease
through the use of our short and wide bore, “smart”
magnetic resonance scanner.
•• the shorter, wider opening is more comfortable
for patients and can accommodate larger patients
(up to 550 lbs) and those with claustrophobia
•• has the capability for cardiovascular exams
without breath holding, even if arrhythmia is present
•• results can be sent electronically within 24 hours
•• results are read by a multidisciplinary team
of radiologists and cardiologists, who are available
for consultations
Indications for cardiovascular MR:
•• Ischemic Heart Disease
>>
Optimize case selection for revascularization
candidates by distinguishing viable (hibernating
or stunned) myocardium vs. MI, identifying
clinically unrecognized MI, and so forth.
>>
Assessing ischemia, especially when other tests
are equivocal or when ischemia is suspected post
revascularization; distinguishing ischemic from
nonischemic cardiomyopathy; excluding ischemia
in obese patients or young people without the
need for radiation.
Obesity poses little problem for image quality in
contrast to other modalities. Obese patients can
benefit from the entire spectrum of CMR capabilities.
>>
Assessing myocardial edema/stunned myocardium
in the days following acute coronary syndromes to
identify the culprit vessel in multi-vessel disease, the
area at risk, and the extent of myocardial salvage.
continued >
Indications for cardiovascular MR
(CONTINUED):
•• Cardiomyopathy
>>
Quantifying LV function precisely
>>
Evaluating scar in nonischemic cardiomyopathy
>>
Assessing infiltrative/inflammatory heart
disease, pericardial vs. restrictive heart disease,
hypertrophic cardiomyopathy
>>
Evaluating valvular and congenital heart disease
>>
Assessing iron overload in hemachromatosis and
other disorders
•• Pathology underlying ventricular arrhythmia
>>
Evaluating for unrecognized MI, ARVD, myocarditis,
hypertrophic cardiomyopathy, anomalous
coronaries, occult cardiomyopathy
•• Mass or thrombus assessment
•• MR angiography with or without contrast
•• Diastolic dysfunction: pericardial vs. myocardial disease
FAQs
Is there contrast involved? What type?
Yes, mostly gadolinium contrast dye, which is usually
very well tolerated if the GFR >30 mL/kg per 1.7 m2.
No iodinated contrast is used. Some scans do not
require contrast.
Is the procedure covered by all major health plans?
Yes, but restrictions vary. Please check with your
patient’s insurance carrier to be sure that the
procedure is covered by UPMC Presbyterian.
Reference billing codes below.
Billing codes for the procedure
75557 Cardiac magnetic resonance imaging
for morphology and function without
contrast material
75563 Cardiac magnetic resonance with
stress imaging
75561
Cardiac magnetic resonance imaging
for morphology and function without
contrast material(s) followed by contrast material(s) and further sequences
71555 Magnetic resonance angiography
UPMC Cardiovascular Magnetic Resonance Center
UPMC Presbyterian, Third Floor
Suite B-351
200 Lothrop St.
Pittsburgh, PA 15213
412-864-3333
Call 412-647-6000 to schedule a patient
appointment or 412-864-3333 to speak with
a member of our cardiovascular MR imaging team.
UPP402391 IB/MO 05/11