By Dr Satish Shambarkar on Tuesday, 02 August 2022
Category: Teleradiology

Expert Review Adds Value to Cardiac MRI

A Cardiac Magnetic Resonance Imaging (MRI) is a boon to patients with or without heart issues. When it comes to the heart, everyone wants a friendly diagnostic procedures. With Cardiac MRI, patients avoid painful invasive investigative modes such as cardiac catheterization. There is hardly any doubt about MRI Imaging resolution but procedure involves human judgement in the forms of interpretation skills of Cardiac MRI. Not all Radiologists are able to report Cardiac MRI that makes a strong case for Expert second review of your Cardiac MRI.

Complex Cardiac MRI Imaging

Cardiac MRI is the best alternative diagnostic to understand blood flow in myocardium. Coupled with a stress test, it is possible to determine the movement and structure of Cardiac muscle tissue. A trained cardio-radiologist can assess narrowing of coronary arteries under curated stress.

Cardiac MRI means we can get a very high resolution of images, very well defined soft tissues. It is possible to view the heart from different angles and orientations that makes beautiful 3 dimensional imagery of the working heart. Moreover, it is possible to study the dynamic functions of the heart. The cardiologist becomes happy when he can see the heart muscles, blood carrying vessels and its walls. All this comes without any sort of dangerous radiation dose. 

Cardiac MRI Reporting Challenge and Experts

While it looks to us Cardiac MRI is quite easy to get diagnostics but its reporting requires training and experience as well. "There are specific Diploma Courses Available for radiologists to excel in this procedure and reporting skills. But it still needs a practice of 2-3 years to get into a Cardiac MRI reporting and Cardiac MRI second opinion", says Dr Salil Pandey from TeleradiologyHub. Dr Salil Pandey is a senior cardio-radiologist who is part of the International Second Opinion Consortium at Teleradiologyhub.

There are a number of trained cardio-radiologists, today, who could be part of a multi-specialty panel at TeleradiologyHUB. It means that now Cardo-radiologists can talk to Neurologists or Diabetologists on a single platform only to reach to the root of the patient's critical health problems. Here is Dr Priya Chudger, who is senior cardio-radiologist with experience of more than 20 years. She heads an international multi-specialty Panel TeleradiologyHub where other members like Oncologists or Neurologist or Radiologist join in from other countries to go to roots of the diagnosis. Her panel that serves Cardiac MRI cases from Asia, Europe and Africa.

There are situations when it is expected from the Cardio-radiologist to assess the overall anatomy along with the imaging sequences taken.

Example: Patients may have myocardium in a abnormal condition. There could be chances of wall collapse or improper perfusion . If the cardo-radiologist can assess it, it is possible to recover or restore the condition well in time. Timing is precious then interpretation is lifer.

Quick & Best Second Opinion in Cardiac MRI

Cardiomyopathy and its characteristics is mostly a point of contention. It is therefore advised Cardiac MRI to get reviewed under different senior cardio-radiologists and enjoy the long term fruits of right MRI Cardiac interpretation.
Generally contentious areas of Cardiomyopathy include
1. Hypertrophic cardiomyopathy (HCM);
2. Arrhythmogenic Right Ventricular Dysplasia (ARVD);
3. Dilated cardiomyopathy
4. Sarcoidosis;
5. Amyloidosis.

A patient from the Netherlands seeking a Cardiac MRI second opinion when interviewed, said " I had doubts on my earlier Cardiac MRI Report done in my country, especially related to ARVD dysfunction. It was initially quite a test for me to search best cardiac-radiologists who could answer my queries in 3-4 hours, not just write a report. I tried on google/facebook and found multiple options of second opinion platforms that promised Cardiac MRI reports but no one promised to answer my questions as everything was so automated using 'talking BOTS'. I was in search of the best cardo-radiologist with 20 years of experience till I read her excellent cardio-radiologist profile on TeleradiologyHub,com. I pinged and to my surprise I got a prompt phone call at 2AM in night from the Resident radiologist Panel (RRP) who understood my case. RRP connected me with her, got the report done in 4-5 hours on a very low budget and also got answers from her. My doubt was right. The consultations prevented me from engaging into costly and painful affair. She was the best"

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