Take pride in your work and deliver on promises and mentors and sponsors will find you.
And if your great work is not recognized, it may be time to move on.
🫀If u haven’t read this already, you really ‘aorta’ 😂 - Multi-modality imaging in thoracic aortic diseases- clinical consensus statement from
#EACVI
&
@escardio
working group. 👉🏼
No big deal here. Just a simple MINOCA case. Probably an OM branch plaque-related ACS but not much to see by time of cath. Grey-blood technique makes it 'pop' on SAX (red box) & also shows some papillary muscle involvement.
#WhyCMR
Don't forget to check MR conditionality of patient masks and coverings. Get the surgical masks with plastic/card nose grips instead of metal paper-clip style inners
#WhyCMR
My new “Pepsi” sign of severe aortic regurgitation on phase-contrast CMR. Check out flow reversal in descending aorta with colour coding. Regurg fraction 50% in this case. Ok, ok....it’s no Quinke’s or de Musset’s ...but give me a break
#WhyCMR
You don’t see this so much these days so worth sharing. Severe coarctation treated by subclavian-aorta graft. Visualised with 3mls of contrast using TWIST MR angio.
#WhyCMR
@SCMRorg
@scmrchd
#cardiotwitter
#EACVI
LVH. HTN+AS - so no big deal. Wait - dirty LGE. ?Amyloid. Other clues: thickened atrial septum & atrial LGE. Usually look for low voltage ECG but paced. Chitchat on leaving scanner - "ever had carpal tunnel?" ...Yes - seals deal. DPD confirms ATTR.
#WhyCMR
#CVNuc
#cardiotwitter
@Paediatrik
Mention you’ve lost ur stethoscope but it has a Bluetooth tracker in the bud that keeps telling u it’s really close - “have u seen it?” If that fails, mention you feel so much better after treatment for auricular scabies 😱
Tafamidis delays myocardial amyloid progression & structural/functional change in ATTR-CM. ❤️💚 Rene Rettl et al from
@MedUni_Wien
#amyloidosis
. Serial
#WhyCMR
with ECV may assist therapy monitoring 🧲. 👉🏼
#EHJCVI
Great to achieve🥇for 4 successive quarters of high quality coronary CT from
@HeartFlow
- the only plaque you want to see in your imaging lab. Thanks to hard work from Nuffield Manchester Diagnostic Suite & MFT imaging team…and metoprolol (psst- it’s all in the heart rate)
🫀CT Aortic Valve Calcium (AVC) load may ⬆️increase risk of HF. AVC >300 AU associated with ⬆️ HF risk. AVC ≥800 AU related to⬆️ LV structural remodeling. Association, effect or pathogenesis⁉️👉🏼
Messing around with 4D flow CMR courtesy of
@Pie_Med_Imaging
and
@PhilipsHealth
...so much unexplored data to understand. Beautiful pictures, but what is the real world utility of this application...share ur ideas with me!
#whyCMR
Oct
@SCMRorg
newsletter 📧 dropped. 💥New joint societal guidelines for chest pain evaluation.
#WhyCMR
now Class 1 or 2a in all scenarios. 💥Large 🧲 m/c cardiac tumor outcome study.💥More CardiacMR👀.💥New
#COTW
. 💥Techtip 💥Lots of upcoming webinars 👩💻 💥Post ur
#ScaryCMR
👻🎃
You see something new to you in cardiac imaging everyday. Aside from the free PR relating to prior PV valvotomy, all the other valves have varying degrees of prolapse and thickening. Noonan syndrome with polyvalvular involvement.
#WhyCMR
1/5
@SteveBarclay
With >100 replies from clinicians, none agree with your assessment. Please read some of the responses, investigate & correct the obvious oversights …otherwise we have to assume deliberate
AMazing what you can do in powerpoint these days... first trial & error attempt at fusing FFR-CT with static end-epi static rest perfusion. Amateurish...but will see where it goes (other than cath lab)
#YesCCT
No big deal here. Just a simple large secundum ASD case. New finding in adult & ripe for closure. Comprehensive anatomy, rims & flow assessment with
#WhyCMR
. Dilated right-heart, RV volume-loading, large secundum ASD (20 x 25 mm) with large L-to-R shunt (68 ml/beat; Qp/Qs = 2.2)
My new “Solar Eclipse” sign by
#WhyCMR
. Yah, been at the scanner too long this week 🤪. Best explanation wins ... notoriety.
@SCMRorg
#SCMR2020
(teaser).
🧲Fantastic
#CMR2024
Gold Medal🥇Talk from Prof Greenwood
@BcsPresident
(🆕🦘). Need to focus on final clinical translation of all our pulse sequence geekery, workflow efficiency, scale adoption, and invest in our staff while embracing the future benefits of AI 🤖.
#WhyCMR
Looking for some stress perfusion CMR revision & case-based review?📒🧲🫀💦 Join me & co-chair
@AnnaBaritussio
at 15:30 CET (14:30 UK) for a logbook revision session
#EuroCMR
#WhyCMR
Mitral annulus disjunction - a recently 'rediscovered' phenomenon gaining much attention. Remember to look out for it, especially in MVP. Can be associated with significant arrhythmias (MADAS).
#WhyCMR
#echofirst
1. CASE:
2. BKGD:
@moribunddr
Please take a break, and then consider working outside of a bad environment it looks like u may be in…probably outside NHS as others have said. May be a break followed by NZ/Aus job might make u fall in love with medicine again in a better environment
Stress perfusion CMR is high spatial resolution. Here ischemia is localised to anterior segments without septal involvement predicting stenosis in ramus or diagonal. Advantages now recognised with high level recommendations in new multisocietal chest pain guidelines
#whyCMR
🧲🔥
Opt-out organ donation comes to England from spring 2020, will mean adults are presumed to be organ donors unless they have recorded their decision not to be. Families will still be involved before organ donation goes ahead.
#BSCI19
@AG_EM33
Check your in-boxes protons! April
@SCMRorg
newsletter just dropped. CMR in Women, Women in CMR👩♀️, CMR in Chile 🇨🇱 spinning fast, needle-free stress CMR 💉❌, Tech Tips for claustro 🧲😱, latest cardiac MR eyes👀 & much more! Online link coming soon
#WhyCMR
#CardioTwitter
Word up protons! May
@SCMRorg
newsletter just dropped. New management 🧑💼💼, new PET-CMR FAPI tracer in Edinb 🏴 🧲☢️, SPINS-EuroCMR cost saving study 💰💶, Hong Kong 🇭🇰 symposium 🔜, Tech Tips for SAX 🍩🪄, latest CMR eyes👀 & more! Online link coming soon
#WhyCMR
#CardioTwitter
My fave goto CMR sequence for those patients who need u to be quick. A two-breath hold 40 slice tru-fisp white blood anatomy stack. 10s done. Allows full 3D & double-oblique measures. Boom.
#WhyCMR
ps- ‘Haller’ out if you know what’s going on here.
#ArmpitHeart
you may hate it...but physics is behind everything we do in
#WhyCMR
and drives the field forward. Imaging Physics Elliot Mcveigh - opening session.
#SCMR2021
For example, check out coronary MRA development based on Physics trickery (Bustin et al)
🫀Obesity anatomy-physiology paradox in CAD⁉️🧐Less stenosis but more ischemia (abnormal FFRCT) Potential explanation: lower volume-to-myocardial mass ratio
#ADVANCE
.
Big Ben, the bell inside Elizabeth tower, weighs >13 tons. The Tower holds the largest 4-faced chiming clock in world & is third-tallest free-standing clock tower in the world. Impressive…but Global
#CMR2024
is the largest
#WhyCMR
meeting ever! >2600 attendees >50 countries
🧲
#SCMR23
includes FREE
#WhyCMR
Hands-on 🤲🏽Workshops & Mini-Courses!🎓Limited to 20 each so register asap! 4️⃣Dflow in CHD, strain/mapping in CMY, stress perfusion. Individual workstations. All certification logbook eligible. Registration links in thread below 🧵
Apologies to the non-protons as my thread will be over-run by magnetism
#SCMR2021
for the next few days. Normal business of medicine, hope, Peanuts™️, survival & general geek-out behaviour will resume thereafter
#whyCMR
More trainees leaving than continuing. Looming JD ballot for strikes for pay restoration🪧.50%🔺📈 medic retirements in 3m. All time low morale.Punitive pension tax. Rewards for excellence prompt financial ruin🧾. 50000 doc shortage. No media reports.
#NHS
Future of
#WhyCMR
is ‘fast, simple, accessible’. 💨🧲 30 min studies coming at you for most indications - keep it simple, perfectionists! Opening ‘Pleinary’ (sic)
#SCMR22
📣Cases of
@SCMRorg
#WhyCMR
Best Case Competition 2023
#CMR2024
So popular …can’t even get in the room! Make sure u keep the submissions coming over 2024 for the next competition
#SCMRcases
This measly sachet of ketchup cost 20p from hospital canteen. In worst design ever, only half can be extracted. At 20p for 1 second usage (devoured), it earns > 10x what I do, and is > x1000 more expensive than crude oil! Ok...perhaps a little too much reflection time on-call
Periodic aortic surveillance so important in connectivity tissue disorders like Marfans, Loeys-Dietz etc. as this complex chronic dissection shows
#WhyCMR
🧲💥It’s APP-ening!
#CMR2024
Don’t forget to download the excellent conference Whova app or access on desktop- lots of great information, community boards, social events info, messaging & more! Live now ⬇️ Link in ur mailbox 📫
#WhyCMR
🧲💥September
@SCMRorg
newsletter dropped: join
@journalofCMR
journal club 📚, latest 🗞 on CMR for any PPM/ICD (no problem!😉),
#WhyCMR
news from
#ESCcongress
, 🇬🇧
@BSCMR
news, dark-blood LGE physicist secrets👨🔬🤫, CMR👀 & more! Check it all out 👉🏼 😉
@cardiojaydoc02
@DrToniyaSingh
Best use for coronary calcium scoring is decision about statin therapy: . Reflex stress test of asymptomatic, high functioning people just based on CCS sends us down this 🐰 hole.
#BeAClinician
Still spinning out from
#CMR2024
? As it draws to a close …here’s another "Save-the-Date" for your
#WhyCMR
diary in 2025! After a fantastic inaugural SCMR Midyear Meeting on Congenital Heart Disease in 2023, we look forward to welcoming you to beautiful Munich in June of 2025!
Spreading the word for
#WhyCMR
in Malta. It’s a hard life but someone has to do it. Beautiful island. Met passionate cardiologists, radiologists, students, surgeons & ER docs at Maltese Cardiac Society Conference.
💥🧲Latest
@SCMRorg
NewsBeat dropped👉🏼 . New President’s message
@karen_ordovas
🦸♀️,
#SCMR23
awards🏆, best
#SCMRCases
, best image contest, new Podcast episode📻, claim your CME🔖& announcing
#CMR24
London baby! Also upcoming: Munich, & WashingtonDC mid-year
Anatomy is not enough. Tissue characterisation (& therefore CMR) needed to predict arrhythmias. Inhomogeneity in scars is the mechanism of arrhythmias. Brugada at
#CMR2018
opening plenary.
@escardio
@SCMRorg
complex congenital heart disease ... amongst the most challenging imaging in all modalities. Yes, your AI contours will fail. Rise to the challenge. Whistle-stop tour with Beth Printz.
#WhyCMR
#SCMR2021
“But it’s only moderate AS” - heard that one before 😱. Check out 👉🏼Predictors of cardiovascular MACE in Patients With Moderate Aortic Stenosis: Implications for Aortic Valve Replacement
Fantastic keynote from
@EricTopol
. Amongst other highlights: the stupidity of linear aorta measures for dissection risk, Real-time echo patches, stethoscope death, genomics 🧬 integration, AI gift of time ⏰ & symbiont DAX NLP clinical notes
#SCMR23
#WhyCMR
Take a tip from the world’s most intelligent animals and give each other a helping hand today. It’s in your DNA somewhere!
#orangutan
(worldwide sensational press photo by Anil Prabhakar).
Protons🚨.
@SCMRorg
latest NewsBeat in ur inbox 📥 👉🏼 📣
#SCMR23
- Keynote🔑🎼 speaker
@EricTopol
🤖, Gold Medal Talks🥇, Yoga 🧘♀️, 5k run🏃♂️ Hands on Perfusion 👏🏼, best image contest 🖼, San Diego Fun 🏄♂️🏄♀️. Also, Top 🔟MR👀s of 2022.
#WhyCMR