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*   Cardiac MRI: Function and Viability
*   http://www.radreport.org/template/0000049	


Type: Reporting template
Language: English (en)
Modified date: 2012-07-19
Creator: Jacobs JE, et al. 
Contributor: Kahn CE Jr [editor]
Contributor: North American Society for Cardiac Imaging (NASCI)
	
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ALL RIGHTS RESERVED

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Cardiac MRI: Function and Viability

Indication: [ ]

Comparison: [ ]

Technique:  [1.5 |3.0]T MRI Scanner. [Turbospin; gradient] echo imaging in [*axial and double oblique; axial; oblique] planes for anatomic definition. [*Short and long; short; long] axis cine imaging for evaluation of function and intravascular blood flow. Velocity phase imaging for quantification of flow in [*ascending aorta and pulmonary artery; ascending aorta; pulmonary artery]. [*Short and long; short; long] axis delayed enhanced imaging for delineation of myocardial scar and fibrosis using [] mL [Magnevist |Multihance |Optimark] gadolinium contrast.

FINDINGS:
Left ventricular Measurements:
End Diastolic Diameter [] (normal: 36-56-mm) 
Ejection Fraction [ ]% 	(normal: male = 56-78%; female = 56-78%)
Stroke Volume [ ] mL 
End Diastolic Volume [ ] mL 	 (normal: male = 77-195 ml; female = 52-141 ml)
Indexed End Diastolic Volume [ ]mL/meter2
End Systolic Volume [ ] mL 	(normal: male = 19-72 ml; female = 13-51 ml)
Indexed End Systolic Volume [ ]mL/meter2
Cardiac Output [ ] L/min 	(normal: male = 2.82-8.82 l/min; female = 2.7-6.0 l/min)
Cardiac Index [ ] L/min/meter2 	(normal: male = 1.74-4.2 l/min/m²; female = 1.8-3.8 l/min/m²)
Index values are normalized to a BSA of [.].


VALVE DISEASE
Aortic Valve: [Normal|regurgitant|stenotic].
Aortic forward volume [] mL
Aortic regurgitant volume [] mL
[Aortic valve area: [ ]cm2;  < 1.0 cm2 severe; 1.0-1.5 cm2 moderate;  1.5-2.0 cm2 mild; > 2.0 cm2 normal]

Mitral Valve:  [Normal|regurgitant|mildly stenotic|moderately stenotic|severely stenotic].
Mitral regurgitant volume [] mL
Mitral regurgitant fraction [] %mL

Ascending aorta [] mm

Left atrial dimension [] mm (AP x 4-chamber)
Left atrial area [] sq cm

LEFT VENTRICLE REGIONAL WALL MOTION {0 = normokinetic, 1 = hypokinetic, 2 = akinetic, 3 = dyskinetic}
Base 
       anterior [0 | 1| 2| 3]
       anterolateral [0 | 1| 2| 3]
       inferolateral [0 | 1| 2| 3]
       inferior [0 | 1| 2| 3]
       inferioseptal [0 | 1| 2| 3]
       anteroseptal [0 | 1| 2| 3]
Mid
       anterior [0 | 1| 2| 3]
       anterolateral [0 | 1| 2| 3]
       inferolateral [0 | 1| 2| 3]
       inferior [0 | 1| 2| 3]
       inferioseptal [0 | 1| 2| 3]
       anteroseptal [0 | 1| 2| 3]

Apex 
anterior [0 | 1| 2| 3]
lateral [0 | 1| 2| 3]
inferior [0 | 1| 2| 3]
septum [0 | 1| 2| 3]

True apex [0 | 1| 2| 3]

LEFT VENTRICLE MYOCARDIAL ENHANCEMENT [0 | 1| 2| 3| 4]{ 0 = none, 1 = 1-25%, 2 = 26-50%, 3 = 51-75%, 4 = 76-100%}

Base 
       anterior [0 | 1| 2| 3| 4]
       anterolateral [0 | 1| 2| 3| 4]
       inferolateral [0 | 1| 2| 3| 4]
       inferior [0 | 1| 2| 3| 4]
       inferioseptal [0 | 1| 2| 3| 4]
       anteroseptal [0 | 1| 2| 3| 4]

Mid
       anterior [0 | 1| 2| 3| 4]
       anterolateral [0 | 1| 2| 3| 4]
       inferolateral [0 | 1| 2| 3| 4]
       inferior [0 | 1| 2| 3| 4]
       inferioseptal [0 | 1| 2| 3| 4]
       anteroseptal [0 | 1| 2| 3| 4]

Apex

anterior [0 | 1| 2| 3| 4]
lateral [0 | 1| 2| 3| 4]
inferior [0 | 1| 2| 3| 4]
       septum [0 | 1| 2| 3| 4]

True apex [0 | 1| 2| 3| 4]

Non-cardiac findings: []

IMPRESSION: 
1.  Global systolic LV function: [normal|mildly impaired|moderately impaired|severely impaired]. 
2.  LV viability:  Viable myocardium in distribution of [left main, LAD, LCX, RCA] coronary artery, in region of wall motion abnormality.
3.  Valvular disease:  [Present|Absent] in aortic valve.  [Present|Absent] in mitral valve.