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Researchers Develop Faster Cardiovascular MR Protocol

By MedImaging International staff writers
Posted on 12 Jun 2017

Image: A new generation 1.5-T adaptive cardiac and general MRI scanner (Photo courtesy of Siemens Healthineers).

The results of an international study show that a new cardiovascular MR imaging protocol can reduce costs by 80%, and is three times as fast as current tests.

The new protocol also changed clinical management in 33% of the patients scanned. Cardiovascular Magnetic Resonance (CMR) imaging exams are regularly used to diagnose cardiovascular diseases, to assess cardiac function and structure, and to investigate the likelihood of heart attacks.

Researchers from Peru, the UK, the US, and Brazil collaborated on the Impact of Non-invasive CMR Assessment (INCA)-Peru study. The goal of the research was to develop a new cost-effective and faster imaging protocol specifically for use in developing countries.

The initial CMR protocol was developed by researchers from University College London (UCL; London, UK) and was tested in Thailand. Next, the researchers modified the protocol by adding gadolinium, a CMR contrast agent, and tested it in a pilot INCA-Peru study involving 50 patients. In the current study the researchers again tested the CMR protocol with the contrast agent for two days in Peruvian hospitals. One hundred patients with suspected cardiomyopathy, and 11 healthy controls took part in the study. Each scan cost USD150, and took only 18 minutes on average.

Lead author of the study, cardiologist Dr. Katia Menacho, University College London, said: "In Peru just two public hospitals offer CMR - each performs 12 scans on one day a week. Five private hospitals provide CMR at USD $600-800 per scan. Public hospitals without CMR refer to the private sector and it takes up to three months to approve the paperwork, delaying diagnosis and treatment. We showed that this ultrafast CMR protocol can be used to accurately diagnosis patients leading to changes in clinical management."

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71 (236.03439331055): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294769574 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.007995605469): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (322.81875610352): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 3842.1154022217): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (63.180923461914): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (48.160552978516): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294769574 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294769574 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.855438232422): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

105 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

106 (65.088272094727): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294769574 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (516.89147949219): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294769574 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

109 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

110 (49.114227294922): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294769574 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (478.02925109863): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294769574 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (910.99739074707): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (!!!!! 3134.9658966064): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

115 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

116 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

117 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

118 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

120 (265.12145996094): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 48815.011978149): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

123 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

124 (601.05323791504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294769574 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294769574 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 863875.86593628): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (73.909759521484): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (77.009201049805): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (32.901763916016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (350.9521484375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (298.02322387695): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (120.16296386719): SELECT name FROM jos_deeppockets WHERE id=212

136 (77.962875366211): SELECT name FROM jos_deeppockets WHERE id=212

137 (475.88348388672): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (464.91622924805): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

140 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

141 (!!!!! 6052.9708862305): TRUNCATE TABLE jos_trademed_module

142 (762.939453125): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294769574 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (117.06352233887): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294769574 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (545.97854614258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (136.8522644043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

147 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

148 (!!!!! 1782.8941345215): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (270.84350585938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

150 (176.90658569336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

151 (815.15312194824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294769574 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294769574 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (55.789947509766): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

153 (42.915344238281): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

154 (74.148178100586): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (168.80035400391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

156 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769574 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769574 AND published='1' LIMIT 1

157 (194.07272338867): select jos_twitters.link from jos_twitters where cat=10

158 (71.048736572266): select jos_facebook.link from jos_facebook where cat=10

159 (55.074691772461): select jos_google_plus.link from jos_google_plus where cat=10

160 (67.949295043945): select jos_linkedin.link from jos_linkedin where cat=10

161 (417.94776916504): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 2796.8883514404): insert into jos_banners_delta values (14615,'2025-06-19 16:48:07','216.73.216.120','view'),(14202,'2025-06-19 16:48:07','216.73.216.120','view'),(14203,'2025-06-19 16:48:07','216.73.216.120','view')

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