July 29, 2021

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Meet the AMC Team!
As you may have seen in emails, social media posts, and the website, SCMR has a new management partner, and along with it, a new headquarters and staff team! We’re proud to work with Association Management Center (AMC) to advance our mission and achieve our strategic goals.
We introduce your new staff team, led by Chief Executive Officer Chiara Bucciarelli-Ducci.
Chief Executive Officer

Director of Operations
Let me help you with strategic planning, external relations, budget and finance inquiries, publications, verification, the registry, and JCMR.

Operations Coordinator
Let me help you with the JCMR Journal Club.

Operations Administrator
Let me help you with special interest group inquiries and administration.

Membership and
Marketing Manager
Let me help you with membership, communications and public relations, the early career section, the SCMR newsletter, and social media inquiries.
Interim Education Manager
Let me help you with scientific sessions, continuing medical education, and online learning.
For general questions and membership inquiries, please contact our Member Services Group at [email protected] or +1 847.375.4747. Our new headquarters is located at 8735 W. Higgins Rd., Ste. 300, Chicago, IL, 60631, USA.

AMC is a trusted partner to 26 leading healthcare, scientific, and professional associations. With a staff of more than 165 association professionals, we provide strategic guidance to boards and oversee day-to-day operations, making it possible for our association partners to realize their missions and achieve their goals. We specialize in serving healthcare and science associations, establishing trusted, long-lasting relationships that help our association partners thrive and grow. To learn more about how AMC helps its clients achieve their missions, visit connect2amc.com.
SCMR Seeking Webmaster
Those who wish to be considered should:
  • have web and/or social media experience
  • include a one-page cover letter with relevant experience
  • be a member in good standing for 5 consecutive years (3 years for Early Career candidates)
SCMR 24th Annual Scientific Sessions
Save the Date
Current News
2022 Proposed Rule on the Medicare
Physician Fee Schedule
by Carrie Kovar, Government Relations Consultant to SCMR

On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) issued the proposed Medicare Physician Fee Schedule Rule (MPFS) for 2022. Based on initial analysis, reimbursement would be lower for many services across the house of medicine if the rule is finalized without change.

Some of the proposed cuts are attributable to a reduction in the 2022 Medicare conversion factor, from $34.8931 to $33.5848. The conversion factor reduction is largely due to the expiration of a 3.75% increase to the conversion factor at the end of calendar year 2021, a cut averted for 2021 by congressional action. Relative value units (RVUs) are multiplied by the conversion factor to calculate reimbursement for individual services. Congressional action will be necessary to avert the cut for 2022.

Also of note, CMS plans to implement the penalty phase of the appropriate use criteria mandate on January 1, 2023, or the January 1 following the end of the public health emergency, whichever falls later. As required by federal law, ordering providers must begin to consult with qualified clinical decision support mechanisms (CDSMs) prior to ordering advanced imaging services (MR, CT, PET, nuclear medicine) for Medicare patients and provide information to the furnishing provider for reporting on their claims. Once implemented, furnishing provider claims with incorrect or incomplete information would preclude payment.

SCMR will further review the proposed rule and submit comments by the September deadline. For additional highlights and proposed reimbursement values for cardiovascular magnetic resonance and other imaging services, see www.scmr.org.
Virtual Native Enhancement Instead of LGE: No Contrast, No Needles
Zhang et al. published a study this month in Circulation detailing an exciting newly developed AI-based technique—“Virtual Native Enhancement” (VNE). VNE offers the potential for rapid CMR tissue characterization simulating LGE images but without the need for contrast or needles. Native (contrast-free) T1-mapping and cine images contain rich information about myocardial tissue. The authors used deep-learning AI techniques to fuse these CMR images to detect myocardial fibrosis resembling conventional LGE images. The AI deep learning effectively acts as a “virtual contrast agent” that enhances the native CMR without the need for gadolinium. The authors validated this VNE concept and technique first on hypertrophic cardiomyopathy, using datasets from 1,348 patients in the HCMR registry. The study was a collaboration between groups at Oxford University, the University of Virginia, and Harvard Medical School. VNE represents a viable clinical option for patients who have contraindications to receiving Gadolinium contrast and may also be useful when rapid or repeated imaging is needed.
Qiang Zhang (corresponding author),
Oxford Centre for Clinical Magnetic Resonance Research
On July 21, 2021, experts Chiara Bucciarelli-Ducci, MD, and Colin Berry, MD, presented the Siemens Healthineers webinar Novel Insights into MINOCA and INOCA: Resolving Diagnostic Dilemmas and discussed the potential of diagnostic imaging for risk assessment and prognosis in MINOCA and INOCA patients. This webinar highlighted the added value of CMR, CT, and Angio imaging in both acute and chronic ischemia without obstructive coronary arteries. Be on the lookout for the recording of this innovative session, coming in August to the SCMR Online Learning Portal.
Cardiac MR Eyes (👀)
What caught our cardiac MR eyes this month?
by Manish Motwani, Newsletter Editor

Twitter-based #WhyCMR journal watch  📚⌚ - join the online discussion!

1. 3x the phosphate! Adenosine TRI-phosphate in stress CMR 💉💦🧲🇭🇰

2. Top tip for scanning pacemakers 🎩🔝✒

3. RESOLVE-HCM trial design - studying perhexiline 🧲💊

4. Laugh in the face of rejection. Persistent of 4D-flow pioneers 🌪😂

5. New frontiers in myocardial inflammation imaging with USPIOs 🔹✨🕶

6. Expert consensus for multimodality imaging in cardiac amyloidosis 💞💚🍏

7. Automated pericardial fat quantification using deep-learning 🍔🧮💟🤖

8. More data for long-term SCD risk prediction in HCM by CMR 📈

9. RV insertion point fibrosis in DCM revisited. Not to be overlooked 🤔💙

10. Virtual-LGE  AI-based needle-free fibrosis assessment in HCM 🤖🤯😎❌💉

11. In non-ischemic DCM, scar is forever ♾👴💔

12. Deep Learning to Accelerate Diffusion-Tensor MRI 🤖💛

13. Using #WhyCMR to direct PVC management 💓💥

14. Long-term prognostic value of stress CMR >200,000 patient-years follow-up 📈
Member Success Stories
HKCC-SCMR Symposium 2021 Draws Large International Audience 
We are delighted to report another successful collaboration between SCMR and colleagues in Asia, having just launched the joint Hong Kong College of Cardiology HKCC-SCMR Symposium 2021, (virtual on June 26-27, 2021). The Organizing Committee (Dr. Chiara Bucciarelli-Ducci, Dr. Ngai-Yin Chan), the Program Committee (Dr. Carmen Chan, Prof. Vanessa Ferreira), and Committee Members had worked hard for 2 years to deliver this outstanding program. The meeting was well-received, with an impressive turnout of approximately 700 faculty and participants from 62 countries and regions worldwide. The symposium was highly interactive with live faculty members and received many positive comments, with more than 90% of the participants providing a good to excellent score for its content, organization, practicality, and usefulness in enhancing learning in CMR, and attest to the high quality of the event. We look forward to future collaborations as SCMR continues its outreach to make CMR accessible for clinical care and research internationally.
SCMR Education Corner
Slice Positioning and Velocity Encoding

Accurate slice positioning is imperative to ensure reliable results when planning the phase contrast flow (PCF) sequence. The slice should be placed orthogonally to the direction of the blood flow. Two images in orthogonal orientation should be used to position the slice so the technologist can ensure it is not obliqued to the vessel wall in either position. Deviation of over 20 degrees from the true orthogonal position will negatively impact the results by underestimating peak velocity (Ping 2005). Aim to produce an image in which the vessel is positioned in the centre of the slice and is a true circle in shape. If you are imaging the flow from a stenotic valve, the blood flow jet may be oblique. In this scenario, position the PCF slice perpendicular to the jet and not the vessel wall.

An aliasing artefact occurs when there is a mismatch between the prescribed velocity encoding (VENC) range and the true peak velocity of blood flow within the blood vessel. The aliasing artefact will appear as a black and white pixilating effect within the lumen of the vessel (Figure 1). A sequence that has aliased must be repeated with an increased VENC range to eradicate the artefact (Figure 2). It is best practice to choose a VENC value that closely matches the true peak velocity of the blood vessel. If the VENC value is set too high, the acquired data will be impacted by background noise which will underestimate the true peak velocity value. Utilising a scout sequence will not only determine the correct VENC value, it will also confirm you are in the correct slice position and orientation.
Figure 1
Aliasing artefact within the lumen of the blood vessel
Figure 2
Increasing the VENC has removed the artefact
Online Educational Opportunities
October 2–4, 2021
Join live at cmrjournalclub.com
SCMR Case of the Week
The SCMR web site hosts “Case of the Week” - a case series designed to present case reports demonstrating the unique attributes of CMR in the diagnosis or management of cardiovascular disease. Each clinical presentation is followed by a brief discussion of the disease and unique role of CMR in disease diagnosis or management guidance. By nature, some of these are somewhat esoteric, but all are instructive. Recently we have published the case archive from 2019 in JCMR as a means of further enhancing the education of those interested in CMR and as a means of archiving this incredible resource from our members on PubMed. 
#WhyCMR | Social Media
July 1 to July 26, 2021
#WhyCMR Activity
by Purvi Parwani

Each month our social media committee correspondents update us on the latest #WhyCMR activity stats, most popular tweets or threads. Join the conversation and use the #WhyCMR in your social media posts and follow @SCMRorg!
Just for Fun
CMR Picture Puzzle
Answer next month
Last month's CMR Picture Puzzle answer:
Pulse Sequence
JCMR Articles
CMR Literature Search

Please use this link for a filtered PubMed list of all CMR-related manuscripts for July 2021—more than 300 in total!