The first Radiology Academy Forum
The focus in 2016 was to deliver an informative one-day educational event that would provide guidance for those starting to perform cardiac MRI in clinical practice. The Steering Committee developed an innovative and compelling agenda, consisting of science, clinical cases and physics, and covering a range of topics from how to commission a cardiac MRI service through to best practice protocols for perfusion and device imaging.
The Forum on Cardiac MRI took place on 11 November 2016 in Birmingham. Enthusiastic attendees gathered to interact with, and learn from, a faculty of cardiac MRI experts. The mix of plenary and workshop sessions were well received, with excellent feedback from the audience and faculty alike.
Dr Bobby Agrawal (chair)
Dr Agrawal is a consultant cardiac and thoracic radiologist at Papworth Hospital, Cambridge. He is also the clinical lead for cardiac magnetic resonance imaging (CMRI), the clinical lead for radiology information technology and business lead for clinical radiology. Since his appointment as consultant at Papworth, the MRI service has grown from ~440 cases/year in 2007–08 to over 1800 cases in 2012.
His specialist clinical interests include CMRI, cardiac CT and nuclear cardiology, with a particular interest in stress imaging for detection and evaluation of ischaemic disease, and imaging of adult congenital heart disease. Dr Agrawal also has a research interest in the application of non-invasive imaging in ischaemia, and has published in this field.
Dr Agrawal is a member of several professional, national and regional bodies, including the Royal College of Surgeons, the Royal College of Radiologists, the British Medical Association (BMA), British Society of Cardiac Imaging (BSCI), British Society of Cardiac MRI (BSCMR), British Society of Thoracic Imaging (BSTI), European Society of Radiology (ESR) and the European Society of Cardiac Radiology (ESCR).
Dr Swamy Gedela
Dr Gedela is the lead consultant cardio-thoracic radiologist and the cardiac MRI director at the Essex Cardiothoracic Centre. His area of expertise includes cardiac MR (CMR) imaging, coronary computed tomography (CT) angiography, coronary calcium scoring, thoracic oncology CT and high-resolution thoracic CT.
He pioneered and developed the Essex Cardiothoracic Centre CMR Unit, which he now leads, providing CMR for over five referring NHS trusts. The service is very successful and continues to receive excellent feedback. He is on the committee for the British Institute of Radiology MRI Specialist Interest Group where he advises on cardiac MRI.
Dr Gedela also leads the Essex cardiac CT service, and is at the forefront of developing and utilising the most advanced techniques and protocols in cardiac CT and MRI; he provides an expert second opinion on numerous cases. He is committed and passionate about enhancing and developing the clinical use of cardiac MRI and cardiac CT in the management of patients with heart disease.
Dr Gedela is regularly invited to speak at prestigious national and international meetings such as the Royal College of Radiologists, national radiology conferences, the British Institute of Radiology, and the European Society of Cardiac Radiology. He is actively involved in education and teaches cardiothoracic imaging on courses including the Royal Brompton cardiac MRI made easy, Essex FRCR A-Z radiology, Essex cardiac CT and the British Cardiac Society village.
Dr Mark Hamilton
Dr Hamilton has been a consultant cardiac radiologist at the Bristol Heart Institute and the Bristol Children’s Hospital since 2005, and is clinical lead for cardiac MRI. He trained in cardiac radiology at Glenfield Hospital in Leicester and at Green Lane and Auckland City Hospitals in New Zealand.
He performs all aspects of trans-thoracic and trans-oesophageal echocardiography, cardiac MRI and cardiac computed tomography, and specialises in paediatric and adult acquired and congenital heart disease. Dr Hamilton’s research interests include stress cardiac MRI, cardiac function in congenital heart disease, aortic compliance, computer modelling of cardiac investigations and stem cell therapy for myocardial infarction.
He is a member of the Royal College of Physicians, a fellow of the Royal College of Radiologists (RCR), and member of the RCR Professional Support and Standards Board.
Professor James Moon
Professor Moon is professor of cardiology at University College London, and the clinical director of imaging at Barts Heart Centre (BHC) – a centre with an estimated annual activity of 9,000 cardiac magnetic resonance (CMR) scans, 3000 nuclear scans, 3000 computerised tomography (CT) scans and 40,000 echoes. He has previously founded, and is clinical director of, the Heart Hospital Imaging Centre, London.
His main research interest is in measuring and defining normal and abnormal myocardium using advanced cardiac imaging techniques (MRI, CT, echo) and working with basic science (genetics/proteomics) and drug developers to achieve better patient care and outcomes. Particular interests include T1 mapping, technical development, standardisation, delivery to healthcare systems, and new ways of performing high throughput research (including multi-site collaboration).
He has published more than 200 papers. Professor Moon set up and leads the international T1-mapping development group. He is a former board member of the Society for Cardiovascular Magnetic Resonance (SCMR) and the current chair of the British equivalent, the BSCMR. Education interests are key to the BSCMR and significant successes include the setting up of web resources (e.g. SCMR video-on-demand, case of the week) as well as local hands-on training courses for up to 4 fellows at any one time.
Dr Martin Graves
Martin Graves is a consultant clinical scientist with over thirty years’ experience in both clinical and research aspects of MRI. He is a Fellow of the Institute of Physics and Engineering in Medicine (IPEM), a Fellow of the Higher Education Academy (HEA), and a Member of the Institute of Engineering and Technology (IET). He was awarded Honorary Membership of the Royal College of Radiologists (RCR) in 2016.
He is vice-chair of the British Institute of Radiology (BIR) Magnetic Resonance Special Interest Group and chair of the organising committee for the annual BIR MRI Course. He is an IPEM representative on the UK’s Clinical Imaging Board (CIB) and their national spokesperson for MRI. He has served on various committees for the International Society of Magnetic Resonance in Medicine (ISMRM), most recently chairing the cardiovascular program for the 2016 meeting in Singapore. He is also a member of the scientific program committee of the European Society of Magnetic Resonance in Medicine and Biology (ESMRMB), and is a member of the editorial board of European Radiology.
Academically he has published over 175 peer-reviewed papers and has been a co-investigator on over £3.2M of external grant funding. He is co-author of the award winning MRI textbook “MRI: From Picture to Proton” (CUP 2003 and 2007) of which the 3rd edition will be published this year. He has also co-authored “Physics MCQs for the Part 1 FRCR” (CUP, 2011) and was co-editor of “Carotid Disease: the role of imaging in diagnosis and management” (CUP, 2007). He has just completed co-writing an eBook on the physics and mathematics of MRI for the Institute of Physics. He is a respected MR educator and regularly contributes to MRI teaching for physicists, radiographers and radiologists locally, nationally and internationally. He has received Outstanding Teacher awards from the ISMRM in 2006 and 2011.
Professor Andrew Jones
Professor Jones is a consultant clinical scientist based at the Christie NHS Foundation Trust in Manchester. He is group leader for imaging physics and radiation protection within Christie Medical Physics and Engineering. The group supports x-ray imaging, radiation protection, MR, ultrasound and optical radiation. In terms of MR, his team provide scientific support to projects at the Christie, including MR biomarker imaging in cancer and the development of MR Linac and simulator techniques for personalised cancer treatment. His team also provide MR scientific support to hospitals and other units across the north west of England, alongside support to national imaging providers.
Professor Jones is heavily involved in the teaching of MR physics and MR clinical applications at numerous institutions and organisations, and is passionate about effective teaching for radiographers, clinicians and scientists. He has been involved with many roles within the Institute of Physics and Engineering in Medicine, the Royal College of Radiologists and the British Institute of Radiology (BIR). He is also the immediate past president of the BIR.
Ms Alison Fletcher
Alison Fletcher has been an MRI radiographer since 1996 and specialised in cardiac MRI in 2002. She has worked in all areas of CMR and is currently working in research for the University of Oxford as well as consulting for Medtronic U.K.
Alison has helped develop the extended role of the radiographer within CMR and is extensively involved in CMR education nationally and internationally. She is the current radiographer representative on the board of trustees for the Society for Cardiovascular Magnetic Resonance.
Dr John-Paul Carpenter
Dr Carpenter is a consultant cardiologist at Poole Hospital with a specialist interest in cardiovascular imaging. He qualified in 1996 from Guy's and St. Thomas' Hospitals before training in cardiology in the Wessex Deanery. He has been performing cardiovascular magnetic resonance (CMR) scans since 2006, initially in Southampton, before undertaking a research fellowship with Professor Dudley Pennell and Dr Sanjay Prasad at the Royal Brompton Hospital in London. This was followed by a clinical fellowship in imaging and heart failure in Southampton, before taking up a locum consultant position at the Brompton. Since starting at Poole in 2013, he has overseen the ongoing development of a comprehensive CMR and cardiac computed tomography (CT) service, with an extended outreach to neighbouring Trusts.
His research interests include non-invasive imaging and, in particular, cardiac MRI with a focus on cardiac iron overload and its assessment. Dr Carpenter has been an invited speaker at multiple local, national and international meetings. He is passionate about cardiology in general, with a particular interest in imaging, both echocardiography and cross-sectional imaging (cardiac CT and CMR). He is an examination board member for the European Association of Cardiovascular Imaging (EACVI) CMR section and is a founding board member of the British Cardio-Oncology Society (BC-OS).
Professor Tim Leiner
Professor Leiner is a professor of radiology at Utrecht University Medical Center, The Netherlands, and is chair of cardiovascular imaging. He is also a member of the board of trustees for the Society for Cardiovascular Magnetic Resonance (New Jersey, USA), an executive committee member and scientific program chair of the 2017 annual meeting for the European Society for Magnetic Resonance in Medicine and Biology (ESMRMB), and secretary of the Cardiac Magnetic Resonance Study Group within the International Society for Magnetic Resonance in Medicine (ISMRM).
Professor Leiner has extensive experience in development of cardiovascular magnetic resonance (MR) imaging applications and clinical implementation of new techniques. His research interests include the clinical value of non-invasive cardiovascular imaging techniques. His specialties are cardiovascular MR imaging, coronary CT and chest imaging, and he has published extensively in these areas.
Professor Leiner has worked as editor of the Dutch Journal of Medicine and several international journals in the field of medical imaging. He also frequently teaches at international conferences to fellow radiologists and radiologists in training.
Commitment to cardiac MRI education continues
The Radiology Academy are committed to continued support for those performing cardiac MRI, and have developed three 1-hour ‘lunch and learn’ agendas, based on topics from the Forum on cardiac MRI. These smaller meetings will cover the topics of cardiac perfusion imaging, the clinical utility of cardiac MRI, and angiography and viability imaging.
The Bayer UK key account managers and clinical application specialists will be leading the roll-out of these meetings around the country. If you would like to organise an event in your region, please contact firstname.lastname@example.org
The plenary presentations from the Forum on Cardiac MRI were video recorded, and these are available to view here: