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CMR Unit staff CMR UNIT CARDIOLOGY DEPARTMENT NIGUARDA HOSPITAL MILAN - ITALY Our vision of CMR in the future CMR Unit activity Niguarda Hospital is a third level referral centre in Milano, Italy The Department of Cardiology has adult and pediatric cardiology and cardiac surgery, a cardiomyopathy unit and a program of heart transplant (HTX) The CMR Unit was founded in 2006 Milan The Duomo Cathedral of Milano Niguarda Hospital Clinical activity (clinical scans) Clinical research (myocarditis, HTX, cardiomyopathies, thalassemia) Education (training of fellows, congresses, courses) § National congress on CMR (5 editions) § Course on CMR theory & practice § Hands-on CMR course (practical training) § Regular education program on CMR for cardiology fellows Major past projects § Prognosis assessement in non-compaction cardiomyopathy § Influence of different chelation regimens on cardiac function in thalassemia § Iron cardiotoxicity in STEMI Major current projects § Prognosis in acute myocarditis (Multicentre Study in Lombardy Region, Italy) § Evolution of myocardial tissue composition in HTX § T1-mapping in thalassemia Present staff Patrizia Pedrotti, MD Angela Milazzo, MD Giuseppina Quattrocchi, MD Paola Sormani, MD (fellow) Past staff Alberto Roghi, MD Stefano Pedretti, MD Santo Dellegrottaglie, MD Collaborations Dr Ornella Rimoldi, MD (National Research Council, Milano) Davide Piccini, MSc (Siemens, Lausanne) and our wonderful techs and nurses!!! Representatives of our techs and nurses Selected papers -Prognostic impact of late gadolinium enhancement in the risk stratification of heart transplant patients (Eur Heart J Cardiovasc Imaging 2016) -Long-Term Prognostic Value of Cardiac Magnetic Resonance in Left Ventricle Noncompaction: A Prospective Multicenter Study (JACC 2016) -Cardiac iron removal and functional cardiac improvement by different iron chelation regimens in thalassemia major patients (Ann Hematol 2012) Selected abstracts -Comparison of myocardial T1 mapping techniques at 1.5 T to detect interstitial fibrosis in patients with orthotopic heart transplant (SCMR 2014) -Comprehensive myocardial tissue characterization with cardiac magnetic resonance in patients with Churg Strauss Syndrome (SCMR/EuroCMR 2015) -Incremental value of cardiac magnetic resonance in the characterization of unselected patients referred to exclude arrhythmogenic right ventricular cardiomyopathy (SCMR 2009) CMR UNIT COLLABORATIONS Cardiomyopathies & HTX Unit- Niguarda Hospital Centre for Congenital Anemias Policlinico - Milano Siemens Lausanne Switzerland Myocarditis (Lombardy Region Myocarditis Network – Italy) Heart transplant (HTX) (National Research Council – Milan) Cardiac disease in Thalassemia T1-mapping in Thalassemia (Barts Heart Centre, Cardiac Imaging) Iron cardiotoxicity in STEMI (Coronary Care Unit – Niguarda Hospital) MR coronary angiography Advanced cardiac imaging (CMR, CT, PET-MR) Physiopathology (new insight on cardiac disease) Therapy Multidisciplinary team Clinicians Imagers Genetists Pathologists DIAGNOSIS (key step to therapy) Prognosis Medical therapy Interventional MRI Surgical/Interventional guidance (3D printing, virtual heart) From a clinical perspective, in our vision of the future CMR will increasingly be integrated in advanced cardiac imaging units which will be part of multidisciplinary teams involved in patients care. The key step to cure patients is to reach the correct diagnosis and this in turn will determine therapeutic options; CMR already has and will increasingly have a pivotal role in this process.

CMR UNIT CARDIOLOGY DEPARTMENT NIGUARDA HOSPITAL …€¦ · CMR UNIT CARDIOLOGY DEPARTMENT NIGUARDA HOSPITAL MILAN - ITALY Our vision of CMR in the future CMR Unit activity Niguarda

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Page 1: CMR UNIT CARDIOLOGY DEPARTMENT NIGUARDA HOSPITAL …€¦ · CMR UNIT CARDIOLOGY DEPARTMENT NIGUARDA HOSPITAL MILAN - ITALY Our vision of CMR in the future CMR Unit activity Niguarda

CMR Unit staff

CMR UNIT CARDIOLOGY DEPARTMENT

NIGUARDA HOSPITAL MILAN - ITALY

Our vision of CMR in the future

CMR Unit activity

Niguarda Hospital is a third level referral centre in Milano, Italy

The Department of Cardiology has adult and pediatric cardiology and cardiac surgery, a cardiomyopathy unit and a program of heart transplant (HTX)

The CMR Unit was founded in 2006

Milan

The Duomo Cathedral of Milano

Niguarda Hospital

Clinical activity (clinical scans)

Clinical research (myocarditis, HTX, cardiomyopathies, thalassemia)

Education (training of fellows, congresses, courses)

§  National congress on CMR (5 editions)

§  Course on CMR theory & practice §  Hands-on CMR course (practical

training) §  Regular education program on

CMR for cardiology fellows

Major past projects §  Prognosis assessement in non-compaction

cardiomyopathy §  Influence of different chelation regimens on cardiac

function in thalassemia §  Iron cardiotoxicity in STEMI

Major current projects §  Prognosis in acute myocarditis (Multicentre Study in

Lombardy Region, Italy) §  Evolution of myocardial tissue composition in HTX §  T1-mapping in thalassemia

Present staff Patrizia Pedrotti, MD Angela Milazzo, MD Giuseppina Quattrocchi, MD Paola Sormani, MD (fellow) Past staff Alberto Roghi, MD Stefano Pedretti, MD Santo Dellegrottaglie, MD Collaborations Dr Ornella Rimoldi, MD (National Research Council, Milano) Davide Piccini, MSc (Siemens, Lausanne)

…and our wonderful techs and nurses!!!

Representatives of our techs and nurses

Selected papers -Prognostic impact of late gadolinium enhancement in the risk stratification of heart transplant patients (Eur Heart J Cardiovasc Imaging 2016) -Long-Term Prognostic Value of Cardiac Magnetic Resonance in Left Ventricle Noncompaction: A Prospective Multicenter Study (JACC 2016) -Cardiac iron removal and functional cardiac improvement by different iron chelation regimens in thalassemia major patients (Ann Hematol 2012) Selected abstracts -Comparison of myocardial T1 mapping techniques at 1.5 T to detect interstitial fibrosis in patients with orthotopic heart transplant (SCMR 2014) -Comprehensive myocardial tissue characterization with cardiac magnetic resonance in patients with Churg Strauss Syndrome (SCMR/EuroCMR 2015) -Incremental value of cardiac magnetic resonance in the characterization of unselected patients referred to exclude arrhythmogenic right ventricular cardiomyopathy (SCMR 2009)

CMR UNIT COLLABORATIONS

Cardiomyopathies & HTX Unit-

Niguarda Hospital

Centre for Congenital Anemias Policlinico - Milano

Siemens Lausanne

Switzerland

•  Myocarditis (Lombardy Region Myocarditis Network – Italy)

•  Heart transplant (HTX) (National Research Council – Milan)

•  Cardiac disease in Thalassemia

•  T1-mapping in Thalassemia (Barts Heart Centre, Cardiac Imaging)

•  Iron cardiotoxicity in STEMI (Coronary Care Unit – Niguarda Hospital)

•  MR coronary angiography

Advanced cardiac imaging

(CMR, CT, PET-MR)

Physiopathology (new insight on cardiac disease)

Therapy

• Multidisciplinary team • Clinicians • Imagers • Genetists • Pathologists

• DIAGNOSIS (key step to therapy)

• Prognosis

• Medical therapy • Interventional MRI • Surgical/Interventional guidance (3D printing, virtual heart)

From a clinical perspective, in our vision of the future CMR will increasingly be integrated in advanced cardiac imaging units which will be part of multidisciplinary teams involved in patients care. The key step to cure patients is to reach the correct diagnosis and this in turn will determine therapeutic options; CMR already has and will increasingly have a pivotal role in this process.