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State-of-the-art Cardiac Magnetic Resonance Imaging
St. Francis Cardiac ImagingUnmatchable expertise powered by state-of-the-art technology
St. Francis Hospital, The Heart Center® has one of the largest
cardiac MRI programs in the country, performing over 1,200
studies per year. Our mission is three-fold:
• To provide state-of-the-art clinical imaging for our
referring physicians
• To push the envelope of imaging techniques through research
• To train future generations of cardiac imagers
Patients are scanned at one of three facilities: outpatients at the
DeMatteis Research Center or at 2200 Northern Blvd., a short distance
away, and inpatients at St. Francis Hospital. The three magnets are
state-of-the-art utilizing two 1.5T and one 3.0 T magnets. The imaging
group at St. Francis utilizes the latest technology. Clinical studies are
read the same day as performed and results are communicated back
to the clinician the same day. Three cardiologists specifically trained
for cardiac MRI imaging provide the interpretations. Each of them con-
ducts research protocols, which are available for patient enrollment.
Jane Cao, M.D., Lab Director
Level 3 fellowship in Cardiac MRI,
National Institutes of Health
Madhavi Kadiyala, M.D.
Level 3 fellowship, St Francis Hospital/
DeMatteis Cardiac Research Center
Timothy Christian, M.D.
Level 3 fellowship in Cardiac MRI,
National Institutes of Health
We have an active fellowship program in cardiac imaging
where physicians can obtain level 3 training cardiac MRI.
Clinical Indications for Cardiac MRI
There are many uses of MRI in the care of patients with cardiac disease.
Below is a list of the major categories for the most common referrals for a
cardiac MRI exam.
Coronary artery disease: Cardiac MRI is a powerful and comprehensive imaging modality in patients with known or suspected CAD. MRI can define left ventricular wall motion and systolic function with high accuracy. It can measure infarct size, detect acute events, and diagnose CAD with stress
perfusion testing.
Cardiac masses: Physical properties inherent to MRI allow for the charac-terization of most cardiac masses with high accuracy.
Cardiomyopathies: In many instances, MRI can provide an etiology of ventricular dysfunction in patients with CHF. Infiltrative diseases such as amyloidosis and sarcoidosis can be detected on post-contrast images. T1 mapping allows for further delineation of the extra-cellular space.
Late enhancement in patients with hypertrophic cardiomyopathy is prognos-
tically important.
A patient with acute MI showing early edema (left), infarct size (middle) and persistent perfusion defect (right).
Rare apical masses: (left) a large thrombus at the ventricular apex in a patient with prior MI. (Mid-dle and right): a rare cardiac myxoma in the LV apex distigiushed by T2 and T1 weighted imaging.
A patient with advanced cardiac amyloidosis
Event free survival at 5yrs
SFH Cardiac Imaging Logos V1
Version 1St. FrancisCardiac ImagingCatholic Health Services
Version 1St. FrancisCardiac ImagingCatholic Health Services
After Surgery
Myocarditis/pericardial disease: Myocarditis can be detected, quan-tified, and staged in terms of chronicity with MRI. Pericardial thickening, effusions, and constriction can also be evaluated.
The pericardium is well seen on MRI, as well as pericardial effusions.
Right ventricular dysplasia: While rare, CMRI is a valuable test in
terms of RV function and fat characterization.
Valvular heart disease: CMR can anatomically define valve structure such as the bicuspid aortic valve (right). However, its strongest use is in the quantitation of regurgitation and shunts (left). This is a rapidly
growing field in CMR.
Ventricular Noncompaction: This congenital defect is often unrecog-
nized, but readily identified by CMR. Note the extensive web of noncom-
pacted myocardium toward the apex.
A patient with chronic myocarditis with epicardial enhancement. The degree can be quantified (right).
Frequently Asked Questions
How long is the exam?Most studies can be performed within 45 minutes.
Can patients with coronary stents be imaged safely?Yes, cardiac stents pose no increased risk.
Can patients with artificial valves be imaged?Yes, in most instances imaging can be done safely with the exception of
some very old mechanical valves. It is valuable to provide us with informa-
tion on the type of valve.
What about patients with metal implants?Most implants are safe with some exceptions such as neural stimulators
and cochlear implants. It is important to provide us with information on
the type of implant. An X-ray of the implant or foreign body is very helpful
if available.
Does my patient need contrast?The majority of studies are significantly enhanced by the use of contrast
so unless there is a contraindication such as history of allergy or low GFR,
it is best to order with contrast. The exception is in patients with questions
purely regarding valvular disease.
Is the contrast the same as iodine based-CT scans?No, MRI uses Gadolinium which does not have the toxicities associated
with iodinated contrast. However, in rare instances patients can have an
allergic reaction. Also, patients with renal dysfunction (a creatinine clear-
ance of less than 40 cc/min) are at risk for complications.
How do you handle claustrophobic patients?Our staff is very experienced and has a number of methods to
reduce claustrophobic anxiety in the magnet. We are able to image over
90% of referred patients, but occasionally there are patients too anxious
to enter the magnet.
How do I schedule an appointment and what is the wait time? Appointments are generally made through SFH’s Central Scheduling
Department at (516) 629-2028. The wait time is usually a week or less.
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Route 107
Exit 36 Exit 39
Nassau County Museum of Art
2200Northern
Blvd.
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Exit 36 Exit 39
The DeMatteisCenter
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Route 107
Exit 36 Exit 39
St.FrancisHospital
NYIT College
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Route 107
Exit 36 Exit 39
Nassau County Museum of Art
2200Northern
Blvd.
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Exit 36 Exit 39
The DeMatteisCenter
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Route 107
Exit 36 Exit 39
St.FrancisHospital
NYIT College
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Route 107
Exit 36 Exit 39
Nassau County Museum of Art
2200Northern
Blvd.
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Exit 36 Exit 39
The DeMatteisCenter
Long Island Expressway (495)
Northern Blvd.
Port Washington B
lvd.
Glen Cove Rd.
Route 107
Exit 36 Exit 39
St.FrancisHospital
NYIT College
St. Francis Cardiac Imaging
at 101 Northern Blvd. in Greenvale.
St. Francis Ambulatory Center
at 22000 Northern Blvd. in East Hills
St. Francis Hospital
at 100 Port Washington Blvd. in Roslyn
100 Port Washington Blvd. Roslyn, NY 11576Phone: (516) 629-2028stfrancisheartcenter.chsli.org
SFH Cardiac Imaging Logos V1
Version 1St. FrancisCardiac ImagingCatholic Health Services
Version 1St. FrancisCardiac ImagingCatholic Health Services