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Published on: January 6, 2019
Sustainable low-field cardiovascular magnetic resonance in changing healthcare systems
Cathy Qin1, Sanjana Murali1, Elsa Lee2
1Department of Imaging, Imperial College Healthcare NHS Trust, London, UK.
Insights
Low-field cardiovascular magnetic resonance (CMR) offers a sustainable solution for diagnosing heart disease globally. This technology addresses access inequalities by providing diagnostic-quality imaging tailored to diverse healthcare settings.
Area of Science:
- Medical Imaging
- Cardiovascular Medicine
- Biomedical Engineering
Background:
- Cardiovascular disease (CVD) poses a significant global health burden.
- Cardiovascular magnetic resonance (CMR) is a key diagnostic tool in developed nations.
- Global access to CMR is limited by cost and infrastructure disparities.
Purpose of the Study:
- To review the technical, practical, and cost aspects of low-field CMR.
- To identify barriers to implementing sustainable MRI in diverse healthcare settings.
- To explore the potential of low-field CMR to improve global cardiovascular diagnostics.
Main Methods:
- Literature review of technical specifications and clinical applications of low-field CMR.
- Analysis of cost-effectiveness and implementation challenges.
- Evaluation of case studies and expert opinions on sustainable MRI.
Main Results:
- Low-field CMR systems are becoming technically viable for diagnostic imaging.
- Implementation requires addressing local infrastructure, training, and cost.
- Potential for improved access in low-resource settings exists.
Conclusions:
- Low-field CMR presents a promising avenue for equitable cardiovascular diagnostics.
- Overcoming implementation barriers is crucial for widespread adoption.
- Further research and development are needed to optimize sustainable MRI solutions.
Abstract:
Cardiovascular disease continues to be a major burden facing healthcare systems worldwide. In the developed world, cardiovascular magnetic resonance (CMR) is a well-established non-invasive imaging modality in the diagnosis of cardiovascular disease. However, there is significant global inequality in availability and access to CMR due to its high cost, technical demands as well as existing disparities in healthcare and technical infrastructures across high-income and low-income countries. Recent renewed interest in low-field CMR has been spurred by the clinical need to provide sustainable imaging technology capable of yielding diagnosticquality images whilst also being tailored to the local populations and healthcare ecosystems. This review aims to evaluate the technical, practical and cost considerations of low field CMR whilst also exploring the key barriers to implementing sustainable MRI in both the developing and developed world.
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