Cardiac MRI is a safe, non-invasive advanced cardiac imaging investigation. With the use of ECG gating it can create images of the heart with superior temporal and contrast resolution. It has revolutionised the investigation and management of heart disease by being able to answer accurately key questions that we previously could not.
It is gold standard for evaluating ventricular function and volumes, and considered gold standard for viability and ischaemia assessment in the management of ischaemic heart disease. In addition cardiac MRI has a crucial role in the management of cardiomyopathies (acquired and inherited heart muscle disease), heart failure, complex cardiac disease, congenital heart disease, valvular and vascular disease.
It is a rapidly evolving investigation modality that is likely to undergo the largest expansion of all cardiac imaging modalities. However, CMR is technically challenging and appropriate training and education is needed.
1 CPD credit.
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Consultant Cardio-thoracic Radiologist
Essex Cardio-Thoracic Centre
Dr Swamy Gedela is the Cardiac MRI (CMR) Director and the lead cardio-thoracic radiologist at the Essex CTC.
He developed and pioneered the creation of the Essex CTC CMR Unit which he also leads providing cardiac MRI for over 5 referring NHS trusts. It is going through rapid expansion, accelerated to already performing approx. 1700 cardiac MRI examinations per year and expected to perform 2000-3000/year in the near future.
He leads the cardiac CT service, continuing to adapt and modify protocols and performs complex cardiac CT imaging at a high level.
He also provides expert second opinions on cardio-thoracic CT and MRI imaging.
He is committed and passionate in enhancing and developing the clinical use of cardiac MRI and cardiac CT in the management of patients with Heart Disease.
His areas of expertise includes Cardiac MRI, Coronary CT angiography, Coronary Calcium scoring, Thoracic oncology CT and High Resolution thoracic CT.