#WhyCMR for the right heart is challenging! You must FINE TUNE your sequences and ideally be at the console when scanning a possible ARVC
HI RES partial SAX (1.7x1.7x5 mm) post GAD
#WhyCMR SMALL TIPS for scanning the RV
- Slice thickness 4.5-6 mm 🍕
- Pixel 1.7 x 1.7 or less depending on your machine
-🔼Signal by going post-GAD 🥷
-🔼SNR by decreasing any acceleration method as much as tolerated by the patient (apnea time)
- 🔼Flip Angle to brighten blood
As always is a trade between SIGNAL and NOISE (SNR), going post-GAD enhances signal, allowing to push for smaller voxels enhancing spatial res, which is CRITICAL in thinner structures like the RV.
RV 3Ch HI-RES

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More from @ecocardio_cl

Jul 8
Many faces of HCM! Crazy #WhyCMR case | 50 yo female, very mild LVH (IVS 11-12 mm) | Follow me | I think @MasriAhmadMD will like this one! #Cardiotwitter @SCMRorg @scmrchd
3Ch Mild LVH
2C | WOW looking deep inferior CRYPTS 🧐
Read 8 tweets
Jan 11, 2020
1/5 THREAD ⏬ old but STRIKING #Echofirst #WhyCMR #CardioTwitter case with a 😱😱😱😱 **** LGE! First #EchoFirst
18 y.o. male, Heart Failure👻NYHA IV in 3 months 📛 F/H: Mother died age 38 yo of sudden cardiac death.
2/ Then add some #WhyCMR along
3/ Some SAX in #Echofirst and #WhyCMR
Read 14 tweets

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