Sadeer G. Al-Kindi - Cardiac MRI Certification Exam: 150 Questions and Review

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Four M R I images of cardiology training.

Cardiovascular magnetic resonance imaging (CMR) is now an essential part of cardiology training. These 150 questions and reviews provide a comprehensive and easily readable education tool for trainees and cardiologists in preparing for the CMR Certification Examinations. This review contains 150 multiple-choice questions similar to topics found on the board examination and are supported by concise summaries and explanations with links to up-to-date resources and literature. The questions explore a wide breadth of cardiac pathologies from ischemic to valvular to congenital heart disease.

Drs. Al-Kindi and Janus are both certified by American Board of Internal Medicine in Internal Medicine and Cardiovascular Medicine, certified by National Board of Echocardiography, and in Cardiac Magnetic Resonance Imaging by Certification Board of Cardiovascular Magnetic Resonance (CBCMR) . We would like to thank our co-authors/co-contributors Dr. Imran Rashid and Dr. Sanjay Rajagopalan for their partial review of the materials. We must thank our wonderful nurses (Sara Palker and Ellen Musarra), technologists (Jason Eastman, Bridget Razem, June James, and Amanda Maguire), and administrative personnel (Daniela Riggio) for helping take care of our patients and acquire these images. We would like to thank Drs. Hajjari, Chami, Mously, Karnib, Chahine, Al Jammal, and Badhwar for their help with reviewing the cases. We additionally need to thank our patients for the images and teachings they have provided, and lastly our families for the support along this journey.

The correct answer is B. On spin echo imaging, the repetition time (TR) and the echo time (TE) are used to help weigh the image and control image contrast. To produced T1-weighted image, a short TE and TR is required. T2-Weighted images require long TR and long TE as shown in figure [].

A 2-part illustration titled T 1 weighted short T R slash short T E and T 2 weighted long T R slash long T E. Each illustration has 2 graphs marked M subscript x and y illustrating 2 lines with decreasing trend and M subscript z with 2 lines illustrating increasing trends.

A line graph of longitudinal magnetization versus time plots an increasing trend. The left side of the concave downward curve is labeled short T 1, and the right side with long T 1. The arrow labeled at the bottom demonstrates the larger differentiation of tissues based on T 1 compared to the arrow at the top.

A line graph of longitudinal magnetization versus time plots a decreasing trend. The below portion of the concave upward curve is labeled short T 2, and the above with long T 2.

A table lists the measurements of volumetric analysis of E D V, E S V, C O, and MASS. E D V and E S V with L V of 309 and 236 in milliliters and 165 and 126 in milliliters per meter squared, respectively. C O has values of 4.46 liter per minute and 2.39 liter per minute per meter squared. MASS with values of 145 grams and 78 grams per meter squared.