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心血管磁共振学会(SCMR)的全球心血管磁共振注册研究(GCMR):其目标、基本原理、数据基础设施及当前进展

The global cardiovascular magnetic resonance registry (GCMR) of the society for cardiovascular magnetic resonance (SCMR): its goals, rationale, data infrastructure, and current developments.

作者信息

Kwong Raymond Y, Petersen Steffen E, Schulz-Menger Jeanette, Arai Andrew E, Bingham Scott E, Chen Yucheng, Choi Yuna L, Cury Ricardo C, Ferreira Vanessa M, Flamm Scott D, Steel Kevin, Bandettini W Patricia, Martin Edward T, Nallamshetty Leelakrishna, Neubauer Stefan, Raman Subha V, Schelbert Erik B, Valeti Uma S, Cao Jie Jane, Reichek Nathaniel, Young Alistair A, Fexon Lyuba, Pivovarov Misha, Ferrari Victor A, Simonetti Orlando P

机构信息

Department of Medicine, Brigham and Women's Hospital, Cardiovascular Division, Boston, USA.

Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.

出版信息

J Cardiovasc Magn Reson. 2017 Jan 20;19(1):23. doi: 10.1186/s12968-016-0321-7.

Abstract

BACKGROUND

With multifaceted imaging capabilities, cardiovascular magnetic resonance (CMR) is playing a progressively increasing role in the management of various cardiac conditions. A global registry that harmonizes data from international centers, with participation policies that aim to be open and inclusive of all CMR programs, can support future evidence-based growth in CMR.

METHODS

The Global CMR Registry (GCMR) was established in 2013 under the auspices of the Society for Cardiovascular Magnetic Resonance (SCMR). The GCMR team has developed a web-based data infrastructure, data use policy and participation agreement, data-harmonizing methods, and site-training tools based on results from an international survey of CMR programs.

RESULTS

At present, 17 CMR programs have established a legal agreement to participate in GCMR, amongst them 10 have contributed CMR data, totaling 62,456 studies. There is currently a predominance of CMR centers with more than 10 years of experience (65%), and the majority are located in the United States (63%). The most common clinical indications for CMR have included assessment of cardiomyopathy (21%), myocardial viability (16%), stress CMR perfusion for chest pain syndromes (16%), and evaluation of etiology of arrhythmias or planning of electrophysiological studies (15%) with assessment of cardiomyopathy representing the most rapidly growing indication in the past decade. Most CMR studies involved the use of gadolinium-based contrast media (95%).

CONCLUSIONS

We present the goals, mission and vision, infrastructure, preliminary results, and challenges of the GCMR.

TRIAL REGISTRATION

Identification number on ClinicalTrials.gov: NCT02806193 . Registered 17 June 2016.

摘要

背景

凭借多方面的成像能力,心血管磁共振成像(CMR)在各种心脏疾病的管理中发挥着越来越重要的作用。一个整合国际中心数据的全球注册库,其参与政策旨在开放并涵盖所有CMR项目,能够支持CMR未来基于证据的发展。

方法

全球CMR注册库(GCMR)于2013年在心血管磁共振学会(SCMR)的支持下建立。GCMR团队基于对CMR项目的国际调查结果,开发了基于网络的数据基础设施、数据使用政策和参与协议、数据协调方法以及现场培训工具。

结果

目前,17个CMR项目已达成参与GCMR的法律协议,其中10个项目提供了CMR数据,共计62456项研究。目前经验超过10年的CMR中心占主导(65%),且大多数位于美国(63%)。CMR最常见的临床应用包括心肌病评估(21%)、心肌存活评估(16%)、胸痛综合征的负荷CMR灌注(16%)以及心律失常病因评估或电生理研究规划(15%),其中心肌病评估是过去十年中增长最快的应用。大多数CMR研究使用了钆基造影剂(95%)。

结论

我们介绍了GCMR的目标、使命和愿景、基础设施、初步结果以及挑战。

试验注册

ClinicalTrials.gov识别号:NCT02806193。于2016年6月17日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b234/5303267/1b7cbfa9f72d/12968_2016_321_Fig1_HTML.jpg

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