Transforming Cardiovascular Care Through Discoveries in Imaging

SCMR 23RD ANNUAL SCIENTIFIC SESSIONS

Peds/CHD Business MeetingRahul Rathod, MDChair, Peds/CHD SectionFriday, February 14, 2020

Outline

• Steering Committee Introductions• Peds/CHD Section Statistics• Peds/CHD Subcommittees• Congenital Cardiac CMR Conference (C4) • Program feedback and ideas for next year

Peds/CHD Steering Committee

Laura Olivieri Rebecca Beroukhim Francesca Raimondi Josh Robinson Inga Voges

Amanda Potersnak Lorna Browne Vivek Muthurangu Rahul Rathod

Peds/CHD Section: Who are we?

Male59%

Female41%

Membership increased from 445  632(42% increase)

Yes93%

No7%

Official SCMR Members

Associate 17%

Fellow SCMR5%

Regular45%

Technologist7%

Trainee26%

Membership Type

Peds/CHD Section: From where?

Peds/CHD Section: From where?

SCMR Committees

We have a Peds/CHD representative on every SCMR level commitee

Subcommittees

1. Multi‐Center Collaborative Research2. Machine learning3. Early career/Mentorship4. Quality Improvement5. Education6. Maintenance of Certification7. Fostering Liaisons and Interactions with Industry for Congenital 

CMR (FLIICR) 

Multicenter Research Collaborations Subcommittee

Co‐chairs :

Jonathan Soslow, MD, MSCI Heynric Grotenhuis, MD, PhDVanderbilt University Medical Center Wilhelmina Children’s HospitalNashville, USA Utrecht, The Netherlandsjonathan.h.soslow@vumc.org H.B.Grotenhuis@umcutrecht.nl

Multicenter Research Collaborations Subcommittee

Main objectives• To stimulate multicenter collaboration on CMR research (US & non‐US)• Share new ideas/study proposals• To encourage projects that will fill major gaps in our knowledge of CMR for pediatric/congenital heart disease

• Determine barriers to research and address them• Evaluate options to facilitate data sharing

Multicenter Research Collaborations Subcommittee• The Research Subcommittee will meet :

• in‐person meeting at SCMR conference • quarterly by Webex meetings

• If you would like to participate as a member of the Subcommittee or would like to participate in any other form, please email both of us.

We look forward to working with everyone!

Jonathan Soslow Heynric Grotenhuisjonathan.h.soslow@vumc.org H.B.Grotenhuis@umcutrecht.nl

Machine learning

• Chair - Jennifer Steeden, UCL Centre for Translational Cardiovascular Imaging, University College London, London. WC1N 1EH. United Kingdom. jennifer.steeden@ucl.ac.uk

• 19 current members

• Create large multi-centre sets of paediatric and congenital CMR data, to train algorithms and machine learning programmes.

• Facilitate multi-centre trials of machine learning technologies, specific to paediatric and congenital CMR.

• Encourage dissemination of machine learning tools into the community, and aid clinical uptake.

Machine learning

• Primarily focus on vascular and whole heart segementation

• Vascular repository – MR/CT angiography

• Vascular segmentation, measurements and classification

• Including thoracic Aorta / complex PA / Aortopothy / Bicuspid Ao

• Explore data compliant repositories

• Link to 3D printing community

• Data I/O

Early Career/Mentorship SubcommitteeChair: Michael DiLorenzo, MDAssistant Professor, Columbia University Irving Medical Centermpd2001@cumc.columbia.edu

MentorsChris Francois University of Wisconsin‐MadisonHeynric Grotenhuis Wihelmina Childrens Hospital, UMC UtrechtArash Kheradvar UC IrvineThriveni Sanagala Loyola ChicagoDave Biko CHOPInga Voges  University Hospital Schleswig‐HolsteinUyen Truong Children’s Hospital of RichmondSimon Lee Nationwide Children’s HospitalMaria Boutsikou Mediterraneo Hospital, Athens (Cardiology)Kanwal Farooqi Columbia UniversityAmee Shah Columbia UniversityJimmy Lu University of MichiganLorna Browne Children's Hospital Colorado

MenteesMohammed Hassan Abdelrhman Mohammed King Abdulaziz Cardiac Center, Saudi ArabiaMarian Pop Tirgu Mures, RomaniaJulio Garcia Libin Cardiovascular Institute of AlbertaPreeti Choudhary Westmead Private Hospital, AustraliaMehul Patel McGovern Medical School UT HealthPreeti Ramachandran UK Chandler‐Kentucky Children'ssCarolyn Wihelm UH Rainbow BabiesShannon Nees Columbia UniversityMatt Moehlmann Medical College Wisconsin/Children's Hospital (Imaging fellow)Cesar Gonzalez De Alba Oregon Health and Science (Fellow)Amimesh (Aashoo) Tandon UT SouthwesternSoultana (Tania) Kourtidou Cornell/NYPDeepali Saxena Columbia Asia Hospital, IndiaAnna Bader Yale UniversityFawaz Abdulaziz Alenezi Duke (CMR fellow)Sihong Huang Michigan‐Devos ChildrensJamie Harrington Columbia UniversityJen Cohen Mount Sinai Medical CenterAshish Doshi Johns Hopkins (Fellow)

Early Career/MentorshipCurrent and future initiatives

• Current initiatives• Pairing mentors and mentees• Development of Slack channel for communication (early career questions, clinical case questions)• Events for SCMR 2020

• Collaboration with Drs. Kanwal Farooqi and Inga Voges, Early career meet‐and‐greet (as part of Peds social event, Friday, Feb 14)

• Collaboration with Lorna Brown, Women in CMR event (Thursday, Feb 13)

• Future goals• Expansion of membership (especially mentors)• Organized early career events for SCMR 2021 

• Lunch symposium or social hour, One‐on‐one sessions, Industry‐sponsored events• Development of webinars focused on early career questions

• Billing, Protocol development, Image acquisition/optimization, Developing academic identity

Quality Improvement• Chair: Nadine Choueiter  nchoueit@montefiore.org

• Members• Tarek Alsaeid• Sujatha Buddhe• Anjali Cheliah• Helen Dormand• Lindsay Griffin • Sihong Huang • Tania Kourtidou• Nila Misra• Francesca Raimondi 

• Soha Romeih• Tim Slesnick (sponsor)• Jeremy Steele• Kenan Stern • Carolyn Wilhelm

Quality Improvement: Goals

• Identify and develop quality metrics (structural and process metrics) specific to pediatric and congenital CMR

• Implement quality initiatives based on the metrics developed

• Assess the cost of quality and adopting best practice in pediatrics and congenital CMR 

Quality Improvement:Current Projects

• Practice variations• Use of sedation and general anesthesia (GA) in pediatric and adult congenital CMR

• Factors that might affect the use of sedation/GA • 3 phone conferences so far and survey in final stages expect an email from nchoueit@montefiore.org

• Standardized reporting • Reached out to ACC quality network since already working on standardized reporting in CMR (first quality metric on TOF) 

Quality Improvement: Join Us!

Members from different practice MR models and 

experience are encouraged to join to provide a 

broad and comprehensive perspective

Peds/CHD Education Subcommittee

Chair: Chris Lam (SickKids)Vice‐Chairs: Sujatha Buddhe (Seattle Children’s)

Radiology Vice‐Chair position available!

• Julien Aguet• Tarek Alsaied• Anna Bader• Badr Bannan• Sadaf Bhutta• Maria Boutsikou• Lorna Browne• Kenneth Cheung• Andrew Crean• Santokh Dhillon• Michael DiLorenzo• Michael DiMaria• Helen Dormand• Brian Fonseca• Julio Garcia• Lasya Gaur

• Jonathan Ginns• Aswathy House• Sihong Huang• Elizabeth Joseph• Gauri Rani Karur• Arash Kheradvar• Simon Lee• Maryam Ghadimi Mahani• Saima Mangi• Prakash Masand• Wadi Mawad• Anthony Merlocco• Matthew Moehlmann• Mohammed Hassan 

Mohammed• Maria Navallas

• Karen Ordovas• Joseph Pagano• Francesca Pluchinotta• Beth Printz• Rajesh Puranik• Rahul Rathod• Soha Romeih• Sanagala Thriveni• Aurelio Secinaro• Sachdeva Shagun• Divya Shakti• Jason Su• Deane Yim

Current Members (47)

13 countries represented: Australia, Canada, Egypt, France, Greece, Hong Kong, India, Italy, Pakistan, Saudi Arabia, Scotland, Spain, USA

you?

Peds/CHD Education SubcommitteeGoals1. Provide & expand educational opportunities specific to peds/CHD CMR2. Build an online community for discussion & consultation for peds/CHD CMR

Current Initiatives1. Educational teleconferences2. Website educational materials3. SCMR CME content4. Community building through online portals (eg: Slack)5. Your idea here!

Interested? Email christopher.lam@sickkids.ca

Maintenance of CertificationAmerican Board of Pediatrics• Chair name: Tiffanie R. Johnson, M.D.

• Indiana University / Riley Children’s Health• Contact info: tifjohns@iu.edu• Goals of the subcommittee:

• Obtain MOC Part 2 credits from attending SCMR Annual Scientific Sessions

• More stringent requirements than ABIM• Staff needed

• Work on MOC, Part 4 credits with the QI subcommittee

FLIICR

• Fostering Liaisons and Interactions with Industry for Congenital CMR• Current chair: Animesh (Aashoo) Tandon, UT Southwestern, Animesh.Tandon@UTSouthwestern.edu

• Goals: to encourage industry partners to make stuff for pediatric and congenital CMR, and to foster this development

• We have identified that the highest priority for our members is to improve post‐processing software

• Working on developing a survey to send SCMR members about specific priorities

• Will need any industry contacts so that we can convey our group thoughts!

The Congenital Cardiac CMR Conference (C4)

Brian Fonseca  and Lorna BrowneDept of Cardiology and Radiology

Children's Hospital ColoradoUniversity of Colorado

The Congenital Cardiac CMR Conference (C4)

• Case based learning for novices to experts• Chance for communal discussion of controversial 

topics• Springboard for multi‐center research

• 3 practice conferences with steering committee• Launched Teleconference to Pediatric Group in April 2019

• 3 Conferences (April, August, November)• Emailed zoom invite to Pediatric Group

• Post Conference Survey

The Congenital Cardiac CMR Conference (C4)

c

c

ccccc

c

Distribution of Participants

SCMR C4 Teleconference Round Up

• • April 2019: 3T; 4D flow; Cardiac Fibromas (69 Live Attendees)

• August 2019: T1 Mapping (65 Live Attendees)

• November 2019: Fontan MRI (73 Live Attendees)

Live Participants

Webinar Downloads  (< December 31 2019)

Webinar Downloads

Conference Downloads3T MRI, 4D Flow, Fibromas 71

T1 Mapping 45Fontan MRI 16

http://scmr.peachnewmedia.com/store/

Going Forward

• Passing on the Baton to Education Subcommittee ?• Opportunity for your center to present rare/interesting/complex cases

• Better Advertising presence• Increase Webinar Awareness

• CME • Other ideas?

Program Feedback and Ideas

Chris Francois2020 Abstract Chair2021 Program Chair

Lars Grosse‐Wortmann2020 Program Chair

A message from the President

Andrew James Powell

Thank you

Adam DorfmanMark Fogel

Join us!

• Tonight from 7pm – 8pm• High Velocity Half Bar(Near Marriott Lobby)

• Special thanks to:• Kanwal Farooqi • Inga Voges

Follow us!

@SCMRchd