cardiology.duke.edu  
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Imaging and Diagnostic Laboratories
Overview | Echocardiography | Stress Testing
Nuclear Cardiology | Computed Tomography | MRI
Peripheral Vascular Disease

Magnetic Resonance Imaging

Opened in 2002, the Duke Cardiovascular Magnetic Resonance Center (DCMRC) was the first such facility in the nation devoted exclusively to cardiovascular MRI. The DCMRC is dedicated to determining the clinical situations in which cardiovascular MRI provides diagnostic information beyond that available with existing diagnostic techniques.
 
The use of magnetic resonance imaging (MRI) for the routine diagnosis of heart disease remains relatively uncommon, though MRI has been used in other clinical areas since the 1970s. This is partly because while most body organs do not move and therefore can be imaged "slowly," images of the heart must be acquired at a rate which is "fast" relative to the cardiac cycle.
 
Recent advances in MRI technology have reduced scan times to a few seconds. Combined with synchronization of the scanner hardware to the patient's ECG, these advances allow high-quality MRIs of the heart to be acquired.
 
Facilities include two state-of-the-art systems fully equipped for cardiovascular imaging:
 
  • A Siemens Avanto system at Duke University Hospital serves inpatients.
  • A 1.5T Siemens Magnetom Sonata system at Duke Clinic (Duke South) serves outpatients.
 
Current research is aimed toward understanding:
 
  • The physiologic information portrayed by magnetic resonance images of the heart
  • The clinical utility of this information
 
Technical development includes development of new MRI pulse sequences and imaging protocols. Capabilities include:

  • Dedicated workstations for modifying MRI scanner software at its lowest level
  • Individuals from academia and industry whose primary responsibility is sequence and protocol development
 
Candidate pulse sequences and protocols are evaluated, and those whose clinical and/or research potential can be demonstrated are added to the library of active scan protocols.
 
When to refer a patient:

Sample indications/anatomical regions appropriate for MRI evaluation include the following. Click on the links to view sample images.
 
 
 
Contraindications
 
As an initial screening tool for referring physicians, MRI is contraindicated for patients with the following:
 
  • Cardiac pacemaker
  • Implanted cardiac defibrillator
  • Aneurysm clips
  • Carotid artery vascular clamp
  • Neurostimulator
  • Insulin or infusion pump
  • Implanted drug infusion device
  • Bone growth/fusion stimulator
  • Cochlear, otologic, or ear implant
 
Scheduling
 
For more information or to refer a patient, please call 919-668-5580.
To assist us with scheduling a patient, please fill out and fax the referral sheet for Cardiac MRI  (Excel) or for Congenital MRI (32 KB PDF).
 
Or, have the following information ready when you call:
  1. Name and phone number of the patient
  2. Indication(s) for the exam
  3. Name and phone number of the referring physician
Faculty
 
Robert M. Judd, PhD, Co-director
Raymond J. Kim, MD, Co-director
J. Rene Herlong, MD
Han Kim, MD
Igor Klem, MD
Manesh Patel, MD
 
Administrative Staff
 
Kim Overman, RN, Operations Manager, Phone: 919-668-3315, Pager: 919-970-2136
Brenda Hayes, CMR Technologist and Research Associate
 
Contact Us
 
Duke Cardiovascular Magnetic Resonance Center
Duke University Medical Center
Box 3934
Durham, NC 27710
Phone: 919-668-5580
Fax: 919-668-5588
 
 
Express Mail Delivery
 
Duke Cardiovascular Magnetic Resonance Center
Duke Clinic
Room 4229, Orange Zone
Trent Drive
Durham, NC 27710
919-668-3539
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