Section on Cardiac Magnetic Resonance The Children’s Hospital of Philadelphia, Division of Cardiology Perelman School of Medicine at the University of Pennsylvania Philadelphia, PA USA 19004 Founded: 1988 by Paul Weinberg & Alvin Chin First Director: Paul Weinberg 19892002 Current physician team: • Mark Fogel, Director (2002present) • Matthew Harris, Kevin Whitehead, Sara Partington, David Biko CMR technologists: Justin Wilson, Shaun Hoffacker, George Englehardt, Brian Brazinski, Kathy Diaz Nursing Staff: Traci Sullivan, Denise Virden Anesthesia staff: Susan Nicolson (lead), James Steven Administration: Robert Shaddy, Kasa Darge, Chris Harris Pediatric/Congenital CMR Patient Volume Growth Evolution of CMR at CHOP Partnered/Affiliated Groups: Past & Present Selected Influential Pediatric/Congenital CMR Manuscripts Georgia Institute of Technology Emory University/Sibley Heart Institute Hospital for Sick Kids – Toronto Children’s National Medical Center University of California – Los Angeles National Institutes of Health (NIH) Clinical Focus: All aspects of pediatric and congenital heart disease Research Focus: 1) Ventricular function, blood flow and tissue characterizaton, 2) CMR application to pediatrics and congenital heart disease and 3) new CMR techniques Single Ventricle Fogel MA, et al. Neurologic Injury and Cerebral Blood Flow in Single Ventricles Throughout Staged Surgical Reconstruction. Circulation. 2016 Whitehead KK, et al. Status of Systemic To Pulmonary Arterial Collateral Flow After the Fontan Procedure. Am J Cardiol. 2015 Khiabani RH, et al. Exercise Capacity in Single Ventricle Patients after Fontan Correlates with Hemodynamic Energy Loss in TCPC. Heart. 2015 Fogel MA, et al. Cardiac magnetic resonance and the need for routine cardiac catheterization in single ventricle patients prior to Fontan. A comparison of 3 groups. J Am Coll Cardiol. 2012 Whitehead KK et al. Noninvasive Quantification of Systemic To Pulmonary Collateral Flow: A Major Source of Inefficiency in Patients w/ Superior Cavopulmonary Connections. Circ CV Imaging. 2009 Harris MA, et al. PreFontan Cardiac Magnetic Resonance Predicts PostFontan Length of Stay and Avoids Ionizing Radiation. J Thorac Cardiovasc Surg. 2009 Sundareswaran K, et al. Correction Of Pulmonary Arteriovenous Malformation Using Image Based Surgical Planning. JACC Cardiovascular Imaging, 2009 Sundareswaran K, et al. Impaired Power Output and Cardiac Index with Hypoplastic Left Heart Syndrome A Magnetic Resonance Imaging Study. Ann Thorac Surg. 2006 Fogel MA et el. Brain versus lung: Hierarchy of feedback loops in single ventricle patients with superior cavopulmonary connection. Circulation. 2004 Fogel MA et al. The nature of flow in the systemic venous pathway measured by magnetic resonance blood tagging in Fontan patients. J Thorac Cardiovasc Surg. 1997 Fogel MA et al. A Study in ventricular ventricular interaction: Single right ventricles compared with systemic right ventricles in a dual chambered circulation. Circulation. 1995 Fogel MA et al. Magnetic resonance imaging of constant total heart volume and center of mass before and after staged Fontan procedure. Am J Cardiol. 1993 Coronary Imaging Harris MA, et al. Identifying Abnormal Ostial Morphology in Anomalous Aortic Origin of a Coronary Artery. Ann Thorac Surg. 2015 Tetralogy of Fallot Fogel MA et al. Power loss and right ventricular efficiency in patients after tetralogy of Fallot repair with pulmonary insufficiency: Clinical implications. J Thorac Cardiovasc Surg. 2012 Harris MA et al. Differential Branch PA Regurgitant Fraction Is a Function of Differential Pulmonary Arterial Anatomy and Pulmonary Vascular Resistance. JACC Cardiovasc Imaging. 2011 New CMR Techniques or Applications Dori Y, et al. Magnetic Resonance Imaging of Lymphatic Abnormalities After Functional Single Ventricle Palliation Surgery. Am J Roentgenol. 2014 Fogel MA et al. Comparison and usefulness of CMR versus CT in infants six months of age or younger with aortic arch anomalies without deep sedation or anesthesia. Am J Cardiol. 2011 Harris MA et al. Delayed Enhancement Cardiovascular Magnetic Resonance Identifies Fibrous Tissue In Children After Congenital Heart Surgery. J Thorac Cardiovasc Surg. 2007 Fogel MA et al. A New Method Of Functional Assessment Of The Fetal Heart Using A Novel Application Of “Real Time” Cardiac Magnetic Resonance Imaging. Fetal Diagn Ther. 2005 Fogel MA et al. Caval Contribution to Flow in Fontan Branch Pulmonary Arteries Using A Novel Application of Magnetic Resonance Presaturation Pulse. Circulation. 1999 Involvement with SCMR Mark Fogel • Past Board of Trustees member • Chair/founder of Pediatric / Congenital working group • SCMR rep numerous times • Numerous committees 1253