Section on Cardiac Magnetic ResonanceThe Children’s Hospital of Philadelphia, Division of CardiologyPerelman School of Medicine at the University of Pennsylvania
Philadelphia, PA USA 19004
Founded: 1988 by Paul Weinberg & Alvin ChinFirst Director: Paul Weinberg 1989-‐2002Current physician team:• Mark Fogel, Director (2002-‐present)• Matthew Harris, Kevin Whitehead, Sara Partington,
David BikoCMR technologists: Justin Wilson, Shaun Hoffacker, George Englehardt, Brian Brazinski, Kathy DiazNursing Staff: Traci Sullivan, Denise VirdenAnesthesia staff: Susan Nicolson (lead), James StevenAdministration: 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 TechnologyEmory University/Sibley Heart Institute
Hospital for Sick Kids – TorontoChildren’s National Medical CenterUniversity of California – Los AngelesNational Institutes of Health (NIH)
Clinical Focus: All aspects of pediatric and congenital heart diseaseResearch 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. Pre-‐Fontan Cardiac Magnetic Resonance Predicts Post-‐Fontan 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. 2015Tetralogy 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 SCMRMark Fogel• Past Board of Trustees member• Chair/founder of Pediatric /
Congenital working group• SCMR rep numerous times• Numerous committees
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