Cardiac MRI

CMR Learning and Reporting Assistant

Patient Information

First Name

Last Name

Gender

Age (years)

Height (cm)

Weight (kg)

Body Surface Area:

Volumetry Data

LV-EDV (ml)

LV-ESV (ml)

Myocardial Mass (g)

RV-EDV (ml)

RV-ESV (ml)

Heart Rate

LA area 4-CH (optional)

RA area 4-CH (optional)

Anatomy

Normal cardiac orientation and connections.
See below

LV Segmental Analysis

STIR-T2 not performed LGE not performed Global hypokinesia()

Segment	Wall Motion	Wall Thickness	Edema	LGE	LGE Extent
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

Strain Analysis

Global longitudinal strain%
Global circumferential strain%

RV Segmental Analysis

Segment	Wall	Edema	LGE	Segment	Wall	Edema	LGE
RVOT		No edema Edema	No LGE LGE	Inflow tract		No edema Edema	No LGE LGE
Basal free wall		No edema Edema	No LGE LGE	Basal inf wall		No edema Edema	No LGE LGE
Mid free wall		No edema Edema	No LGE LGE	Mid inf wall		No edema Edema	No LGE LGE
Apical free wall		No edema Edema	No LGE LGE	Apical inf wall		No edema Edema	No LGE LGE

Perfusion (select all that applies)

Not performed
Performed

Pericardium

Thickened pericardium

Aortic Measurements

Aortic measurements performed

Site of Measurement	Measurement (mm)	Site of Measurement	Measurement (mm)
Aortic Annulus		Arch (mid)
Across sinus (cusp-cusp)		Arch (distal)
Sinotubular junction		Descending aorta (PA level)
Ascending aorta (RPA level)		Descending aorta (diapghragm)
Upper ascending aorta