{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:11:28Z","timestamp":1791209488863,"version":"4.1.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"vor","delay-in-days":106,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003196","name":"Italian Ministry of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Challenges related to the use of cardiovascular magnetic resonance (CMR) remain a key issue to secure its full clinical impact. This survey aimed to assess the awareness of CMR clinical utility and to collect data on its local usage levels, operational barriers, and report efficacy, with the goal of identifying key obstacles to its effective implementation across Italy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>The CMR Working Group of the Italian Society of Cardiology promoted an online survey targeting Italian physicians involved in direct care of patients with cardiovascular disease. The questionnaire was completed by 709 physicians, mostly working in public or university hospitals (75%); 27% were medical residents. Cardiomyopathies and myocarditis were identified as the most established clinical indications for CMR. 79% of respondents perceived underutilisation of CMR in their local settings, with waiting times exceeding 3 months in 42% of cases. Public hospitals were reported as the primary providers of CMR services (41%), with the majority of CMR reports signed exclusively by radiologists. Obstacles in obtaining clinically useful and effective CMR exams were frequent, with 69% of respondents often encountering issues. Need for an expert second opinion was reported by 27% of participants either often or always. Stress CMR was reported of limited access or unavailable by 79% of respondents.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>CMR is highly regarded for its clinical utility but underutilized due to operational barriers, mainly long waiting times and lack of specific competence. Perceived inadequacy in report quality is common and contributes to a consistent rate of second-opinion requests.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjimp\/qyaf046","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T09:55:21Z","timestamp":1744883721000},"source":"Crossref","is-referenced-by-count":10,"title":["Current trends and challenges in the clinical use of cardiovascular magnetic resonance: a survey from the Italian Society of Cardiology"],"prefix":"10.1093","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6656-3568","authenticated-orcid":false,"given":"Lorenzo","family":"Monti","sequence":"first","affiliation":[{"name":"Istituti Clinici Scientifici Maugeri IRCCS , Radiology Department, Via Maugeri 10, 27100 Pavia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Ricci","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, G. D\u2019Annunzio University of Chieti-Pescara , 66100 Chieti ,","place":["Italy"]},{"name":"University Cardiology Division, SS Annunziata Polyclinic University Hospital , 66100 Chieti ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Baggiano","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS , 20138 Milano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Barison","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fondazione Toscana Gabriele Monasterio , 56127 Pisa ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5190-5227","authenticated-orcid":false,"given":"Nazario","family":"Carrabba","sequence":"additional","affiliation":[{"name":"Cardio-Thoraco-Vascular Department, Careggi Hospital , 50134 Florence ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Figliozzi","sequence":"additional","affiliation":[{"name":", IRCCS Humanitas Research Hospital Cardio Center , 20089 Rozzano, Milano ,","place":["Italy"]},{"name":"Department of Biomedical Sciences, Humanitas University , 20072 Pieve Emanuele, Milano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8920-1156","authenticated-orcid":false,"given":"Patrizia","family":"Pedrotti","sequence":"additional","affiliation":[{"name":"S.S. Cardiologia Diagnostica per Immagini\u2014RM Cardiaca; S.C. Cardiologia 4 Diagnostica-Riabilitativa Dipartimento CardioToracoVascolare \u2018De Gasperis\u2019, ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Torlasco","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Istituto Auxologico Italiano, IRCCS , 20149 Milano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3151-2709","authenticated-orcid":false,"given":"Erika","family":"Tempo","sequence":"additional","affiliation":[{"name":"Istituti Clinici Scientifici Maugeri IRCCS , Radiology Department, Via Maugeri 10, 27100 Pavia ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Giaj Levra","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University , 20072 Pieve Emanuele, Milano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Paolillo","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences, Federico II University , 80138 Naples ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2700-8478","authenticated-orcid":false,"given":"Gianfranco","family":"Sinagra","sequence":"additional","affiliation":[{"name":"Cardiothoracovascular Department, Azienda Sanitaria Universitaria Giuliano Isontina and University of Trieste , 34128 Trieste ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3663-0931","authenticated-orcid":false,"given":"Pasquale","family":"Perrone Filardi","sequence":"additional","affiliation":[{"name":"Department of Advanced Biomedical Sciences, Federico II University , 80138 Naples ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1241-6487","authenticated-orcid":false,"given":"Ciro","family":"Indolfi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pharmacy, Health and Nutritional Sciences, University of Calabria (UNICAL) , 87036 Cosenza ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7153-4040","authenticated-orcid":false,"given":"Santo","family":"Dellegrottaglie","sequence":"additional","affiliation":[{"name":"Advanced Cardiovascular Imaging Unit, Clinica Villa dei Fiori , Acerra, 80011 Naples ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"2025050901563257000_qyaf046-B1","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s12968-023-00950-z","article-title":"Cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology: a comprehensive summary and update","volume":"25","author":"von Knobelsdorff-Brenkenhoff","year":"2023","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025050901563257000_qyaf046-B2","doi-asserted-by":"crossref","first-page":"101061","DOI":"10.1016\/j.jocmr.2024.101061","article-title":"Regional variability of cardiovascular magnetic resonance access and utilization in the United States","volume":"26","author":"Li","year":"2024","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025050901563257000_qyaf046-B3","doi-asserted-by":"crossref","first-page":"1974","DOI":"10.1136\/heartjnl-2020-318667","article-title":"Regional variation in cardiovascular magnetic resonance service delivery across the UK","volume":"107","author":"Keenan","year":"2021","journal-title":"Heart"},{"key":"2025050901563257000_qyaf046-B4","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1093\/ehjci\/jeaa329","article-title":"Current use of cardiac magnetic resonance in tertiary referral centres for the diagnosis of cardiomyopathy: the ESC EORP cardiomyopathy\/myocarditis registry","volume":"22","author":"Mizia-Stec","year":"2021","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"2025050901563257000_qyaf046-B5","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s12968-023-00968-3","article-title":"Challenges and opportunities for early career medical professionals in cardiovascular magnetic resonance (CMR) imaging: a white paper from the society for cardiovascular magnetic resonance","volume":"25","author":"Parwani","year":"2023","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025050901563257000_qyaf046-B6","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s12968-023-00948-7","article-title":"Worldwide variation in cardiovascular magnetic resonance practice models","volume":"25","author":"Sierra-Galan","year":"2023","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025050901563257000_qyaf046-B7","doi-asserted-by":"crossref","first-page":"5666","DOI":"10.1007\/s00330-024-10644-4","article-title":"Competence of radiologists in cardiac CT and MR imaging in Europe: insights from the ESCR registry","volume":"34","author":"Catapano","year":"2024","journal-title":"Eur Radiol"},{"key":"2025050901563257000_qyaf046-B8","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1186\/s13244-021-01076-5","article-title":"Challenges and opportunities to delivering cardiac imaging training: a national survey by the Italian college of cardiac radiology","volume":"12","author":"Gatti","year":"2021","journal-title":"Insights Imaging"},{"key":"2025050901563257000_qyaf046-B9","doi-asserted-by":"crossref","first-page":"e210025","DOI":"10.1148\/ryct.2021210025","article-title":"Data that support removing the mysticism for radiologist's performance of cardiac CT and MRI","volume":"3","author":"Bierhals","year":"2021","journal-title":"Radiol Cardiothorac Imaging"},{"key":"2025050901563257000_qyaf046-B10","doi-asserted-by":"crossref","first-page":"3415","DOI":"10.1093\/eurheartj\/ehae177","article-title":"2024 ESC guidelines for the management of chronic coronary syndromes","volume":"45","author":"Vrints","year":"2024","journal-title":"Eur Heart J"},{"key":"2025050901563257000_qyaf046-B11","doi-asserted-by":"crossref","first-page":"e187","DOI":"10.1016\/j.jacc.2021.07.053","article-title":"2021 AHA\/ACC\/ASE\/CHEST\/SAEM\/SCCT\/SCMR guideline for the evaluation and diagnosis of chest pain: a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"78","author":"Writing Committee M","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"2025050901563257000_qyaf046-B12","doi-asserted-by":"crossref","first-page":"4771","DOI":"10.1093\/eurheartj\/ehad578","article-title":"Competency-based cardiac imaging for patient-centred care. A statement of the European Society of Cardiology (ESC). with the contribution of the European association of cardiovascular imaging (EACVI), and the support of the association of cardiovascular nursing & allied professions (ACNAP), the association for acute CardioVascular care (ACVC), the European association of preventive cardiology (EAPC), the European association of percutaneous cardiovascular interventions (EAPCI), the European heart rhythm association (EHRA), and the heart failure association (HFA) of the ESC","volume":"44","author":"Westwood","year":"2023","journal-title":"Eur Heart J"},{"key":"2025050901563257000_qyaf046-B13","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.cjca.2017.12.026","article-title":"The state of cardiovascular magnetic resonance imaging in Canada: results from the CanSCMR pan-Canadian survey","volume":"34","author":"Roifman","year":"2018","journal-title":"Can J Cardiol"},{"key":"2025050901563257000_qyaf046-B14","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1186\/s12968-021-00827-z","article-title":"Society for cardiovascular magnetic resonance (SCMR) guidelines for reporting cardiovascular magnetic resonance examinations","volume":"24","author":"Hundley","year":"2022","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025050901563257000_qyaf046-B15","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s12968-019-0592-x","article-title":"Clinical practice of cardiovascular magnetic resonance: position statement of the society for cardiovascular magnetic resonance","volume":"21","author":"Trustees SBo","year":"2019","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025050901563257000_qyaf046-B16","doi-asserted-by":"crossref","first-page":"5489","DOI":"10.1007\/s00330-023-09533-z","article-title":"Cardiac radiology in Europe: status and vision by the European society of cardiovascular radiology (ESCR) and the European society of radiology (ESR)","volume":"33","author":"Natale","year":"2023","journal-title":"Eur Radiol"},{"key":"2025050901563257000_qyaf046-B17","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.jcmg.2014.01.008","article-title":"Cardiovascular imaging payment and reimbursement systems: understanding the past and present in order to guide the future","volume":"7","author":"Ferrari","year":"2014","journal-title":"JACC Cardiovasc Imaging"}],"container-title":["European Heart Journal - Imaging Methods and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjimp\/advance-article-pdf\/doi\/10.1093\/ehjimp\/qyaf046\/62945315\/qyaf046.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjimp\/article-pdf\/3\/1\/qyaf046\/62945315\/qyaf046.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjimp\/article-pdf\/3\/1\/qyaf046\/62945315\/qyaf046.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T05:56:44Z","timestamp":1746770204000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjimp\/article\/doi\/10.1093\/ehjimp\/qyaf046\/8115356"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1,13]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjimp\/qyaf046","relation":{},"ISSN":["2755-9637"],"issn-type":[{"value":"2755-9637","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2025,1]]},"article-number":"qyaf046"}}