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Yoon, Hong, Kim, Kim, Na, Yang, Kim, and Choi: 2014 Korean Guidelines for Appropriate Utilization of Cardiovascular Magnetic Resonance Imaging: A Joint Report of the Korean Society of Cardiology and the Korean Society of Radiology
Cardiovascular Radiology

Journal of the Korean Society of Radiology 2015; 72(4): 217-249.

Published online: 2 April 2015

DOI: https://doi.org/10.3348/jksr.2015.72.4.217

2014 Korean Guidelines for Appropriate Utilization of Cardiovascular Magnetic Resonance Imaging: A Joint Report of the Korean Society of Cardiology and the Korean Society of Radiology

Yeonyee E. Yoon, MD1, *, Yoo Jin Hong, MD2, *, Hyung-Kwan Kim, MD3, Jeong A Kim, MD4, Jin Oh Na, MD5, Dong Hyun Yang, MD6, Young Jin Kim, MD2, Eui-Young Choi, MD7

1Department of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital, Seoul, Korea.

2Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

3Division of Cardiology, Department of Internal Medicine, Cardiovascular Center, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.

4Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

5Cardiovascular Center, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.

6Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

7Division of Cardiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Corresponding author: Young Jin Kim, MD. Department of Radiology, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel. 82-2-2228-7400, Fax. 82-2-393-3035, dryj@yuhs.ac

Corresponding author: Eui-Young Choi, MD. Division of Cardiology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul 135-720, Korea. Tel. 82-2-2019-3310, Fax. 82-2-2019-2314, choi0928@yuhs.ac

Equal contributor:

*Two authors equally contributed.

Received 10 September 2014       Accepted 28 January 2015

Copyright © 2015 The Korean Society of Radiology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The use of cardiac magnetic resonance (CMR) imaging is increasing for the assessment of certain cardiovascular diseases, due to recent technical developments. CMR can give physicians information that cannot be found with other imaging modalities. However, there has been no guideline for the use of CMR in Korean people. Therefore, we have prepared a Korean guideline for the appropriate utilization of CMR to guide Korean physicians, imaging specialists, medical associates, and patients to improve the overall performances in medical system. By addressing CMR usage and creating these guidelines, we hope to contribute to the promotion of public health. This guideline is a joint report of the Korean Society of Cardiology and the Korean Society of Radiology.

Keywords: Guideline, Appropriateness Criteria, Cardiac Magnetic Resonance Imaging, Cardiovascular Disease

Figures and Tables

Table 1

Definition of Levels of Evidence

jksr-72-217-i001
Level of Evidence Definition
A Level 1 study, two or more Level 2 studies
B One Level 2 study, two or more Level 3 studies
C One Level 3 study, Level 4 or 5 study
Table 2

Definition of Level of Study

jksr-72-217-i002
Level of Study Definition
1 Systematic review, meta-analysis
2 Individual cross sectional studies with consistently applied reference standard and blinding/inception cohort studies
3 Non-consecutive studies, or studies without consistently applied reference standards/cohort study or control arm of randomized trial
4 Case-control studies, or poor or non-independent reference standard/case-series or case-control studies, or poor quality prognostic cohort study
5 Mechanism-based reasoning
Table 3

Definition of Appropriateness Criteria

jksr-72-217-i003
Appropriateness Criteria (Score) Definition
A-Appropriate (7-9) Test is generally acceptable and a reasonable approach for the listed indication
U-Uncertain (4-6) Test may be generally acceptable and may be a reasonable approach for the indication. Uncertainty also implies that more patient evaluation or patient information is needed to classify the indication definitively
I-Inappropriate (1-3) Test is not generally acceptable and is not a reasonable approach for the indication

Notes

This work was financially supported by Korean Society of Radiology, Korean Society of Cardiovascular Imaging, Korean Society of Cardiology.

The online-only Data Supplement is available with this article at http://dx.doi.org/10.3348/jksr.2015.72.4.217.

This article is a Korean version (translation) of an article that has been published in the Korean Journal of Radiology and Korean Circulation Journal. Refer to the following articles.

Yoon YE, Hong YJ, Kim HK, Kim JA, Na JO, Yang DH, Kim YJ, Choi EY. 2014 Korean guidelines for appropriate utilization of cardiovascular magnetic resonance imaging: a joint report of the Korean Society of Cardiology and the Korean Society of Radiology. Korean J Radiol. 2014 Nov-Dec; 15(6):659-88

Yoon YE, Hong YJ, Kim HK, Kim JA, Na JO, Yang DH, Kim YJ, Choi EY. 2014 Korean guidelines for appropriate utilization of cardiovascular magnetic resonance imaging: a joint report of the Korean Society of Cardiology and the Korean Society of Radiology. Korean Circ J. 2014 Nov;44(6):359-85.

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