Navigation Links
Allegheny General Hospital Streamlines Testing for Liver Transplant Patients with Advanced Cardiac MRI
Date:11/15/2013

Pittsburgh, PA (PRWEB) November 15, 2013

Researchers at Allegheny General Hospital (AGH) propose a new “one-stop shop” approach to preoperative testing for liver transplant patients that could greatly streamline the assessment process by substituting one magnetic resonance imaging (MRI) study for a multitude of other tests.

The results of a two year proof of concept clinical trial conducted by a multidisciplinary team of physicians at AGH will be published today in the medical journal Transplantation.

The AGH study documents the feasibility of performing comprehensive, efficient and safe preoperative cardiac MRI for patients with end stage liver disease who are candidates for transplantation.

Cardiac MRI is a non-invasive diagnostic test that acquires high-resolution and high-fidelity films of the beating heart and displays these results in near-real time and often in 3D. Radiation is not used and injected dyes are typically not required for many indications in cardiac MRI. A cardiac MRI stress test option is now also available and the same technology can be used to acquire detailed imaging of abdomen, including the liver and vascular structures.

Standard preoperative testing for liver transplant has typically involved individual cardiac, vascular and abdominal imaging tests, including echocardiography, nuclear stress tests, and angiography.

“The separate tests in the standard work up can be logistically cumbersome as well as expensive,” said [Robert Biederman, MD, Director of Cardiovascular Magnetic Resonance Imaging at Allegheny General. “We wanted to explore whether a comprehensive evaluation could be achieved in a single MRI study.”

The published study results document the cases of 51 patients with chronic liver disease referred to AGH for liver transplant evaluation who underwent concurrent cardiac, vascular and abdominal imaging via cardiac MRI.

The average scan time for the evaluations was 72 minutes. It frequently can take between two and three days for all necessary cardiac assessments to be performed and individual exams within the required panel, such as nuclear testing, can take up to four hours to complete. Cost was not part of the pilot study, but a preliminary cost analysis based on Center for Medicare and Medicaid Services reimbursements from December 2011, showed an average savings of $1,500 when MRI studies were used in place of traditional preoperative evaluations.

“Our institution continually strives to improve patient care and we value the concept of providing not only the best clinical outcomes, but also the most patient-friendly and cost-efficient services,” said [Ngoc Thai, MD, PhD, Director of Abdominal Transplantation at AGH. “This more cohesive approach to preoperative imaging not only saves significant time for both patients and medical providers, but the advanced imaging capabilities of cardiac MRI may improve our evaluation process and ultimately result in better patient outcomes.”

Moreover, using MRI technology can facilitate testing in seriously ill patients. Many patients with end stage liver disease fall into this acutely ill patient population, according to [Jose Oliva, MD, Medical Director of the hospital’s Liver Transplantation Program.

“Patients with end stage liver disease may present with swelling and fluid buildup in the abdomen and high blood pressure in the vessels of the liver which can cause pain, impair breathing and create other difficulties that make assessment challenging,” Dr. Oliva said.

Patients with contraindications to MRI were excluded from the study by design. The study compared cardiac MRI with standard radiology MRI for detection of hepatocellular carcinoma and found it to be equivalent. Study results were not compared against other established modalities such as echocardiography or nuclear stress tesing for effectiveness of the screening process. Future evaluations will examine in greater detail the prognostic accuracy of cardiac MRI in correlation with other modalities, patient convenience, and cost-effectiveness.

Sahadev Reddy, MD; Asghar Fakhri, MD; Kusum Tom, MD; Michael Dishart, MD; Mark Doyle PhD; June Yamrozik, BS; Ronald Williams, BA; Saundra Grant, RN; Jacqueline Poydence, RN; Moneal Shah, MD; Anil Singh, MD; and Swami Nathan, MD joined Drs. Biederman, Thai and Oliva in conducting and documenting the research.

Allegheny General Hospital’s Cardiovascular Institute is the only facility in western Pennsylvania to house a dedicated cardiac MRI center for the evaluation of complex cardiovascular diseases. Among a number of pioneering discoveries made by the cardiac MRI team, AGH researchers were also the first to demonstrate that cardiac MRI is better than conventional diagnostics for predicting heart attacks in women.

Home to one of the region’s most comprehensive programs for the treatment of complex liver diseases, Allegheny General Hospital’s Liver Transplantation Program became a Medicare-certified Center for Liver Transplantation in 2010. The program consistently achieves outcomes that meet and exceed national standards as defined by the United Network for Organ Sharing (UNOS).

AGH’s multidisciplinary team of highly trained specialists in hepatology, oncology and liver transplantation affords patients access to the complete spectrum of advanced medical and surgical therapies for liver diseases such as hepatitis B and C, auto-immune hepatitis, primary sclerosing cholangitis, fatty liver disease, alcoholic cirrhosis, hemochromatosis and primary liver cancer.

###

Read the full story at http://www.prweb.com/releases/2013/11/prweb11337035.htm.


'/>"/>
Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Related medicine news :

1. Allegheny Health Network Partners with Region’s EMS Providers to Advance Treatment of Heart Attack Patients
2. Allegheny Health Network’s LifeFlight Marks 35th Year
3. Allegheny Health Network Becomes Official Medical Provider for Robert Morris University Athletic Program
4. Allegheny Health Network Allergist Opposes OTC Sales of Corticosteroids in FDA Testimony, Citing Safety Concerns
5. West Penn Allegheny Health System Physicians Pinpoint Gastroesophageal Reflux Disease (GERD) as a Factor That May Cause Chronic Cough
6. West Penn Allegheny Health System is First in Pennsylvania to Perform Groundbreaking Minimally-Invasive Procedure for Swallowing Disorder
7. Study by Allegheny General Hospital Physicians Shows Oral Immunotherapy is a Safe, Effective Alternative to Allergy Shots for Ragweed Sufferers
8. CO-OPs Have Generally Higher Premiums, Atlantic Information Services Analysis Finds; Could Pose Challenge in Attracting Members
9. Morris Government Solutions Wins U.S. Government General Services Administration (GSA) Contract
10. Akron General President & CEO deemed 2013 Wellness Warrior
11. General Anxiety Disorder Global Clinical Trials Review, H2, 2013
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/21/2020)... ... 21, 2020 , ... Isagenix International , a global ... and final round of Canada finalists for its annual total-body transformation program, the ... Ontario; Taiya Farrell of Winnipeg, Manitoba; Véronique Collin of Orleans, Ontario; and James ...
(Date:2/20/2020)... ... 2020 , ... R3 Stem Cell, the nation's leader in regenerative therapies and ... stem cell procedures on military veterans in 2019. The veterans traveled from all ... R3 Stem Cell Training Course for doctors , providers of all kinds learn how ...
(Date:2/20/2020)... , ... February 20, 2020 , ... ... has a new release with next generation API integration functionality which enables ... VisitorsCoverage Inc. in 2017, TMQuotes was the first white label software-as-a-service ...
(Date:2/19/2020)... ... February 19, 2020 , ... Drs. Richard Amato, Michael ... of Connecticut, celebrate 30 years of serving Monroe, CT with a “Throwback Special” ... they charged in 1989, only thirty dollars. To further serve their patients, they ...
(Date:2/19/2020)... ... February 19, 2020 , ... Actor, director, and producer, ... known for his acting abilities demonstrated in blockbuster hits like the “John Wick” ... Scenes” with Laurence Fishburne. “Behind The Scenes” features a broad array of topics. ...
Breaking Medicine News(10 mins):
(Date:2/21/2020)... ... February 21, 2020 , ... Nationwide jails are seeing higher ... While someone with a mental illness is no more likely to commit a crime ... trespass, loitering, or harassment. , They may be experiencing symptoms that lead to ...
(Date:2/21/2020)... ... ... The business of healthcare management is complex. From providing the best care ... digital and physical safety, there are many things to keep up with. Very often, ... excited to provide their insights on healthcare facility maintenance to attendees at the ...
(Date:2/20/2020)... ... February 20, 2020 , ... Amada Senior Care of Long ... care from trained and knowledgeable Amada caregivers. From day one of opening, owners ... client’s unique needs, preferences and desires, all with the goal of delivering the ...
Breaking Medicine Technology: