Evidence map›Paper›PMID 40041034›Full record

ArticleEuropean heart journal. Imaging methods and practice2025

Barriers to cardiovascular magnetic resonance imaging scan performance and reporting by cardiologists: a systematic literature review.

Tesfamariam Betemariam, Abeba Aleka, Ekram Ahmed, Tinsae Worku, Yonas Mebrahtu, Emmanuel Androulakis, Steffen E Petersen, Rocco Friebel

Abstract read
In one paragraph

Article in European heart journal. Imaging methods and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Diagnostic Tests for Stage B Heart Failure.Current cardiology reports · 2026
    Review
  4. Cardiovascular magnetic resonance-derived left atrial parameters for assessing diastolic dysfunction and prognosis in hypertrophic cardiomyopathy.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2026
    Article
  5. Review
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  8. Review
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  15. Observational
  16. Temporal trends and geographic accessibility to cardiac magnetic resonance readers across the United States: an analysis of Medicare Part B data.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tesfamariam BetemariamWilliam Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University London, Charterhouse Square, London EC1M 6BQ, UK.ORCID https://orcid.org/0000-0001-7172-3220
Abeba AlekaDepartment of Health Management, University of Global Health Equity, Kigali, Rwanda.
Ekram AhmedDepartment of Public Health and Health Equity, Vrije Universite, Amsterdam, The Netherlands.
Tinsae WorkuDepartment of Health Management, University of Global Health Equity, Kigali, Rwanda.
Yonas MebrahtuDepartment of Internal Medicine, Ascension Saint Joseph Hospital, Chicago, IL, USA.
Emmanuel AndroulakisCardiovascular Imaging Department, Royal Brompton and Harefield Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0001-8843-2171
Steffen E PetersenWilliam Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University London, Charterhouse Square, London EC1M 6BQ, UK.ORCID https://orcid.org/0000-0003-4622-5160
Rocco FriebelDepartment of Health Policy, London School of Economics, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Cardiovascular magnetic resonance (CMR) imaging plays a pivotal role in diagnosing and managing cardiovascular diseases. Its use has shown sustained growth over the past years. However, there is considerable variability in the use and reporting of CMR scans worldwide. This review provides synthesis of evidence on the barriers and challenges to performing CMR scans by cardiologists and gain insights into the variations in CMR scan practices across different countries. Methods and results: We systematically reviewed the literature from 1 January 2003 up to 13 November 2023. We searched four databases (Ovid Medline, Embase, Web of Science, and Scopus) and hand-searched the references in the included articles, complemented by expert feedback. Articles were double screened against pre-defined inclusion and exclusion criteria. We conducted risk of bias using the JBI critical appraisal tool, and we analysed information using a narrative synthesis of results. We identified 14 857 articles, with 13 articles meeting the inclusion criteria. The key barriers were the limited availability of CMR scanners, resulting in extended waiting times, the high service cost, and limited training opportunities and the lack of a structured curriculum. The main practice variations identified were geographical disparities in CMR use. Worldwide, the majority of CMR training programmes are situated in radiology departments. Conclusion: Barriers to CMR use by cardiologists range from access to scanners and prohibitive costs to disparities in familiarity with CMR technology. Geographic variations and heterogeneity in training programmes underscore the influence of systemic factors such as healthcare infrastructure, reimbursement policies, and unstandardized training curricula.

Indexed as

cardiologistschallengesCMR

Identifiers

PMID40041034
PMCPMC11879352

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.