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September 19, 2026JACC Case ReportsOpen Access

Optimized CMR protocols and hybrid supervision linked to ~39% shorter scans and improved diagnostic quality.

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Why the study?

Cardiovascular magnetic resonance imaging access is limited by prolonged scan times and limited specialist availability, necessitating workflow optimization.

Does a dual-intervention strategy of optimized protocols and real-time hybrid supervision improve CMR scan times, diagnostic quality, and patient management in patients undergoing CMR imaging?

Population

499 patient charts undergoing CMR imaging (160 preintervention, 339 postintervention)

Comparison

Dual-intervention strategy vs preintervention standard CMR workflow

Design

Retrospective observational cohort study

Follow-up

12 months

Key result

Implementing optimized CMR scan protocols and real-time hybrid scan supervision reduced median scan times from 84.7 to 53 minutes (P<0.001) and improved diagnostic quality (58.3% vs 24.5%, P=0.008).

Authors

EOEsosa Odigie-OkonOOOlushola OgunleyeRSRitika Saxena

Discussion

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Key expert perspectives

Captured external expert commentary on this paper, strongest first. Original sources are linked where available.

EOEsosa Odigie-OkonAdvanced cardiac imaging cardiologist, UTMB Health

“Shorter scan times mean significantly better patient comfort, less time holding one's breath, and less anxiety inside the scanner. Streamlining the clinical workflow from patient preparation to standardized image interpretation improves efficiency, reduces barriers to patient access, and enhances diagnostic accuracy. Ultimately, this leads to faster, more accurate answers and better overall outcomes for our patients.”

University of Texas Medical BranchNews Coverage
DEDr. Esosa Odigie-Okonadvanced cardiac imaging cardiologist

“Shorter scan times mean significantly better patient comfort, less time holding one's breath, and less anxiety inside the scanner. Streamlining the clinical workflow from patient preparation to standardized image interpretation improves efficiency, reduces barriers to patient access, and enhances diagnostic accuracy. Ultimately, this leads to faster, more accurate answers and better overall outcomes for our patients.”

UTMB Health

Overview

May support CMR workflow efficiency in practice; extends observational data but leaves open prospective validation.

Key Points

  • To determine whether combining standardized, pathology-driven protocols with real-time hybrid specialist supervision improves cardiac magnetic resonance workflow efficiency, image quality, and clinical utility.
  • Conducted a 12-month retrospective review of 499 patient charts (160 preintervention, 339 postintervention).
  • Implemented a dual-intervention strategy featuring a scanner library of optimized, pathology-driven protocols and real-time hybrid (remote and in-person) supervision by an advanced imaging cardiologist.
  • Median scan times dropped by 38.6%, decreasing from 84.7 minutes preintervention to 53 minutes postintervention (P < 0.001).
  • High diagnostic image quality increased from 24.5% preintervention to 58.3% postintervention (P = 0.008).
  • Scans directly impacting patient management rose from 11.3% preintervention to 53.4% postintervention (P = 0.0001).

Study Design

Type

Observational (n=499)

Structured PICO

Does a dual-intervention strategy of optimized protocols and real-time hybrid supervision improve CMR scan times, diagnostic quality, and patient management in patients undergoing CMR imaging?

P
Population
499 patients undergoing cardiovascular magnetic resonance imaging evaluated in a retrospective pre- and post-intervention chart review over 12 months.
E
Exposure
Dual-intervention strategy including a scanner library of optimized, pathology-driven CMR scan protocols and real-time, hybrid (remote and in-person) scan supervision by an advanced imaging cardiologist
C
Comparator
Preintervention standard CMR scanning workflow
O
Outcome
CMR scan times, diagnostic image quality, and proportion of management-impacting studies evaluated over 12 monthssurrogate

Main Result

Effect estimate: 38.6% reduction

Absolute Event Rate: 53% vs 84.7%

p-value: p=<0.001

Standardizing CMR protocols and utilizing real-time hybrid supervision significantly reduces scan times while improving diagnostic quality and clinical utility.

Cite This Study

Odigie-Okon et al. (2026) conducted an observational in Cardiovascular magnetic resonance (CMR) imaging (n=499). Optimized CMR scan protocols and real-time hybrid scan supervision vs. Preintervention standard workflow was evaluated on CMR scan times (median minutes) (38.6% reduction, p=<0.001). Implementing optimized CMR scan protocols and real-time hybrid scan supervision reduced median scan times from 84.7 to 53 minutes (P<0.001) and improved diagnostic quality (58.3% vs 24.5%, P=0.008).

synapsesocial.com/papers/6aae47640c69660b71ecc650https://doi.org/10.1016/j.jaccas.2026.109455
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Optimisation and Technological Advances in Cardiovascular Magnetic Resonance to improve Access and Screening2026
  2. 2Enhancing Image Quality in Cardiovascular Magnetic Resonance: The Impact of Patient Preparation and Scan Protocol Adjustments2025
  3. 3Diagnostic and Clinical Impact of Cardiac Magnetic Resonance Imaging at a Tertiary Care Center: A Comprehensive Analysis2026
  4. 4The correlation of cardiovascular magnetic resonance imaging findings with clinical diagnoses and its acute impact on management changes in a regional Australian hospital2026
  5. 530-minute CMR for common clinical indications: a Society for Cardiovascular Magnetic Resonance white paper2022 · 64 citations