The clinical training focuses on establishing clinical competence in cardiovascular MRI and cardiovascular CT. Fellows participate in the primary acquisition and interpretation of over 500 cardiovascular MRI and over 400 cardiovascular CT clinical examinations during a standard 2 year fellowship which fulfills Level 3 competence for Advanced Training in both cardiovascular CT and MR as outlined in Task Force 12 COCATS2 Guidelines. Our program performs over 1200 cardiovascular MRI and approximately 600 contrast enhanced cardiovascular CT exams per year. Between 1999 and 2011, approximately 32 clinicians have rotated through the Advanced Cardiovascular Imaging Fellowship program. Initially, clinical training only involved cardiovascular MRI. Since 2009, the fellowship has expanded to include cardiovascular CT. The majority of trainees have been cardiologists but two were radiologists. While the majority of clinical fellows were completely funded by NHLBI, 10 had a significant portion of their training supported by other programs including Johns Hopkins University and Childrens National Medical Center. Of the 32 fellows that have completed the program, 75% remain in academic positions at Universities mostly in the US. Of the 8 fellows that went into private practice, at least three use cardiovascular MRI in their practice.

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National Heart, Lung, and Blood Institute
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Nguyen, Kim-Lien; Tian, Xin; Alam, Shoaib et al. (2016) Elevated transpulmonary gradient and cardiac magnetic resonance-derived right ventricular remodeling predict poor outcomes in sickle cell disease. Haematologica 101:e40-3
Oza, Nishaki Mehta; Siegenthaler, Michael; Horvath, Keith et al. (2013) Serious aortic complications in a patient with Turner syndrome. Eur J Pediatr 172:703-5
Kawel, Nadine; Nacif, Marcelo; Arai, Andrew E et al. (2012) Trabeculated (noncompacted) and compact myocardium in adults: the multi-ethnic study of atherosclerosis. Circ Cardiovasc Imaging 5:357-66
Kawel, Nadine; Nacif, Marcelo; Santini, Francesco et al. (2012) Partition coefficients for gadolinium chelates in the normal myocardium: comparison of gadopentetate dimeglumine and gadobenate dimeglumine. J Magn Reson Imaging 36:733-7
Nacif, Marcelo S; Arai, Andrew E; Lima, Joao A C et al. (2012) Gadolinium-enhanced cardiovascular magnetic resonance: administered dose in relationship to United States Food and Drug Administration (FDA) guidelines. J Cardiovasc Magn Reson 14:18
Mancini, Christine; Kenchaiah, Satish; Bodurian, Edward et al. (2011) Embolization of an intracardiac thrombus during a cardiovascular magnetic resonance imaging study. Circulation 123:e388-9
Payne, Alexander R; Berry, Colin; Kellman, Peter et al. (2011) Bright-blood T(2)-weighted MRI has high diagnostic accuracy for myocardial hemorrhage in myocardial infarction: a preclinical validation study in swine. Circ Cardiovasc Imaging 4:738-45