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Sociodemographic Disparities in Obtaining Cardiac MRI: Black, White, and Shades of Gray

  • 01-12-2025
  • Cardiac MRI
  • Diversity and Health Equity in Cardiology (AE Johnson, Section Editor)
Published in:

Abstract

Purpose of Review

Despite growing recommendations for CMR utilization in heart disease evaluation, access remains limited by geography and socioeconomic status. In this review we discuss the role of CMR in addressing health disparities, review barriers to CMR access, and finally propose solutions to increasing CMR testing globally and in the U.S.

Recent Findings

CMR testing is higher prevalence in academic and urban centers in the Northeast and Midwest and remains sparser in Southern and rural areas which face a high burden of cardiovascular mortality. Globally, CMR is also limited in low- and middle-income countries. Barriers to CMR access include bias in physician referrals based on race, patient income, insurance status, language barriers, health literacy, and disparities in the multimodal cardiovascular imaging workforce.

Summary

A multimodal approach involving policy makers, hospital systems, cardiologists, and health care personnel is essential to improving national and global barriers to accessing CMR.
Title
Sociodemographic Disparities in Obtaining Cardiac MRI: Black, White, and Shades of Gray
Authors
Ololade Akingbade
Elizabeth Cabrera
Varun Subashchandran
Ryan Yang
Neal Shah
Hena Patel
Jeremy A. Slivnick
Publication date
01-12-2025
Publisher
Springer US
Keyword
Cardiac MRI
Published in
Current Cardiology Reports / Issue 1/2025
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-025-02219-6
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Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
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Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME