On-demand Webinar
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0.5 CME Credits
Inflammatory Myopericardial Syndromes in Cardiac MR
The ESC 2025 Myocarditis & Pericarditis Guidelines introduce IMPS (Inflammatory Myopericardial Syndromes) as a continuum of myocarditis, pericarditis, and overlap syndromes.
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Description
In this webinar, we translate the newest guideline framework into a practical, CMR-focused workflow—covering presentation-based triage, the T2 (edema) + T1 (injury) domain logic, and the ESC operational categories CMR-Proven / CMR-Uncertain / CMR-Rejected. The session includes also come case-based examples as well.
Learning Objectives
- Presentation-based triage
- The T2 (edema) + T1 (injury) domain approach
- The ESC operational categories: CMR-Proven, CMR-Uncertain, and CMR-Rejected
Topics Covered
To jump to a specific chapter, click on the chapter title once the video is playing.
00:09 - Introduction to inflammatory myopericardial syndromes and the new guideline framework
01:29 - Key learning goals and the shift to syndrome-based management
02:25 - How patients with IMPS present and why triage matters
03:42 - The diagnostic pathway from ECG and biomarkers to CT and CMR
05:02 - CMR domain logic for proven, uncertain, and rejected disease
06:11 - How to interpret T1 and T2 findings, LGE patterns, and supporting signs
11:55 - CMR in pericarditis, constriction, biopsy decisions, and follow-up planning
14:22 - How to communicate findings and structure the final impression
18:18 - Case one: CMR-proven myocarditis after a negative coronary evaluation
19:41 - Case two: Arrhythmic presentation with scar substrate and uncertain timing
22:26 - Case three: Recurrent pericarditis with septal bounce and chronic features
Lecturers

Norway
Billy Roger Parimalasingham, MD, is a senior consultant radiologist at Unilabs Norway, specialized in cardiovascular imaging. He is leading cardiovascular radiologist and Head of Cardiac Imaging of Unilabs Norway. He has extensive experience in cardiac MRI and CT, with a strong focus on integrating advanced imaging into clinical decision-making.
Dr. Parimalasingham is actively involved in teaching and multidisciplinary collaboration, and is passionate about improving diagnostic accuracy and patient outcomes through high-quality cardiac imaging. He oversees 10 radiology clinics (Unilabs division spread in Norway), included Unilabs Teleradiology section (Unilabs collaborates with public hospitals in Norway).

