New Constellations 2019 | Page 20

CARDIOLOGY & HEART SURGERY • CONTINUED FROM PREVIOUS PAGE Riding the (magnetic) wave TOP 10% 500+ For heart surgery outcomes Heart surgeries annually 55+ 100% Cardiac-trained physicians 1-year heart transplant survival rate (2014-2016) LEADERSHIP: James Jaggers, MD Chief, Pediatric Cardiothoracic Surgery, The Barton-Elliman Chair in Pediatric Cardiothoracic Surgery D. Dunbar Ivy, MD Chief, Pediatric Cardiology, Selby’s Chair in Pediatric Cardiology Montview Biomedical Design’s MRI bike weighs just 40 lbs. and transmits signals via Bluetooth to eliminate artifacts. In a cardiopulmonary disease like PH, resting physiology can hide markers of disease that exercise, because it pushes the system to capacity, reveals. But you can’t get exercise physiology with cath. You could put a kid on a treadmill and then do an echocardiogram right afterward, but by then you’re not really getting maximum exercise physiology. The heart rate drops. Pressures decrease. With 4D MRI, you just stick an exercise bike right in the machine. Currently, there’s only one commercially available exercise bike for MRI. “And you basically have to buy a crane because it weighs about 200 lbs.,” says Derek Eilers, MS, Principal Engineer of Montview Biomedical Design and frequent Children’s Colorado collaborator. “It’s bulky, weighs a ton and can create artifacts in the images because of what it’s made of.” Eilers, a former bike racer who honed his chops designing fitness equipment, figured he could do better. The first challenge, he knew, would be to build it entirely out of non-ferrous components that wouldn’t interfere with the machine. The second would be to construct a design that could work for kids and adults of a wide range of heights in a narrow tube. The design he came up with utilizes an elliptical path to maximize knee clearance. It transmits signals via Bluetooth to eliminate artifacts, and it measures resistance, power and cadence. It also weighs just 40 lbs. “I’ve got a feeling people are going to want this thing,” he says. The heart of the Heart Institute team (from left to right): Shelly Miyamoto, MD; James Jaggers, MD; For cardiology healthcare professional resources, visit childrenscolorado.org/HeartHCP. Eduardo da Cruz, MD; Laura Colon, ACSM-CEP; and D. Dunbar Ivy, MD. 18 NEW CONSTELLATIONS 19