In 2018 several of our clinical users have initiated screening and diagnostic programs usinfg right heart cath to evaluate pulmonary artery pressure in CMR instead of using the cathlab. Royal Free Hospital (RF) in London is the center that want to move this into routine in 2019, based on their successful application in 50 patients in 2018. During this time period they have also helped other teams in setting up for iCMR procedures. At SCMR 2019 in Seattle dr Knight will present the outcome of the first year clinical application. We are anxious to see whether department time and catheter time have further decreased.