Imperial College London


Faculty of MedicineNational Heart & Lung Institute

Emeritus Professor of Cardiac Imaging



+44 (0)20 7351 8811srunderwood




2.30Britten WingRoyal Brompton Campus





Richard Underwood gained a first class honours degree in chemistry at Merton College, University of Oxford which included a period working in George Radda's laboratory using NMR and ESR in biological systems. He went on to study medicine, graduating in 1977. After general medical training he specialised in cardiac medicine learning both noninvasive and invasive techniques, and for the last 20 years he has practised noninvasive cardiac imaging, with major clinical and research interests in nuclear cardiology, magnetic resonance and in cardiovascular X-ray computed tomography.

Since 1985, Professor Underwood has worked at Royal Brompton Hospital, London and its academic wing, the National Heart and Lung Institute, Imperial College School of Medicine. He has been closely involved in the development of magnetic resonance techniques for the investigation of the cardiovascular system, and has contributed substantially to its progression from research technique to every-day clinical tool. His current research interests include the assessment of myocardial perfusion using pharmacological stress, the characterisation of hibernating myocardium, and the cost-effectiveness of cardiac imaging techniques. He has published and lectured widely and has directed or co-directed important training courses on nuclear cardiology at national and international level.

He is professor of cardiac imaging at the National Heart and Lung Institute, Imperial College London, and honorary consultant and director of nuclear medicine at Royal Brompton & Harefield Hospitals. External commitments include past-chairman of the ESC working group on nuclear cardiology and magnetic resonance, past-chair of the British Nuclear Cardiology Society and the International Congress of Nuclear Cardiology, and current member of the European Council on Nuclear Cardiology.

Non-medical interests include aviation, skiing and gastronomy.



Hirschfeld CB, Mercuri M, Pascual TNB, et al., 2021, Worldwide variation in the use of nuclear cardiology camera technology, reconstruction software, and imaging protocols, Jacc: Cardiovascular Imaging, Vol:14, ISSN:1876-7591, Pages:1819-1828

Schofield R, Menezes L, Underwood SR, 2021, Nuclear cardiology: state of the art., Heart, Vol:107, ISSN:1355-6037, Pages:954-961

Hirschfeld CB, Dondi M, Pascual TNB, et al., 2021, Worldwide diagnostic reference levels for single-photon emission computed tomography myocardial perfusion imaging: findings from INCAPS., Jacc: Cardiovascular Imaging, Vol:14, ISSN:1876-7591, Pages:657-665

Barron AJ, Xavier R, Al-Housni M, et al., 2020, Phase analysis, a novel SPECT technique for left ventricular dyssynchrony: Are degrees and milliseconds interchangeable?, Journal of Nuclear Cardiology, Vol:27, ISSN:1071-3581, Pages:2273-2279

Stirrup J, Gregg S, Baavour R, et al., 2020, Hybrid solid-state SPECT/CT left atrial innervation imaging for identification of left atrial ganglionated plexi: Technique and validation in patients with atrial fibrillation, Journal of Nuclear Cardiology, Vol:27, ISSN:1071-3581, Pages:1939-1950

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