MR Imaging of Adult Patients With Congenital Heart Disease

Wimpfheimer, Orit; Boxt, Lawrence M.

doi:10.1016/s0033-8389(05)70102-0

Cited by 13 publications

(13 citation statements)

References 66 publications

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“…In the last few years, Cardiac MR imaging has been increasingly considered as a valuable modality for evaluation of CHD [5,6]. Cardiac MR imaging has much to offer by not only generating high resolution morphological images, but also provides quantitative information of the severity of regurgitant or stenotic lesions or shunts with peak velocity and flow measurements across them [4].…”

Section: Discussionmentioning

confidence: 99%

“…On the MRI front, Cardiac MRI has emerged as an accurate method for the evaluation of structure and function of the heart. Significant advances in MR technology like the emergence of high-field-strength magnets, high-performance gradient hardware and ultrafast pulse sequences have reinforced traditional techniques like cardiac gating and suspension of breathing resulting in a generation of newer sequences that address the issues of anatomical mapping and functional analysis of the heart, well into the realms of cardiac cycle [4,5].…”

Section: Introductionmentioning

confidence: 99%

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Cardiac MRI in Congenital Heart Disease – Our Experience

Sreedhar

Ram

Alam

et al. 2005

Medical Journal Armed Forces India

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A significant recent advance that has occurred world over in the continuously evolving field of Magnetic Resonance Imaging (MRI) practice is the introduction of Cardiac applications. Cardiac MRI has moved to the centre stage of clinical management strategy by non-invasively imaging the structure as well as function of the heart. It has a wide range of specific applications such as delineation of morphological anatomy, quantification of flow and pressure across cardiac valve dysfunction, evaluation of myocardial function, assessment of infarcts, mapping coronary arteries and so on. Evaluation of congenital heart disease (CHD) is an important application of Cardiac MRI since the morphological details of chambers, septum, defects and anomalous connections are depicted accurately. Besides, flow information across valves, chambers, outflow tracts and shunts are also provided. This article describes our experience in the use of cardiac MRI in congenital heart disease.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cardiac MRI in Congenital Heart Disease – Our Experience

Sreedhar

Ram

Alam

et al. 2005

Medical Journal Armed Forces India

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“…Moreover, evaluation of right ventricular anatomy and function, determination of the left ventricular apex, quantification of volumes and muscle masses ( Fig. 1), the description of great vessel anatomy and intra-and extracardiac conduits in congenital cardiac defects is not limited by ventricular shape and location [3,6,7].…”

Section: Magnetic Resonance Imaging (Mri)mentioning

confidence: 99%

“…The sensitivity and specificity of MRI for diagnosis of an ASD exceeds 90 % [17]. Sinus venous, fossa ovalis, coronary sinus and atrioventricular septal defects can be identified as an interruption in the interatrial septum, to be seen in two or more anatomic sections [7]. Due to the thin fossa ovalis, MRI may sometimes produce false positive results [17].…”

Section: Study Of Shuntsmentioning

confidence: 99%

Imaging in Adults with Congenital Cardiac Disease (ACCD)*

Kaemmerer¹,

Stern²,

Fratz³

et al. 2000

Thorac cardiovasc Surg

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Management of patients with congenital heart disease requires detailed information on cardiac and great vessel morphology. In previous years, the diagnosis and the treatment of congenital malformations has often depended on cardiac catherization, and in many institutions, cardiac catherization still remains the gold standard against which other modalities are measured. In the past decade, however, imaging methodologies have increasingly shifted toward the use of less invasive and noninvasive techniques. Currently, echocardiography is the initial method of choice in evaluating the anatomy, especially in younger patients. Meanwhile, several newer imaging techniques like magnetic resonance imaging (MRI) and spiral or multislice computed tomography (CT) are in use. They offer extremely useful information about abnormalities of the heart and great vessels as well as the assessment of cardiac anatomy and function. Echo, angiography, MRI and CT should be seen as complimentary investigations in adult congenital heart disease.

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“…But it is the added option to obtain functional information, enabled by a range of new pulse sequences, that gives MRI its special value, especially in adult patients with palliated or corrected CHD [25,35,96,122]. Particularly pulmonary blood flow and right ventricular function with possible late deterioration are increasingly recognized as vital issues [17,50,52,95].…”

Section: Introductionmentioning

confidence: 99%

Congenital Heart Disease. Evaluation of Anatomy and Function by MRI

Rebergen¹,

Roos

2000

Herz

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With the increasing number of patients surviving after therapeutic intervention for congenital heart disease (CHD), accurate and frequent follow-up of their morphologic and functional cardiovascular status is required, preferably with a noninvasive imaging technique. Echocardiography, either transthoracic or transesophageal, has been the first choice for this purpose, and will probably keep that status, at least in a large segment of the CHD spectrum. Magnetic resonance imaging (MRI) is an established method for high-resolution visualization of cardiovascular morphology. In the past decade, newer MRI techniques have been developed that allow functional evaluation of CHD patients. Particularly the introduction of breath-hold imaging, contrast-enhanced MRA and user-friendly computer software for image analysis may move functional MRI of CHD from the science laboratory to clinical use. It is already evident that MRI is superior to echocardiography in certain areas of limited echocardiographic access, such as the pulmonary artery branches and the aortic arch in adult patients. But MRI has also a unique potential for accurate volumetric analysis of ventricular function and cardiovascular blood flow, without any geometric assumptions. If supported by increased cooperation between cardiologists and radiologists, MRI will grow into a useful noninvasive imaging tool that, together with echocardiography, will obviate the need for invasive catheter studies for diagnostic purposes.

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MR Imaging of Adult Patients With Congenital Heart Disease

Cited by 13 publications

References 66 publications

Cardiac MRI in Congenital Heart Disease – Our Experience

Cardiac MRI in Congenital Heart Disease – Our Experience

Imaging in Adults with Congenital Cardiac Disease (ACCD)*

Congenital Heart Disease. Evaluation of Anatomy and Function by MRI

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