Three‐Dimensional Echocardiography in Congenital Heart Disease

Shirali, Girish S

doi:10.1111/j.1540-8175.2011.01612.x

Cited by 27 publications

(11 citation statements)

References 23 publications

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“…Trans-thoracic echocardiography (TTE) is now well established as the first-line diagnostic investigation for CHD, due to its non-invasive nature, convenience, and ability to delineate cardiac morphology as well as measure flow velocities using the Doppler technique [5–7]. However, TTE is operator dependent, and has several limitations in the visualization of complex anomalies of extracardiac structures such as the pulmonary arteries, pulmonary veins, aortic arch, and great vessels [3, 4].…”

Section: Introductionmentioning

confidence: 99%

Comparison of 128-Slice Low-Dose Prospective ECG-Gated CT Scanning and Trans-Thoracic Echocardiography for the Diagnosis of Complex Congenital Heart Disease

et al. 2016

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ObjectiveTo compare prospective ECG-gated multi-slice computed tomography (MSCT) and trans-thoracic echocardiography (TTE) in the diagnosis of complex congenital heart disease (CHD).MethodsThis was a prospective study of consecutive patients with complex CHD (age <7 years) treated at a tertiary hospital between May 2013 and May 2015. All patients were imaged with TTE and prospective ECG-gated 128-slice spiral CT in the week before surgery. Effective radiation dose (ED) was calculated from volume CT dose index (CTDIvol) and dose length product (DLP). Image quality (5-point scale) was assessed independently by two radiologists. Using surgical findings as the reference, the diagnostic capabilities of MSCT and TTE were compared.ResultsThirty-five patients (19 males) aged 1.59±1.58 years (range, 3 days to 74 months) were included. CTDIvol, DLP and ED were 0.90±0.24 mGy, 12.9±4.7 mGy∙cm and 0.64±0.21 mSv (range, 0.358–1.196 mSv), respectively. Image quality score was 4.3±0.5, and all images met the diagnostic requirements. The sensitivity, specificity, positive predictive value, and negative predictive value for diagnosing CHD were 97.2%, 99.8%, 99.0%, and 99.5%, respectively, for MSCT, and 90.6%, 99.8%, 99.0%, and 98.4%, respectively, for TTE. MSCT not only had a higher sensitivity than TTE overall (97.2% vs. 90.6%; P<0.05), but was much more sensitive for the diagnosis of extracardiac vascular abnormalities (92.0% vs. 68.0%; P<0.05).Conclusion128-slice low-dose prospective ECG-gated CT scanning has important clinical value in the diagnosis of complex CHD in children, complementing and extending the findings of TTE.

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Section: Introductionmentioning

confidence: 99%

Comparison of 128-Slice Low-Dose Prospective ECG-Gated CT Scanning and Trans-Thoracic Echocardiography for the Diagnosis of Complex Congenital Heart Disease

et al. 2016

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“…Successful 3D visualization of cardiac structures can facilitate better visualization of morphology and estimate chamber size and function [6] (Fig. 1a).…”

Section: Echocardiographymentioning

confidence: 99%

Multimodality Imaging in Congenital Heart Disease: an Update

Truong

Kutty

Broberg

et al. 2012

Curr Cardiovasc Imaging Rep

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The increasing number of survivors of congenital heart disease (CHD) has been paralleled by advancement of imaging modalities used for the ongoing assessment of these patients. There has been a large body of literature describing new approaches to non-invasive assessment of CHD. We will review new applications of well established as well as novel techniques for the management and understanding of CHD.

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“…Three-dimensional echocardiography (3DE) has emerged as an integral part of the assessment of patients with congenital heart disease [1][2][3]. Advances in probe design, with the introduction of real-time ''matrix'' probes, coupled with increased computer processing power and improved software for interrogation of data have all contributed to the acceptance of the technique into mainstream practice.…”

Section: Introductionmentioning

confidence: 99%