Abstract
Echocardiography is the first-line imaging modality for evaluation of ventricular function in patients with congenital heart disease; however, some patients may have poor acoustic window which may limit utility of echocardiography in evaluation of ventricular function. Ventricular function imaging in congenital heart disease is commonly performed by cardiac magnetic resonance imaging (MRI), but cardiac CT is being increasingly used in those patients with metallic artifact concern on MRI or devices contraindicated for MRI. A retrospectively ECG-gated CT scan with radiation delivered throughout the cardiac cycle can be reconstructed in multiple phases to allow estimation of end-systolic and end-diastolic volumes and calculation of ejection fraction.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Burchill LJ, Mertens L, Broberg CS. Imaging for the assessment of heart failure in congenital heart disease: ventricular function and beyond. Heart Fail Clin. 2014;10:9–22.
Saremi F, Ho SY, Cabrera JA, Sanchez-Quintana D. Right ventricular outflow tract imaging with CT and MRI: Part 2, Function. AJR Am J Roentgenol. 2013;200:W51–61.
Takx RA, Moscariello A, Schoepf UJ, et al. Quantification of left and right ventricular function and myocardial mass: comparison of low-radiation dose 2nd generation dual-source CT and cardiac MRI. Eur J Radiol. 2012;81:e598–604.
Gaudet S, Branton D, Lue RA. Characterization of PDZ-binding kinase, a mitotic kinase. Proc Natl Acad Sci U S A. 2000;97:5167–72.
Gaudet G, Cheng KJ. Use of glucose and cellobiose by 3 strains of Fibrobacter succinogenes. Reprod Nutr Dev. 1990;(suppl 2):201s–2s.
Rizvi A, Deano RC, Bachman DP, Xiong G, Min JK, Truong QA. Analysis of ventricular function by CT. J Cardiovasc Comput Tomogr. 2014;9:1–12.
Sharma A, Einstein AJ, Vallakati A, Arbab-Zadeh A, Mukherjee D, Lichstein E. Meta-analysis of global left ventricular function comparing multidetector computed tomography with cardiac MRI. Am J Cardiol. 2014;113:731–8.
Raman SV, Shah M, McCarthy B, Garcia A, Ferketich AK. Multi-detector row cardiac computed tomography accurately quantifies right and left ventricular size and function compared with cardiac magnetic resonance. Am Heart J. 2006;151:736–44.
Van der Vleuten PA, de Jonge GJ, Lubbers DD, et al. Evaluation of global left ventricular function assessment by dual-source computed tomography compared with MRI. Eur Radiol. 2009;19:271–7.
Brodoefel H, Kramer U, Reimann A, et al. Dual-source CT with improved temporal resolution in assessment of left ventricular function: a pilot study. AJR Am J Roentgenol. 2007;189:1064–70.
Asferg C, Usinger L, Kristensen TS, Abdulla J. Accuracy of multi-slice computed tomography for measurement of left ventricular ejection fraction compared with cardiac magnetic resonance imaging and two-dimensional transthoracic echocardiography: a systematic review and meta-analysis. Eur J Radiol. 2012;81:e757–62.
Raman SV, Cook SC, McCarthy B, Ferketich AK. Usefulness of multidetector row computed tomography to quantify right ventricular size and function in adults with either tetralogy of Fallot or transposition of the great arteries. Am J Cardiol. 2005;95:683–6.
Alkadhi H, Desbiolles L, Husmann L, et al. Aortic regurgitation: assessment with 64-section CT. Radiology. 2007;245:111–21.
Feuchtner G, Plank F, Uprimny C, Chevtchik O, Mueller S. Paravalvular prosthetic valve abscess detected with 18FDG-PET/128-slice CT image fusion. Eur Heart J Cardiovasc Imaging. 2012;13:276–7.
Chan J, Marwan M, Schepis T, Ropers D, Du L, Achenbach S. Images in cardiovascular medicine. Cardiac CT assessment of prosthetic aortic valve dysfunction secondary to acute thrombosis and response to thrombolysis. Circulation. 2009;120:1933–4.
Ghersin E, Lessick J, Agmon Y, Engel A, Kophit A, Adler Z. Candida prosthetic valve endocarditis: the complementary role of multidetector computed tomography and transoesophageal echocardiography in preoperative evaluation. Australas Radiol. 2007;51(suppl):B231–4.
Goldstein SA, Taylor AJ, Wang Z, Weigold WG. Prosthetic mitral valve thrombosis: cardiac CT, 3-dimensional transesophageal echocardiogram, and pathology correlation. J Cardiovasc Comput Tomogr. 2010;4:221–3.
Habets J, Symersky P, van Herwerden LA, et al. Prosthetic heart valve assessment with multidetector-row CT: imaging characteristics of 91 valves in 83 patients. Eur Radiol. 2011;21:1390–6.
Li X, Tang L, Zhou L, et al. Aortic valves stenosis and regurgitation: assessment with dual source computed tomography. Int J Cardiovasc Imaging. 2009;25:591e600.
Symersky P, Habets J, Westers P, de Mol BA, Prokop M, Budde RP. Prospective ECG triggering reduces prosthetic heart valve-induced artefacts compared with retrospective ECG gating on 256-slice CT. Eur Radiol. 2012;22:1271–7.
Yamasaki Y, Nagao M, Yamamura K, et al. Quantitative assessment of right ventricular function and pulmonary regurgitation in surgically repaired tetralogy of Fallot using 256-slice CT: comparison with 3-Tesla MRI. Eur Radiol. 2014;24:3289–99.
Osawa KMT, Morimitsu Y, Akagi T, et al. Comprehensive assessment of morphology and severity of atrial septal defects in adults by computed tomography. J Cardiovasc Comput Tomogr. 2015;9(4):354e612.
Caudron J, Fares J, Vivier PH, Lefebvre V, Petitjean C, Dacher JN. Diagnostic accuracy and variability of three semi-quantitative methods for assessing right ventricular systolic function from cardiac MRI in patients with acquired heart disease. Eur Radiol. 2011;21:2111–20.
Niazi I, Dhala A, Choudhuri I, Sra J, Akhtar M, Tajik AJ. Cardiac resynchronization therapy in patients with challenging anatomy due to venous anomalies or adult congenital heart disease. Pacing Clin Electrophysiol. 2014;37:1181–8.
Han BK, Rigsby CK, Hlavacek A, et al.; Society of Cardiovascular Computed Tomography; Society of Pediatric Radiology; North American Society of Cardiac Imaging. Computed tomography imaging in patients with congenital heart disease. Part I. Rationale and utility: an expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT)—endorsed by the Society of Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr. 2015;9:475–92.
Lell MM, May M, Deak P, et al. High-pitch spiral computed tomography: effect on image quality and radiation dose in pediatric chest computed tomography. Investig Radiol. 2011;46:116–23.
Abbara S, Blanke P, Maroules CD, et al. SCCT guidelines for the performance and acquisition of coronary computed tomographic angiography: a report of the Society of Cardiovascular Computed Tomography Guidelines Committee—endorsed by the North American Society for Cardiovascular Imaging (NASCI). J Cardiovasc Comput Tomogr. 2016;10:435–49.
Sharma A, Einstein AJ, Vallakati A, Arbab-Zadeh A, Mukherjee D, Lichstein E. Meta-analysis of global left ventricular function comparing multidetector computed tomography with cardiac magnetic resonance imaging. Am J Cardiol. 2014;113:731–8.
Leipsic J, LaBounty TM, Ajlan AM, et al. A prospective randomized trial comparing image quality, study interpretability, and radiation dose of narrow acquisition window with widened acquisition window protocols in prospectively ECG-triggered coronary computed tomography angiography. J Cardiovasc Comput Tomogr. 2013;7:18–24.
Rizvi A, Deaño RC, Bachman DP, Xiong G, Min JK, Truong QA. Analysis of ventricular function by CT. J Cardiovasc Comput Tomogr. 2015;9:1–12.
Kalisz K, Buethe J, Saboo SS, Abbara S, Halliburton S, Rajiah P. Artifacts at cardiac CT: physics and solutions. Radiographics. 2016;36:2064–83.
Scholtz JE, Ghoshhajra B. Advances in cardiac CT contrast injection and acquisition protocols. Cardiovasc Diagn Ther. 2017;7:439–51.
Bae KT. Optimization of contrast enhancement in thoracic MDCT. Radiol Clin N Am. 2010;48:9–29.
Rigsby CK, McKenney SE, Hill KD, et al. Radiation dose management for pediatric cardiac computed tomography: a report from the Image Gently “Have-A-Heart” campaign. Pediatr Radiol. 2018;48:5–20.
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kharouf, R., Adebo, D.A. (2021). Cardiac Computed Tomography in Evaluation of Ventricular Function . In: Adebo, D.A. (eds) Pediatric Cardiac CT in Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-74822-7_29
Download citation
DOI: https://doi.org/10.1007/978-3-030-74822-7_29
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-74821-0
Online ISBN: 978-3-030-74822-7
eBook Packages: MedicineMedicine (R0)