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Paediatric CMR

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Magnetic Resonance Imaging of Congenital Heart Disease

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Abstract

Some particular aspects of performing cardiac magnetic resonance (CMR) in children with congenital heart disease (CHD) are discussed in the chapter. Paediatric setting for CMR includes availability of anaesthesia, with an experienced team taking care of the high-risk patients, as well as CMR-compatible ventilatory and monitoring equipment. Changes in the acquisition parameters are required for adapting spatial resolution to the small patient size and temporal resolution to the fast heart rate. Indication for CMR in newborns and infants consists mainly of completing anatomical assessment after echocardiography in complex CHD, such as complex conotruncal anomalies and heterotaxy syndrome. By combining 2D or 3D steady-state free precession (SSFP) sequences and CEMRA for anatomical evaluation and cine SSFP and flow sequences for functional quantification, all the required information except pulmonary arterial pressure and resistance can be obtained non-invasively and safely.

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Author information

Authors and Affiliations

  1. Paediatric Heart Centre, University Children’s Hospital Zurich, Zurich, Switzerland

    Emanuela R. Valsangiacomo Buechel

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  1. Emanuela R. Valsangiacomo Buechel
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Corresponding author

Correspondence to Emanuela R. Valsangiacomo Buechel .

Editor information

Editors and Affiliations

  1. Rolf & Merian Gunnar Professor of Medicine-Cardiology, Director Cardiovascular Imaging & Program Director, Cardiovascular Disease Fellowship, Loyola University Medical Center, Maywood, IL, USA

    Mushabbar A. Syed

  2. Professor of Cardiovascular Imaging, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust & National Heart and Lung Institute, Imperial College London, London, UK

    Raad H. Mohiaddin

20.1 Electronic Supplementary Materials

Movie 20.1

4D flow visualization as path-lines tracking in a small infant with total anomalous pulmonary venous connection of supracardiac type (MP4 460 kb)

Movie 20.2

4D flow in a modified axial plane in a 2 years old boy with a large sinus venosus atrial septal defect. Velocity-vectors help to visualise the site and size of intracardiac shunt. Quantification of flow results in a shunt of 2.7:1 = (pulmonary flow):(systemic flow) (AVI 40020 kb)

Movie 20.3

Patient with heterotaxy syndrome and unbalanced atrioventricular septal defect. SSFP imaging in a short axis provides exact quantification of the volume of the ventricles, allowing clinical decision for biventricular or univentricular repair, as it was in this case (MPG 120 kb)

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Valsangiacomo Buechel, E.R. (2023). Paediatric CMR. In: Syed, M.A., Mohiaddin, R.H. (eds) Magnetic Resonance Imaging of Congenital Heart Disease. Springer, Cham. https://doi.org/10.1007/978-3-031-29235-4_20

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  • DOI: https://doi.org/10.1007/978-3-031-29235-4_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-29234-7

  • Online ISBN: 978-3-031-29235-4

  • eBook Packages: MedicineMedicine (R0)

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