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A review of the complementary information available with cardiac magnetic resonance imaging and multi-slice computed tomography (CT) during the study of congenital heart disease

  • Margaret M. SamynEmail author
Article

Abstract

The incidence of congenital heart disease is approximately 4–6 per 1000 new births; however, the number of people living with congenital heart disease (CHD) is increasing, because of improved diagnosis, medical, and surgical management. While echocardiography continues to be the mainstay of non-invasive imaging, cardiac MRI (cMRI) and computed tomography (CT) have taken on increasing roles in the diagnosis of congenital heart disease in infants, children, and importantly, adults who may have limited echocardiographic windows, especially if post-operative. Cardiac MRI and multi-slice CT can complement the diagnostic information obtained by echocardiography and invasive cardiac catheterization. Post-operative imaging of CHD is especially enhanced by the spin echo MRI techniques, while gradient cine echo MRI imaging allows functional information that is not encumbered by geometric assumptions. Phase contrast (velocity encoding) cardiac MRI data can provide information about flow, allowing accurate determination of regurgitation and shunt volume. Gadolinium enhanced cMRI or three-dimensional reconstructed images from multi-slice CT angiography allow excellent delineation of vascular structures in complex heart disease. Coronary imaging, while possible with both modalities, appears more facile with fast CT imaging. This article reviews the literature to provide an assessment of the special techniques and considerations needed during the conduct of cardiac MRI/MRA and multi-slice CT examinations during the diagnosis of congenital heart disease in pediatric and adult patients.

Keywords

Congenital Heart Disease Compute Tomography Angiography Cardiac Magnetic Resonance Compute Tomography Examination Cardiac Magnetic Resonance Imaging 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Perloff, JK, Child, JS 1998Congenital Heart Disease in Adults2W.B. Saunders CompanyPhiladelphiaGoogle Scholar
  2. American Heart Association. Heart Disease and Stroke Statistics–2004 Update. Dallas, Texas: American Heart Association, 2003. Available at www.americanheart.org.Google Scholar
  3. Snider, AR, Serwer, GA, Ritter, SB 1997Echocardiography in Pediatric Heart Disease2Mosby-Year Book, Inc.St LouisGoogle Scholar
  4. Boxt, LM 2004 JunMagnetic resonance and computed tomographic evaluation of congenital heart diseaseJMRI19827847Google Scholar
  5. Tsai-Goodman, B,  et al. 2004Clinical role, accuracy, and technical aspects of cardiovascular magnetic resonance imaging in infantsAm J Cardiol946974PubMedGoogle Scholar
  6. Geva, T, Sahn, DJ, Powell, AJ 2003Magnetic resonance imaging of congenital heart disease in adultsProg Pediatr Cardiol172139Google Scholar
  7. Sandstede, J,  et al. 2000Age and gender-specific differences in left and right ventricular cardiac function and mass determined by cine magnetic resonance imagingEur Radiol10438442PubMedGoogle Scholar
  8. Roest, AA,  et al. 1999Postoperative evaluation of congenital heart disease by magnetic resonance imagingJMRI10656666PubMedGoogle Scholar
  9. Alfaikh, K,  et al. 2004 OctAssessment of ventricular function and mass by cardiac magnet resonance imagingEur Radiol1418131822Google Scholar
  10. Pignatelli, RH,  et al. 2003 Sep.Role of echocardiography versus MRI for the diagnosis of congenital heart diseaseCurr Opin Cardiol18357365Google Scholar
  11. Vick, GW,  et al. 2002Role of MR flow imaging in assessing congenital heart diseaseMedicamundi465358Google Scholar
  12. Powell, AJ, Geva, T 2000Blood flow measurement by magnetic resonance imaging in congenital heart diseasePediatr Cardiol214758CrossRefPubMedGoogle Scholar
  13. Powell, AJ,  et al. 2000Phase-velocity cine magnetic resonance imaging measurements of pulsatile blood flow in children and young adults: in vitro and in vivo validationPediatr Cardiol21104110PubMedGoogle Scholar
  14. Beerbaum, P,  et al. 2001Noninvasive quantification of left to right shunt in pediatric patients: phase contrast magnetic resonance imaging compared with invasive oximetryCirculation10324762482PubMedGoogle Scholar
  15. Didier, D,  et al. 1999Morphologic and functional evaluation of congenital heart disease by magnetic resonance imagingJMRI10639655PubMedGoogle Scholar
  16. Fujita, N,  et al. 1993Assessment of left ventricular diastolic function in dilated cardiomyopathy with cine magnetic resonance imaging: effect of angiotensin converting enzyme inhibitor, benazeprilAm Heart J125171PubMedGoogle Scholar
  17. Doherty, N,  et al. 1992Measurement of right ventricular mass in normal and dilated cardiomyopathic ventricles using cine magnetic resonance imagingAm J Cardiol691223PubMedGoogle Scholar
  18. Suzuki, J 1991Assessment of right ventricular diastolic and systolic function in patients with dilated cardiomyopathy using cine magnetic resonance imagingAm Heart J1221035PubMedGoogle Scholar
  19. Bellenger, NG 2000Comparison of left ventricular ejection fraction and volumes in heart failure by echocardiography, radionuclide ventriculography, and cardiovascular magnetic resonance: are they interchangeable?Eur Heart J211387CrossRefPubMedGoogle Scholar
  20. Doherty, ,  et al. 1992Application of cine nuclear magnetic resonance imaging for sequential evaluation of response to angiotensin-converting enzyme inhibitor therapy in dilated cardiomyopathyJ Am Coll Cardiol191294PubMedGoogle Scholar
  21. Friedich, MG,  et al. 1998Growth hormone therapy in dilated cardiomyopathy monitored with MRIMAGMA6152Google Scholar
  22. Manning, WJ, Pennell, DJ 2002Cardiovascular Magnetic ResonanceChurchill Livingstone/Elsevier ScienceNew YorkGoogle Scholar
  23. Weinberg, PM, Fogel, MA 1998 MayCardiac MR imaging in congenital heart diseaseCardiol Clin16315348Google Scholar
  24. Grothues, F,  et al. 2004 FebInterstudy reproducibility of right ventricular volumes, function, and mass with cardiovascular magnetic resonanceAm Heart J147218223Google Scholar
  25. Francis, JM, Pennell, DJ 2000The treatment of claustrophobia during cardiovascular magnetic resonance; use and effectiveness of mild sedationJ Cardiovas Magn Resonan2139Google Scholar
  26. Odegard, KC,  et al. 2004Anaesthesia considerations for cardiac MRI in infants and small childrenPediatr Anesthes14471476Google Scholar
  27. Shellock, FG 2002Magnetic resonance safety update 2002: implants and devicesJ Magn Reson Imaging16485496PubMedGoogle Scholar
  28. Roguin, A,  et al. 2004 Aug.Modern pacemaker and implantable cardioverter/defibrillator systems can be magnetic resonance imaging safe: in vitro and in vivo assessment of safety and function at 1.5 TCirculation110475482Google Scholar
  29. Martin, ET,  et al. 2004 AprMagnetic resonance imaging and cardiac pacemaker safety at 1.5-TeslaJ Am Coll Cardiol4313151324Google Scholar
  30. Klucznik, RP,  et al. 1993Placement of a ferromagnetic intracerebral aneurysm clip in a magnetic field with a fatal outcomeRadiology187855856PubMedGoogle Scholar
  31. Hayes, DL,  et al. 1987Effect of 1.5 Tesla nuclear magnetic resonance imaging scanner on implanted permanent pacemakerJ Am Coll Cardiol10782786CrossRefPubMedGoogle Scholar
  32. Lorenz, CH 2000The range of normal values of cardiovascular structures in infants, children, and adolescents measured by magnetic resonance imagingPediatr Cardiol213746PubMedGoogle Scholar
  33. Alfakih, K,  et al. 2003 Mar.Normal human left and right ventricular dimensions for MRI as assessed by turbo gradient echo and steady-state free precession imaging sequencesJ Magn Reson Imaging17323329Google Scholar
  34. Hopkins, KL 1996Pediatric great vessel anomalies: initial clinical experience with spiral CT angiographyRadiology200811815PubMedGoogle Scholar
  35. Katz, M,  et al. 1995 Jul-AugSpiral CT and 3D image reconstruction of vascular rings and associated tracheobronchial anomaliesJ Comput Assist Tomogr19564568Google Scholar
  36. Becker, C,  et al. 1997Spiral CT angiography and 3D reconstruction in patients with aortic coarctationEur Radiol714731477CrossRefPubMedGoogle Scholar
  37. Kaemmerer, H,  et al. 1994 Oct.Evaluation of the aorta and supra-aortic vessels with spiral CT and 3-dimensional vascular reconstruction after operation of aortic isthmus stenosisZ Kardiol83775783Google Scholar
  38. Shiraishi, I,  et al. 2000Differential color imaging technique of helical CT angiography in the diagnosis of total anomalous pulmonary venous drainageCirculation10120172018PubMedGoogle Scholar
  39. Elster, AD, Burdette, JH 2001Questions and Answers in Magnetic Resonance Imaging2Mosby-YearbookSt LouisGoogle Scholar
  40. Frush, DP, Donnelly, LF, Rosen, NS 2003 Oct.Computed tomography and radiation risks: what pediatric health care providers should knowPediatrics112951957Google Scholar
  41. Siegel, MJ 2003Multiplanar and three-dimensional multi-detector row CT of thoracic vessels and airways in the pediatric populationRadiology229641650PubMedGoogle Scholar
  42. Lee, ED,  et al. 2004MDCT evaluation of thoracic aortic anomalies in pediatric patients and young adults: comparison of axial, multi planar, and 3D imagesAJR182777784PubMedGoogle Scholar
  43. Lawler, LP, Fishman, EK 2001Multi-detector row CT of thoracic disease with emphasis on 3D volume rendering and CT angiographyRadiographics2112571273PubMedGoogle Scholar
  44. Giesler, T,  et al. 2002Non invasive visualization of coronary arteries using contrast enhanced multi-detector CT: influence of heart rate on image quality and stenosis detectionAm J Roentgenol179911916Google Scholar
  45. Nieman, K,  et al. 2002Non-invasive cardiac angiography with multi-slice spiral computed tomography: impact of heart rateHeart88470474CrossRefPubMedGoogle Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  1. 1.Pediatric Cardiology/RadiologyUniversity of FloridaGainesvilleUSA

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