Update on the Role of Cardiac Magnetic Resonance Imaging in Congenital Heart Disease
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Cardiac magnetic resonance imaging (CMR) is an important imaging modality in the evaluation of congenital heart diseases (CHD). CMR has several strengths including good spatial and temporal resolutions, wide field-of-view, and multi-planar imaging capabilities. CMR provides significant advantages for imaging in CHD through its ability to measure function, flow and vessel sizes, create three-dimensional reconstructions, and perform tissue characterization, all in a single imaging study. Thus, CMR is the most comprehensive imaging modality available today for the evaluation of CHD. Newer MRI sequences and post-processing tools will allow further development of quantitative methods of analysis, and opens the door for risk stratification in CHD. CMR also can interface with computer modeling, 3D printing, and other methods of understanding the complex anatomic and physiologic relationships in CHD.
KeywordsMRI Congenital Heart Imaging
Compliance with Ethical Standards
Conflict of Interest
Prabhakar Rajiah reports a grant from Philips Healthcare.
Animesh Tandon and Gerald F. Greil each declare no potential conflicts of interest.
Suhny Abbara reports personal fees from Reed Elsevier and grants from Koninklijke Philips NV and Siemens AG.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
4d flow imaging through the heart shows the flow pathlines in a patient with d-transposition of the great arteries, who underwent arterial switch with LeCompte maneuver. (AVI 261198 kb)
References and Recommended Reading
Papers of particular interest, published recently, have been highlighted as: • Of importance•• Of major importance
- 3.Cohen MS et al. Multimodality imaging guidelines of patients with transposition of the great arteries: a report from the American Society of Echocardiography developed in collaboration with the Society for Cardiovascular Magnetic Resonance and the Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2016;29(7):571–621.CrossRefPubMedGoogle Scholar
- 4.Valente AM et al. Multimodality imaging guidelines for patients with repaired tetralogy of Fallot: a report from the American Society of Echocardiography: developed in collaboration with the Society for Cardiovascular Magnetic Resonance and the Society for Pediatric Radiology. J Am Soc Echocardiogr. 2014;27(2):111–41.CrossRefPubMedGoogle Scholar
- 5.Lopez L et al. Recommendations for quantification methods during the performance of a pediatric echocardiogram: a report from the pediatric measurements writing group of the American Society of Echocardiography Pediatric and Congenital Heart Disease Council. J Am Soc Echocardiogr. 2010;23(5):465–95. quiz 576–467.CrossRefPubMedGoogle Scholar
- 8.Cevallos PC et al. Implementation of methodology for quality improvement in pediatric cardiac catheterization: a multi-center initiative by the Congenital Cardiac Catheterization Project on Outcomes-Quality Improvement (C3PO-QI). Pediatr Cardiol. 2016.Google Scholar
- 15.•• Fratz S et al. Guidelines and protocols for cardiovascular magnetic resonance in children and adults with congenital heart disease: SCMR expert consensus group on congenital heart disease. J Cardiovasc Magn Reson. 2013;15:51. This SCMR consensus document provides guidelines and protocols for CMR in patients with congenital heart disease.CrossRefPubMedPubMedCentralGoogle Scholar
- 16.•Valsangiacomo Buechel ER et al. Indications for cardiovascular magnetic resonance in children with congenital and acquired heart disease: an expert consensus paper of the Imaging Working Group of the AEPC and the cardiovascular magnetic resonance section of the EACVI. Eur Heart J Cardiovasc Imaging. 2015;16(3):281–97. This is the expert consensus paper of the EACVI and AEPC, which also provides guidelines on using CMR in children.CrossRefPubMedGoogle Scholar
- 19.Seo H et al. Self-gated cardiac cine imaging using phase information. Magn Reson Med. 2016.Google Scholar
- 20.Reiter T et al. Minimizing risk of nephrogenic systemic fibrosis in cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 2012;14(31).Google Scholar
- 43.Latus H et al. Impact of residual right ventricular outflow tract obstruction on biventricular strain and synchrony in patients after repair of tetralogy of Fallot: a cardiac magnetic resonance feature tracking study. Eur J Cardio-Thoracic Surg: Off J Eur Assoc Cardio-Thoracic Surg. 2015;48(1):83–90.CrossRefGoogle Scholar
- 48.Shang Q et al.. Assessment of ventriculo-vascular properties in repaired coarctation using cardiac magnetic resonance-derived aortic, left atrial and left ventricular strain. Eur Radiol. 2016.Google Scholar
- 56.Francois CJ et al. 4D cardiovascular magnetic resonance velocity mapping of alterations of right heart flow patterns and main pulmonary artery hemodynamics in tetralogy of Fallot. J Cardiovasc Magn Reson. 2012;14(16).Google Scholar
- 63.Manka R et al. Multicenter evaluation of dynamic three-dimensional magnetic resonance myocardial perfusion imaging for the detection of coronary artery disease defined by fractional flow reserve. Circ Cardiovasc Imaging. 2015;8(5).Google Scholar
- 73.Broberg CS et al. Myocardial fibrosis in Eisenmenger syndrome: a descriptive cohort study exploring associations of late gadolinium enhancement with clinical status and survival. J Cardiovasc Magn Reson. 2014;16(32).Google Scholar
- 75.Menon RG et al. Free breathing three-dimensional late gadolinium enhancement cardiovascular magnetic resonance using outer volume suppressed projection navigators. Magn Reson Med. 2016.Google Scholar
- 89.Dedieu LDN, Makowski MR, Vieira MSN, Hussain T, Wong J, Razavi R, et al. Coronary artery imaging in patients with congenital heart disease: improved image quality using an intravascular contrast agent and specific magnetic resonance sequence design. Clin Med Rev Case Rep. 2016;3(2):092.CrossRefGoogle Scholar
- 95.He Y et al. Diagnostic performance of self-navigated whole-heart contrast-enhanced coronary 3-T MR angiography. Radiology. 2016;152514.Google Scholar
- 96.Piccini D et al. Four-dimensional respiratory motion-resolved whole heart coronary MR angiography. Magn Reson Med. 2016.Google Scholar
- 97.Cruz G et al. Highly efficient nonrigid motion-corrected 3D whole-heart coronary vessel wall imaging. Magn Reson Med. 2016.Google Scholar
- 109.Byrne N et al. A systematic review of image segmentation methodology, used in the additive manufacture of patient-specific 3D printed models of the cardiovascular system. JRSM Cardiovasc Dis. 2016;5(2048004016645467).Google Scholar
- 110.Tandon A et al. Use of a semi-automated cardiac segmentation tool improves reproducibility and speed of segmentation of contaminated right heart magnetic resonance angiography. Int J Cardiovasc Imaging. 2016.Google Scholar
- 111.Pace DF et al. Interactive whole-heart segmentation in congenital heart disease. Med Image Comput Comput Assist Interv. 2015;9351(80).Google Scholar
- 114.Pushparajah K et al. Cardiovascular magnetic resonance catheterization derived pulmonary vascular resistance and medium-term outcomes in congenital heart disease. J Cardiovasc Magn Reson. 2015;17(28).Google Scholar