Recommendations for cardiovascular magnetic resonance and computed tomography in congenital heart disease: a consensus paper from the CMR/CCT working group of the Italian Society of Pediatric Cardiology (SICP) and the Italian College of Cardiac Radiology endorsed by the Italian Society of Medical and Interventional Radiology (SIRM) Part I.

Autor: Secinaro A; Advanced Cardiothoracic Imaging Unit, Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Ait-Ali L; Pediatric Cardiology and GUCH Unit, Fondazione 'G. Monasterio' CNR-Regione Toscana, Massa-Pisa, Italy., Curione D; Advanced Cardiothoracic Imaging Unit, Department of Imaging, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Clemente A; Department of Radiology, Fondazione 'G. Monasterio' CNR-Regione Toscana, Massa-Pisa, Italy., Gaeta A; Pediatric Radiology Unit, Giovanni XXIII Children's Hospital, Bari, Italy., Giovagnoni A; Radiology Department, Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona 'Umberto I, G. M. Lancisi, G. Salesi', Ancona, Italy., Alaimo A; U.O.C. Cardiologia Pediatrica, P.O. 'G. Di Cristina', ARNAS Civico, Palermo, Italy., Esposito A; Clinical and Experimental Radiology Unit, Experimental Imaging Center, IRCCS Ospedale San Raffaele, Milan, Italy., Tchana B; Pediatric Cardiology Unit, General and University Hospital, Parma, Italy., Sandrini C; Division of Cardiology, Department of Medicine, University of Verona, Verona, Italy., Bennati E; Pediatric Cardiology, Azienda Ospedaliero-Universitaria Meyer, Florence, Italy., Angeli E; Pediatric and Grown-Up Congenital Cardiac Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Bianco F; Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona 'Umberto I, G. M. Lancisi, G. Salesi', Ancona, Italy., Ferroni F; Division of Pediatric Cardiology, Città della Salute e della Scienza, Turin, Italy., Pluchinotta F; Department of Pediatric Cardiology and Adult Congenital Heart Disease, IRCCS Policlinico San Donato, Milan, Italy., Rizzo F; Radiology Unit, Giannina Gaslini Research Institute and Children Hospital, Genoa, Italy., Secchi F; Department of Radiology, IRCCS Policlinico San Donato, Milan, Italy.; Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy., Spaziani G; Pediatric Cardiology, Azienda Ospedaliero-Universitaria Meyer, Florence, Italy., Trocchio G; Pediatric Cardiology Department, Giannina Gaslini Research Institute and Children Hospital, Genova, Italy., Peritore G; U.O.C. di Radiodiagnostica, P.O. 'G. Di Cristina', ARNAS Civico, Palermo, Italy., Puppini G; Department of Radiology, University of Verona, Verona, Italy., Inserra MC; Department of Radiology, University Hospital Vittorio Emanuele Catania, Catania, Italy., Galea N; Department of Experimental Medicine, 'Sapienza' University of Rome, Rome, Italy., Stagnaro N; Radiology Unit, Giannina Gaslini Research Institute and Children Hospital, Genoa, Italy., Ciliberti P; Department of Cardiology and Cardiosurgery, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy., Romeo P; Department of Radiology, University Hospital Vittorio Emanuele Catania, Catania, Italy., Faletti R; Department of Surgical Sciences, Radiology Unit, University of Turin, Turin, Italy., Marcora S; Department of Pediatric Cardiology, Papa Giovanni XXIII Hospital, Bergamo, Italy., Bucciarelli V; Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona 'Umberto I, G. M. Lancisi, G. Salesi', Ancona, Italy., Lovato L; Pediatric and Adult Cardiovascular, Thoraco-abdominal and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 9, 40138, Bologna, BO, Italy. luigi.lovato@aosp.bo.it., Festa P; Pediatric Cardiology and GUCH Unit, Fondazione 'G. Monasterio' CNR-Regione Toscana, Massa-Pisa, Italy.
Jazyk: angličtina
Zdroj: La Radiologia medica [Radiol Med] 2022 Jul; Vol. 127 (7), pp. 788-802. Date of Electronic Publication: 2022 May 24.
DOI: 10.1007/s11547-022-01490-9
Abstrakt: Cardiovascular magnetic resonance (CMR) and computed tomography (CCT) are advanced imaging modalities that recently revolutionized the conventional diagnostic approach to congenital heart diseases (CHD), supporting echocardiography and often replacing cardiac catheterization. Nevertheless, correct execution and interpretation require in-depth knowledge of all technical and clinical aspects of CHD, a careful assessment of risks and benefits before each exam, proper imaging protocols to maximize diagnostic information, minimizing harm. This position paper, written by experts from the Working Group of the Italian Society of Pediatric Cardiology and from the Italian College of Cardiac Radiology of the Italian Society of Medical and Interventional Radiology, is intended as a practical guide for applying CCT and CMR in children and adults with CHD, wishing to support Radiologists, Pediatricians, Cardiologists and Cardiac Surgeons in the multimodality diagnostic approach to these patients. The first part provides a review of the most relevant literature in the field, describes each modality's advantage and drawback, making considerations on the main applications, image quality, and safety issues. The second part focuses on clinical indications and appropriateness criteria for CMR and CCT, considering the level of CHD complexity, the clinical and logistic setting and the operator expertise.
(© 2022. The Author(s).)
Databáze: MEDLINE
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