Cine magnetic resonance imaging for evaluation of congential heart disease: Role in pediatric cardiology compared with echocardiography and angiography
Autor: | John R. Hesselink, David J. Sahn, Iain A. Simpson, Frederick S. Sherman, R. L. Newman, Kyung J. Chung |
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Rok vydání: | 1988 |
Předmět: |
Heart Defects
Congenital medicine.medical_specialty Adolescent Heart disease Postoperative Complications medicine Humans Cineangiography Angiocardiography Child medicine.diagnostic_test business.industry Hemodynamics Infant Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging Echocardiography Doppler medicine.anatomical_structure Great vessels Echocardiography Ventricle Great arteries Child Preschool Pediatrics Perinatology and Child Health Angiography Radiology business Blood Flow Velocity |
Zdroj: | The Journal of Pediatrics. 113:1028-1035 |
ISSN: | 0022-3476 |
DOI: | 10.1016/s0022-3476(88)80575-4 |
Popis: | Cine magnetic resonance imaging was used for preoperative and postoperative evaluation of 91 patients with congenital heart disease. Their ages ranged from 6 weeks to 14 years. The quality of study was excellent in 81% of the cases, in which it provided complete documentation of diagnostic features; substantial diagnostic information was provided in another 14%, and the study was nondiagnostic in only 5%. This technique was most useful for evaluating areas of the right ventricle (95%), great arteries (95%), vena cava (94%), and pulmonary venous system (91%). The anatomic delineation of these areas was comparable to that obtained by cineangiography and was superior to echocardiography, especially in postoperative patients. For complex venous anomalies, magnetic resonance imaging provided better anatomic details than did angiography or echocardiography. The capability of multiplanar imaging allows complex angled views through the desired planes of the heart and great vessels. Proper sedation is essential to obtain maximum diagnostic information. Our preliminary experience suggests that this new modality provides excellent anatomic information in infants and children with congenital cardiac defects and will play an increasing role in pediatric cardiac diagnosis. |
Databáze: | OpenAIRE |
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