Dual-source computed tomography coronary artery imaging in children
| Autor: | Paolo Ciliberti, Carmela Napolitano, Alessia Del Pasqua, Kristian H. Mortensen, Andrew M. Taylor, Davide Curione, Teresa Pia Santangelo, Aurelio Secinaro, Paolo Ciancarella |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Heart disease Computed Tomography Angiography Coronary Vessel Anomalies Coronary Artery Disease Mucocutaneous Lymph Node Syndrome Coronary Angiography Sensitivity and Specificity 030218 nuclear medicine & medical imaging 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine Image Processing Computer-Assisted Humans Medicine Radiology Nuclear Medicine and imaging Child Neuroradiology business.industry Ultrasound medicine.disease Coronary Vessels Coronary arteries medicine.anatomical_structure Great arteries Child Preschool Pediatrics Perinatology and Child Health Dual source computed tomography Female Kawasaki disease Radiology business 030217 neurology & neurosurgery Artery |
| Zdroj: | Pediatric Radiology. 49:1823-1839 |
| ISSN: | 1432-1998 0301-0449 |
| DOI: | 10.1007/s00247-019-04494-2 |
| Popis: | Computed tomography (CT) has a well-established diagnostic role in the assessment of coronary arteries in adults. However, its application in a pediatric setting is still limited and often impaired by several technical issues, such as high heart rates, poor patient cooperation, and radiation dose exposure. Nonetheless, CT is becoming crucial in the noninvasive approach of children affected by coronary abnormalities and congenital heart disease. In some circumstances, CT might be preferred to other noninvasive techniques such as echocardiography and MRI for its lack of acoustic window influence, shorter acquisition time, and high spatial resolution. The introduction of dual-source CT has expanded the role of CT in the evaluation of pediatric cardiovascular anatomy and pathology. Furthermore, technical advances in the optimization of low-dose protocols represent an attractive innovation. Dual-source CT can play a key role in several clinical settings in children, namely in the evaluation of children with suspected congenital coronary artery anomalies, both isolated and in association with congenital heart disease. Moreover, it can be used to assess acquired coronary artery abnormalities, as in children with Kawasaki disease and after surgical manipulation, especially in case of transposition of the great arteries treated with arterial switch operation and in case of coronary re-implantation. |
| Databáze: | OpenAIRE |
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