Performance of Cardiac MRI in Pediatric and Adult Patients with Fontan Circulation

被引:11
作者
Puricelli, Filippo [1 ,3 ]
Voges, Inga [4 ]
Gatehouse, Peter [1 ]
Rigby, Michael [2 ]
Izgi, Cemil [1 ,5 ]
Pennell, Dudley J. [1 ,5 ]
Krupickova, Sylvia [1 ,2 ,5 ]
机构
[1] Royal Brompton Hosp, Dept CMR, Sydney St, London SW3 6NP, England
[2] Royal Brompton Hosp, Dept Paediat Cardiol, Sydney St, London SW3 6NP, England
[3] Univ Hosp Padova, Dept Paediat Cardiol, Padua, Italy
[4] Univ Hosp Schleswig Holstein, Dept Congenital Heart Dis & Pediat Cardiol, Campus Kiel, Kiel, Germany
[5] Imperial Coll, Natl Heart & Lung Inst, London, England
关键词
CONGENITAL HEART-DISEASE; RESONANCE-IMAGING EVALUATION; MAGNETIC-RESONANCE; MYOCARDIAL-PERFUSION; COLLATERAL FLOW; SINGLE-VENTRICLE; BLOOD-FLOW; IN-VITRO; CHILDREN; ABNORMALITIES;
D O I
10.1148/ryct.210235
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Cardiac MRI has become a widely accepted standard for anatomic and functional assessment of complex Fontan physiology, because it is non-invasive and suitable for comprehensive follow-up evaluation after Fontan completion. The use of cardiac MRI in pediatric and adult patients after completion of the Fontan procedure are described, and a practical and experience-based cardiac MRI protocol for evaluating these patients is provided. The current approach and study protocol in use at the authors' institution are presented, which address technical considerations concerning sequences, planning, and optimal image acquisition in patients with Fontan circulation. Additionally, for each sequence, the information that can be obtained and guidance on how to integrate it into clinical decision-making is discussed.
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页数:21
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