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

被引：21

作者：

Secinaro, Aurelio ^{[1
]}

Ait-Ali, Lamia ^{[2
]}

Curione, Davide ^{[1
]}

Clemente, Alberto ^{[3
]}

Gaeta, Alberto ^{[4
]}

Giovagnoni, Andrea ^{[5
]}

Alaimo, Annalisa ^{[6
]}

Esposito, Antonio ^{[7
]}

Tchana, Bertrand ^{[8
]}

Sandrini, Camilla ^{[9
]}

Bennati, Elena ^{[10
]}

Angeli, Emanuela ^{[11
]}

Bianco, Francesco ^{[12
]}

Ferroni, Francesca ^{[13
]}

Pluchinotta, Francesca ^{[14
]}

Rizzo, Francesca ^{[15
]}

Secchi, Francesco ^{[16
,26
]}

Spaziani, Gaia ^{[10
]}

Trocchio, Gianluca ^{[17
]}

Peritore, Giuseppe ^{[18
]}

Puppini, Giovanni ^{[19
]}

Inserra, Maria Cristina ^{[20
]}

Galea, Nicola ^{[21
]}

Stagnaro, Nicola ^{[15
]}

Ciliberti, Paolo ^{[22
]}

Romeo, Placido ^{[20
]}

Faletti, Riccardo ^{[23
]}

Marcora, Simona ^{[24
]}

Bucciarelli, Valentina ^{[12
]}

Lovato, Luigi ^{[25
]}

Festa, Pierluigi ^{[2
]}

机构：

[1] Bambino Gesu Pediat Hosp, Dept Imaging, Adv Cardiothorac Imaging Unit, IRCCS, Rome, Italy

[2] Fdn G Monasterio CNR Reg Toscana, Pediat Cardiol & GUCH Unit, Massa Pisa, Italy

[3] Fdn G Monasterio CNR Reg Toscana, Dept Radiol, Massa Pisa, Italy

[4] Giovanni XXIII Childrens Hosp, Pediat Radiol Unit, Bari, Italy

[5] Azienda Osped Univ Osped Riuniti Ancona Umberto I, Radiol Dept, Ancona, Italy

[6] ARNAS Civ, PO G Di Cristina, UOC Cardiol Pediat, Palermo, Italy

[7] IRCCS Osped San Raffaele, Clin & Expt Radiol Unit, Expt Imaging Ctr, Milan, Italy

[8] Gen & Univ Hosp, Pediat Cardiol Unit, Parma, Italy

[9] Univ Verona, Dept Med, Div Cardiol, Verona, Italy

[10] Azienda Osped Univ Meyer, Pediat Cardiol, Florence, Italy

[11] IRCCS Azienda Osped Univ Bologna, Pediat & Grown Up Congenital Cardiac Surg Unit, Bologna, Italy

[12] Azienda Osped Univ Osped Riuniti Ancona Umberto I, Dept Paediat & Congenital Cardiac Surg & Cardiol, Ancona, Italy

[13] Citta Salute & Sci, Div Pediat Cardiol, Turin, Italy

[14] IRCCS Policlin San Donato, Dept Pediat Cardiol & Adult Congenital Heart Dis, Milan, Italy

[15] Giannina Gaslini Res Inst & Children Hosp, Radiol Unit, Genoa, Italy

[16] IRCCS Policlin San Donato, Dept Radiol, Milan, Italy

[17] Giannina Gaslini Res Inst & Children Hosp, Pediat Cardiol Dept, Genoa, Italy

[18] ARNAS Civ, PO G Di Cristina, UOC Radiodiagnost, Palermo, Italy

[19] Univ Verona, Dept Radiol, Verona, Italy

[20] Univ Hosp Vittorio Emanuele Catania, Dept Radiol, Catania, Italy

[21] Sapienza Univ Rome, Dept Expt Med, Rome, Italy

[22] Bambino Gesu Pediat Hosp, Dept Cardiol & Cardiosurg, IRCCS, Rome, Italy

[23] Univ Turin, Dept Surg Sci, Radiol Unit, Turin, Italy

[24] Papa Giovanni XXIII Hosp, Dept Pediat Cardiol, Bergamo, Italy

[25] IRCCS Azienda Osped Univ Bologna, Thoracoabdominal & Emergency Radiol Unit, Pediat & Adult Cardiovasc, Via Massarenti 9, I-40138 Bologna, BO, Italy

[26] Univ Milan, Dept Biomed Sci Hlth, Milan, Italy

来源：

RADIOLOGIA MEDICA | 2022年 / 127卷 / 07期

关键词：

Cardiovascular magnetic resonance; Cardiovascular computed tomography; Congenital heart disease; Pediatric cardiology; Multimodality imaging; EUROPEAN-SOCIETY; CONTRAST-MEDIA; CT; CHILDREN; ADULTS; PATIENT; RISK; MRI; ANGIOGRAPHY; ANESTHESIA;

D O I：

10.1007/s11547-022-01490-9

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：

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.

引用

页码：788 / 802

页数：15

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