TY - JOUR
T1 - Cine magnetic resonance imaging for evaluation of congential heart disease
T2 - Role in pediatric cardiology compared with echocardiography and angiography
AU - Chung, Kyung J.
AU - Simpson, Iain A.
AU - Newman, Rob
AU - Sahn, David J.
AU - Sherman, Frederick S.
AU - Hesselink, John R.
N1 - Funding Information:
Electrocardiographically gated conventional spin-echo magnetic resonance imaging has been widely used to assess cardiac anatomy and function. 1-7 Clinical investigators have reported early experience with this new technique for evaluation of congenital heart disease. 8-~5 Supported in part by a grant from the Division of Magnetic Resonance Imaging, General Electric Company. Dr. Simpson is supported by a British-American Research Fellowship of the American Heart Association and the British Heart Foundation. Submitted for publication Feb. 24, 1988; accepted July 8, 1988. Reprint requests: Kyung J. Chung, MD, Department of Pediatrics T-008-A, University of California at San Diego, School of Medicine, La Jolla, CA 92093.
PY - 1988/12
Y1 - 1988/12
N2 - 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.
AB - 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.
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U2 - 10.1016/S0022-3476(88)80575-4
DO - 10.1016/S0022-3476(88)80575-4
M3 - Article
C2 - 3193308
AN - SCOPUS:0024214695
SN - 0022-3476
VL - 113
SP - 1028
EP - 1035
JO - The Journal of pediatrics
JF - The Journal of pediatrics
IS - 6
ER -