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• Lectures •
Magnetic resonance imaging of congenital heart disease in children
ZHU Ming 

DOI:10.3969/j.issn.1674-8034.2011.01.015.


[Abstract] Congenital heart disease (CHD) is a relatively common problem with an incidence of approximately seven per 1,000 live births. Children with CHD usually undergo an echocardiogram (ECHO), and, if diagnostic, the appropriate management pathway would be followed. However, if ECHO cannot resolve the diagnostic problem, patients will now be referred for cardiovascular magnetic resonance (MR) or multislice CT. The major limitation of CT is the use of ionizing radiation and MR may well become a one-stop shop for morphological or functional evaluation of congenital heart disease in the preoperative and postoperative period. The purpose of this paper was to evaluate the scanning technique and the clinical application of magnetic resonance examination in children with CHD. T1-weighted spin-echo sequence, gradient-echo cine sequence and contrast enhancement magnetic resonance angiography (CE-MRA) should be performed in every case. CHD can be diagnosed by magnetic resonance imaging safely and reliably. CE-MRA is the most reliable noninvasive imaging diagnostic modality for congenital obstructive aortic arch anomalies and congenital obstructive total anomalous pulmonary venous return.
[Keywords] Magnetic resonance imaging；Children；Congenital heart disease；Magnetic resonance angiography

ZHU Ming Center of Imaging Diagnosis, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China

*Correspondence to: Zhu M, E-mail: zhuming58@vip.sina.com

Conflicts of interest   None.

Received  2010-10-12
Accepted  2010-12-06
DOI: 10.3969/j.issn.1674-8034.2011.01.015
DOI:10.3969/j.issn.1674-8034.2011.01.015.

[1]
Hundley WG, Bluemke DA, Finn JP, et al. ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance, a report of the American college of cardiology foundation task force on expert consensus documents. Circulation, 2010, 121(22): 2462-2508.
[2]
Taylor AM. Cardiac imaging: MR or CT? Which to use when. Pediatr Radiol, 2008, 38 (Suppl 3): S433-S438.
[3]
Krishnamurthy R. Pediatric cardiac MRI: anatomy and function. Pediatr Radiol, 2008, 38 (Suppl 2): S192-S199.
[4]
Beerbaum P, Korperich H, Gieseke J, et al. Rapid left-to-right shunt quantification in children by phase-contrast magnetic resonance imaging combined with sensitivity encoding (SENSE). Circulation, 2003, 108(11): 1355-1361.
[5]
Ming Z, Yumin Z, Yuhua L, et al. Diagnosis of congenital obstructive aortic arch anomalies in Chinese children by contrast enhanced magnetic angiography. J Cardiovasc Magn Reson, 2006, 8(5): 747-754.
[6]
Ming Z, Yumin Z. Magnetic resonance evaluation of criss-cross heart. Pediatr Cardiol, 2008, 29(2): 359-365.
[7]
Van den Berg J, Hop WC, Strengers JL, et al. Clinical condition at mid-to-late follow-up after transatrial-transpulmonary repair of tetralogy of Fallot. J Thorac Cardiovasc Surg, 2007, 133(2): 470-477.

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