Congenital Heart Disease

Pamela K. Woodard1, Jie Zheng1

1 Mallinckrodt Institute of Radiology, Washington University Medical Center, St. Louis, Missouri
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A10.1
DOI:  10.1002/0471142719.mia1001s00
Online Posting Date:  May, 2001
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Abstract

Cardiac MRI plays a pivotal role in both anatomical and functional assessment of shunts, admixture lesions, transpositions, and the surgical correction of these lesions. This unit presents basic techniques for the evaluation of congenital heart disease. While sequence parameters described are meant to be as generic as possible, parameters are most appropriate for the Siemens 1.5 T Vision or Symphony, and may need to be altered for magnets of different field strengths and manufacturers.

     
 
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Table of Contents

  • Basic Protocol 1: Imaging Congenital Heart Disease
  • Alternate Protocol 1: Intracardiac Shunt Assessment
  • Alternate Protocol 2: Valve Assessment
  • Basic Protocol 2: Associated Great Vessel Assessment
  • Commentary
  • Figures
  • Tables
     
 
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Materials

Basic Protocol 1: Imaging Congenital Heart Disease

  Materials
  • Normal saline (0.9% NaCl), sterile
  • Gadolinium‐based MR contrast agent (e.g., Magnevist, Omniscan, Prohance, or OptiMARK)
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Figures

Videos

Literature Cited

Literature Cited
   Chatzimavroudis, G.P., Walker, P.G., Oshinski, J.N., Franch, R.H., Pettigrew, R.I., and Yoganathan, A.P. 1997. Slice location dependence of aortic regurgitation measurements with MR phase velocity mapping. Magn. Reson. Med. 37(4):545‐551.
   Didier, D. and Higgins, C.B. 1986. Identification and localization of ventricular septal defect by gated magnetic resonance imaging. Am. J. Cardiol. 57:1363‐1368.
   Didier, D., Ratib, O., Lerch., and Friedli, B. 2000. Detection and quantification of valvular heart disease with dynamic cardiac MR imaging. Radiographics 20:1279‐1299.
   Higgins, C.B. 2000. Cardiac imaging. Radiology 217:4‐10.
   Sechtem, U., Pflugfelder, P., Cassidy, M.C., Holt, W., Wolfe, C., and Higgins, C.B. 1987. Ventricular septal defect: Visualization of shunt flow and determination of shunt size by cine MR imaging. AJR Am. J.Roentgenol. 149:689‐692.
   Shellock, F.G. 1999. Pocket Guide to MR Procedures and Metallic Objects. Lippincott‐Raven, Philadelphia.
Key References
   Chen, J.T.T. 1997. Essentials of Cardiac Imaging, 2nd ed. Lippincott‐Raven, Philadelphia.
  This textbook is an excellent reference for the interpretation of all congenital heart imaging, going over the anatomy, physiology and embryology of each congenital heart defect in detail.
   Higgins, 2000. See above.
  Provides an overview of multiple modalities and their uses in cardiac imaging, including cardiac MR.
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