Abstract
There are limitations when using spin-echo MR imaging to evaluate congenital heart disease (CHD). These include limited ability to detect small shunts, long acquisition times, in-plane or slow flow signal and limited ability to represent complicated three-dimensional (3D) anatomy. However, MR angiography can image flow direction and disturbances, assess function and easily represents 3D anatomy. This may be valuable when evaluating adults with CHD. Fifty consecutive adult patients were referred for MR evaluation of possible or known CHD using time-of-flight MR angiography. Cine, breathhold and presaturation cine MR angiography were acquired as appropriate, with 3D (MIP) reconstruction of all extracardiac anomalies. Forty-nine patients had a diagnostic examination (one was unsatisfactory because of arrhythmia). Correlation with alternative imaging (TTE = 36, TOE = 13, cardiac catheter = 16) or surgery was available in 39 patients (MR angiography correct in 36 patients). MRA demonstrated or excluded all confirmed congenital valve (12/12), aortic (9/9), and venous (7/7) anomalies. Thirty-five patients were evaluated for shunts. MR angiography detected 31/33 confirmed shunts (shunts present in 26 patients, sensitivity 94%, specific...Continue Reading
References
Mar 1, 1992·Radiology·W R Webb, H D Sostman
Nov 1, 1992·Journal of the American College of Cardiology·L D BrennerC B Higgins
Nov 1, 1992·AJR. American Journal of Roentgenology·K E FellowsE A Hoffman
Aug 1, 1992·American Heart Journal·J D BoehrerL D Hillis
Sep 1, 1991·Journal of Computer Assisted Tomography·T M VeselyD J Hagler
Nov 1, 1991·Radiology·S J YooH J Lee
Dec 1, 1991·Radiology·T MasuiC B Higgins
Apr 1, 1991·Radiology·J S LewinR Hausmann
Jul 1, 1991·Journal of the American College of Cardiology·J M ParsonsM N Maisey
Mar 1, 1990·European Journal of Radiology·B KastlerA Wackenheim
Apr 1, 1989·The British Journal of Radiology·M A SmithM N Maisey
Nov 1, 1989·Radiology·S ReesD B Longmore
Dec 1, 1988·The Journal of Pediatrics·K J ChungJ R Hesselink
Dec 1, 1987·British Heart Journal·R S ReesD B Longmore
Dec 1, 1986·AJR. American Journal of Roentgenology·A G FormanekN Karstaedt
Jul 1, 1987·AJR. American Journal of Roentgenology·B A Kersting-SommerhoffC B Higgins
Oct 1, 1987·AJR. American Journal of Roentgenology·U SechtemC B Higgins
Aug 1, 1987·Radiology·J P Felmlee, R L Ehman
Dec 1, 1987·Radiology·A S GomesR G Williams
Jan 1, 1994·Journal of Thoracic Imaging·L WexlerR J Herfkens
Dec 1, 1994·Circulation·R HirschJ Somerville
Jan 1, 1994·Journal of Magnetic Resonance Imaging : JMRI·K C SeelosM Reiser
Oct 1, 1993·American Heart Journal·G G HartnellJ P Finn
Sep 1, 1993·Radiology·R J HernandezR H Beekman
Citations
Jul 31, 1998·Seminars in Roentgenology·G G Hartnell, M Notarianni
Jan 15, 2002·Journal of the American College of Cardiology·Gerald F GreilTal Geva
Sep 6, 2003·Journal of the American College of Cardiology·Melvin D CheitlinDaniel M Thys
Feb 3, 2000·The New England Journal of Medicine·M E BricknerR A Lange
Jul 31, 2010·The Journal of Small Animal Practice·A LouvetP Lazard
May 4, 2002·The American Journal of Cardiology·Lilian J MeijboomBarbara J M Mulder
Nov 29, 2008·Journal of the American College of Cardiology·Carole A WarnesGary D Webb
Nov 11, 2008·Circulation·Carole A WarnesGary D Webb
Oct 19, 2004·Echocardiography·Amgad N MakaryusBibiana Stephen
Sep 4, 2003·Circulation·Melvin D CheitlinUNKNOWN American Society of Echocardiography
Dec 26, 2001·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Y H ChoeH J Lee
Feb 2, 2010·Journal of Computer Assisted Tomography·Toshiaki AkashiKimihiko Kichikawa
Aug 6, 1999·Investigative Radiology·J T WintererM Langer
Mar 7, 2007·Expert Review of Cardiovascular Therapy·Wolfgang G RehwaldRobert M Judd