Cardiac MRI Examination: An Overview

Campbell, Michael J.

doi:10.1007/978-1-4614-8875-0_3

Cited by 3 publications

(10 citation statements)

References 150 publications

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“…The advantages of using SSFP sequences when compared to GRE sequences are that they can be performed rapidly as well as allow higher-contrast and signal-to-noise ratios. Stacks of dark-and bright-blood images are acquired through the target of interest in the axial, sagittal, and coronal planes [22,30]. Newer bright-blood 3D imaging techniques have emerged allowing excellent depiction of anatomical structures without the use of contrast such as a relaxation-enhanced angiography without contrast and triggering (REACT) sequence, dual gradient echo Dixon, or with a respiratory navigator.…”

Section: Anatomic Imagingmentioning

confidence: 99%

“…For example, views through the RVOT or coronal views may be obtained depending on the specific heart defect. Additionally, Cine MRI can be employed to subjectively assess valve movements and to detect regurgitant or stenotic jets at the area of interest [22,30].…”

Section: Dynamic Imagingmentioning

confidence: 99%

“…The pulmonary blood flow (Qp) and systemic blood flow (Qs) are used to calculate pulmonary-to-systemic flow ratio (QP:QS), which represents the direction of shunt and the shunt size if present. A QP:QS greater than 1:1 is interpreted as a shunt from the aortic circulation to the pulmonary circulation, whereas it is vice versa for a QP:QS less than 1:1 [22,30,32]. It can also be used in Fontan circulation patients to reliably and objectively quantify systemic-to-pulmonary collaterals (SPC), a method proven to have prognostic value [33].…”

Section: Quantification Of Flowmentioning

confidence: 99%

“…Conventional three-dimensional imaging can be performed with or without ECG triggering. ECG-triggered imaging is preferred to minimise artefact from cardiac motion [22,30]. For thrombus assessment in ACHD, the best approach is to use an early gadolinium phase (within the first minute after contrast injection) inversion recovery sequence with a long inversion time (500-600 ms) to distinguish between thrombus and tumour.…”

Section: Contrast-enhanced Angiography and Tissue Characterisationmentioning

confidence: 99%

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Complex adult congenital heart disease on cross-sectional imaging: an introductory overview

et al. 2022

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Congenital heart disease is the most common group of congenital pathology. Over the past few decades, advances in surgical treatment have resulted in a rising population of adult patients with repaired complex congenital heart disease. Although the quality of life has greatly improved, a significant proportion of morbidities encountered in clinical practice is now seen in adults rather than in children. These patients often have significant haemodynamic pathophysiology necessitating repeat intervention. CT and MRI are excellent imaging modalities, which help elucidate potential complications that may need urgent management. Although imaging should be performed in specialised centres, occasionally patients may present acutely to emergency departments in hospitals with little experience in managing potentially complex patients. The purpose of this article is to provide an introductory overview to the radiologist who may not be familiar with complex congenital heart disease in adult patients. This educational review has three main sections: (1) a brief overview of the post-operative anatomy and surgical management of the most common complex conditions followed by (2) a discussion on CT/MRI protocols and (3) a review of the various complications and their CT/MRI findings.

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Section: Anatomic Imagingmentioning

confidence: 99%

Section: Dynamic Imagingmentioning

confidence: 99%

Section: Quantification Of Flowmentioning

confidence: 99%

Section: Contrast-enhanced Angiography and Tissue Characterisationmentioning

confidence: 99%

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Complex adult congenital heart disease on cross-sectional imaging: an introductory overview

et al. 2022

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“…Cardiac magnetic resonance (CMR) is a widely used noninvasive imaging method for depicting cardiac structure, function, perfusion, and viability [ 1 ]. Cine MRI can capture the cyclic contraction and relaxation of the heart, enabling the evaluation of ventricular and valvular function as well as shunt detection [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Free-Breathing 3D Imaging of Right Ventricular Structure and Function Using Respiratory and Cardiac Self-Gated Cine MRI

Zhu

Liu

Weinsaft

et al. 2015

BioMed Research International

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Providing a movie of the beating heart in a single prescribed plane, cine MRI has been widely used in clinical cardiac diagnosis, especially in the left ventricle (LV). Right ventricular (RV) morphology and function are also important for the diagnosis of cardiopulmonary diseases and serve as predictors for the long term outcome. The purpose of this study is to develop a self-gated free-breathing 3D imaging method for RV quantification and to evaluate its performance by comparing it with breath-hold 2D cine imaging in 7 healthy volunteers. Compared with 2D, the 3D RV functional measurements show a reduction of RV end-diastole volume (RVEDV) by 10%, increase of RV end-systole volume (RVESV) by 1.8%, reduction of RV systole volume (RVSV) by 21%, and reduction of RV ejection fraction (RVEF) by 12%. High correlations between the two techniques were found (RVEDV: 0.94; RVESV: 0.85; RVSV: 0.95; and RVEF: 0.89). Compared with 2D, the 3D image quality measurements show a small reduction in blood SNR, myocardium-blood CNR, myocardium contrast, and image sharpness. In conclusion, the proposed self-gated free-breathing 3D cardiac cine imaging technique provides comparable image quality and correlated functional measurements to those acquired with the multiple breath-hold 2D technique in RV.

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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 and the Italian College of Cardiac Radiology endorsed by the Italian Society of Medical and Interventional Radiology (Part II)

Festa,

Lovato,

Bianco

et al. 2024

Journal of Cardiovascular Medicine

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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. This is the second of two complementary documents, endorsed by experts from the Working Group of the Italian Society of Pediatric Cardiology and the Italian College of Cardiac Radiology of the Italian Society of Medical and Interventional Radiology, aimed at giving updated indications on the appropriate use of CMR and CCT in different clinical CHD settings, in both pediatrics and adults. In this article, support is also given to radiologists, pediatricians, cardiologists, and cardiac surgeons for indications and appropriateness criteria for CMR and CCT in the most referred CHD, following the proposed new criteria presented and discussed in the first document. This second document also examines the impact of devices and prostheses for CMR and CCT in CHD and additionally presents some indications for CMR and CCT exams when sedation or narcosis is needed.

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Cardiac MRI Examination: An Overview

Cited by 3 publications

References 150 publications

Complex adult congenital heart disease on cross-sectional imaging: an introductory overview

Complex adult congenital heart disease on cross-sectional imaging: an introductory overview

Free-Breathing 3D Imaging of Right Ventricular Structure and Function Using Respiratory and Cardiac Self-Gated Cine MRI

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