Comparison of echocardiography and 64‐slice spiral computed tomography in the diagnosis of congenital heart disease in children

Mei, Mei; Nie, Jing; Yang, Zhan Shuang; Sun, Hua; Wang, He; Kang, Xiao Ming

doi:10.1002/jcb.27682

Cited by 9 publications

(5 citation statements)

References 28 publications

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“…Compared with echocardiography, DSCT demonstrates extracardiac anomalies better, while TTE diagnoses intracardiac anomalies (especially valve anomalies) better in this study, which is consistent with the previous studies (25,26). Complex congenital heart diseases often accompanied by not only intracardiac malformation but also extracardiac malformation which need more than one imaging modalities to get a correct diagnosis.…”

Section: Discussionsupporting

confidence: 92%

Assessment of Intracardiac and Extracardiac Anomalies in Patients with Various Types of Pulmonary Atresia by Low-dose Dual-source Computed Tomography

Qian

Zhou

Shi

et al. 2021

Preprint

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Background: pulmonary atresia (PA) is a group of heterogeneous complex congenital heart disease which need more than one study modality to get correct diagnoses. This study aims to investigate the diagnostic power of low-dose dual-source computed tomography (DSCT) for all intracardiac and extracardiac anomalies in patients with PA compared with transthoracic echocardiography (TTE).Materials and methods: This retrospective study enrolled 73 patients and divided them into three groups according to their main diagnosis. All associated malformation and clinical information, including treatments, were recorded and compared among the three groups. The diagnostic power of DSCT and TTE on all associated anomalies were compared. The surgical index (McGoon ratio, pulmonary arterials index (PAI), and total neopulmonary arterial index) and radiation dose were calculated on the basis of DSCT.Results: Of the patients, 29, 29, and 15 were divide into the groups of PA with ventricular septal defect (VSD), PA with VSD and major aortopulmonary collateral arteries, and PA with other major malformations, respectively. Consequently, 178, 144, and 12 intracardiac, extracardiac, and other major anomalies were diagnosed, respectively. Moreover, DSCT showed a better diagnostic performance in extracardiac anomalies (137 vs 100, p = 0.000), whereas TTE could diagnose intracardiac anomalies better (158 vs 134, p = 0.001). The McGoon ratio, PAI, and treatment methods were significantly different among the three groups (p = 0.027, p = 0.035, and p = 0.041, respectively).Conclusion: More than one imaging modality should be used to make a correct diagnosis when clinically suspecting PA. DSCT is superior to TTE in diagnosing extracardiac anomalies and could be used to roughly calculate surgical indices to optimize treatment strategy.

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Section: Discussionsupporting

confidence: 92%

Assessment of Intracardiac and Extracardiac Anomalies in Patients with Various Types of Pulmonary Atresia by Low-dose Dual-source Computed Tomography

Qian

Zhou

Shi

et al. 2021

Preprint

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show abstract

“…Compared with echocardiography, DSCT demonstrates extracardiac deformities better, while TTE diagnoses intracardiac deformities (especially valve deformities) better in this study, which is consistent with the previous studies [25,26]. Complex congenital heart diseases are often accompanied by not only intracardiac malformation but also extracardiac malformation which needs more than one imaging modalities to get a correct diagnosis.…”

Section: Radiation Dose Estimationsupporting

confidence: 90%

Assessment of Intracardiac and Extracardiac Deformities in Patients with Various Types of Pulmonary Atresia by Dual-Source Computed Tomography

Qian¹,

Zhou²,

Shi³

et al. 2023

Congenital Heart Disease

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Background: Pulmonary atresia (PA) is a group of heterogeneous complex congenital heart disease. Only one study modality might not get a correct diagnosis. This study aims to investigate the diagnostic power of dualsource computed tomography (DSCT) for all intracardiac and extracardiac deformities in patients with PA compared with transthoracic echocardiography (TTE). Materials and Methods: This retrospective study enrolled 79 patients and divided them into three groups according to their main diagnosis. All associated malformations and clinical information, including treatments, were recorded and compared among the three groups. The diagnostic power of DSCT and TTE on all associated malformations were compared. The surgical index (McGoon ratio, pulmonary arterials index (PAI), and total neopulmonary arterial index) and radiation dose were calculated on the basis of DSCT. Results: Of the patients, 32, 30, and 17 were divided into the groups of PA with ventricular septal defect (VSD), PA with VSD and major aortopulmonary collateral arteries, and PA with other major malformations, respectively. Consequently, 182, 162, and 13 intracardiac, extracardiac, and other major malformations were diagnosed, respectively. Moreover, DSCT showed a better diagnostic performance in extracardiac deformities (154 vs. 117, p < 0.001), whereas TTE could diagnose intracardiac deformities better (159 vs. 139, p = 0.001). The McGoon ratio, PAI, and treatment methods were significantly different among the three groups (p = 0.014, p = 0.008, and p = 0.018, respectively). Conclusion: More than one imaging modality should be used to make a correct diagnosis when clinically suspecting PA. DSCT is superior to TTE in diagnosing extracardiac deformities and could be used to roughly calculate surgical indices to optimize treatment strategy.

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“…Fetal edema and fetal cervical lymphoedema were excluded from this group of fetal anomalies. Subsequently, biological indicators including fetal head circumference, abdominal circumference, and biparietal diameter were examined [9][10][11]. Prenatal examinations were performed in strict accordance with the detection instruction of B-ultrasound.…”

Section: Methodsmentioning

confidence: 99%

Diagnostic Value of Abdominal B-Ultrasound for Congenital Heart Disease Complicated with Extracardiac Malformation in the Second Trimester of Pregnancy

Deng

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To explore the diagnostic value of abdominal B-ultrasound in the diagnosis of congenital heart disease complicated with extracardiac malformations in the second trimester of pregnancy. Methods. 50 pregnant women with congenital cardiac malformations and extracardiac malformations diagnosed in our hospital from 2015 to 2019 were retrospectively analyzed. The diagnostic results and the types of congenital heart disease complicated with extracardiac malformations were compared to analyze the diagnostic value of abdominal B-ultrasound. Results. In the diagnosis of 50 fetuses with congenital heart disease and extracardiac malformation, the tetralogy of Fallot syndrome accounts for the largest proportion. Abdominal B-ultrasound in the second trimester was associated with a higher detection rate of fetal heart malformation (72%) versus in the third trimester (40%) ( P < 0.05 ). The single atrium and single ventricle had the highest diagnostic accuracy of fetal congenital heart malformation in the second trimester. The highest success rate of detection at different gestational weeks was observed at the 14th gestational week ( P < 0.05 ). Four-chamber cardiac section (4CV) had the lowest diagnostic accuracy (62%) for cardiac malformations, and the 4CV + three-vessel-trachea plane (3VVT) had the highest diagnostic accuracy (90%) for cardiac malformations. Conclusion. Abdominal B-ultrasound features a high diagnostic value for congenital heart disease complicated with extracardiac malformations in the second trimester of pregnancy, and the second trimester is the optimal detection timing with the highest detection accuracy.

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Comparison of echocardiography and 64‐slice spiral computed tomography in the diagnosis of congenital heart disease in children

Cited by 9 publications

References 28 publications

Assessment of Intracardiac and Extracardiac Anomalies in Patients with Various Types of Pulmonary Atresia by Low-dose Dual-source Computed Tomography

Assessment of Intracardiac and Extracardiac Anomalies in Patients with Various Types of Pulmonary Atresia by Low-dose Dual-source Computed Tomography

Assessment of Intracardiac and Extracardiac Deformities in Patients with Various Types of Pulmonary Atresia by Dual-Source Computed Tomography

Diagnostic Value of Abdominal B-Ultrasound for Congenital Heart Disease Complicated with Extracardiac Malformation in the Second Trimester of Pregnancy

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