Value of MDCT as a non- invasive modality in evaluation of pediatric congenital cardiovascular anomalies

Shehata, S. A.; Zaiton, Fatma; Warda, M.H. Abo; Shahbah, Doaa; Ebrahim, B.R.

doi:10.1016/j.ejrnm.2017.02.003

Cited by 12 publications

(20 citation statements)

References 31 publications

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“…Regarding great vessels anomalies, we found good agreement between Echo and MDCT where k measuring 0.790. This is in agreement with Shehata et al who reported that there is good agreement was obtained for complex vascular anomalies where k measuring 0.776 (6) .…”

Section: Discussionsupporting

confidence: 92%

“…This is in agreement with Goitein et al who reported that MDCT yielded additional diagnostic information in case of MAPCAs by 92% since only one case was detectable by echocardiography out of 12 diagnosed by MDCT (13) . As regard extracardiac findings in our study, lung changes that were seen in MDCT in form of lung consolidation in three cases (10%) and one case of unilateral lung hypoplasia (3.3 %).This is in agreement with Shehata et al who reported that MDCT is superior to echocardiography in diagnosis of associated pulmonary lesions like; atelectasis, pneumonia, pulmonary edema, pulmonary embolism and pneumothorax unsurprisingly, in our study airway abnormalities were only detected by MDCT (6) .…”

Section: Discussionsupporting

confidence: 91%

“…The diagnostic accuracy of Echo and MDCT were 96.30% and 98.30%, respectively (11) . Also Shehata et al reported that MDCT was superior to echocardiography in the assessment of systemic with a sensitivity, specificity of TTE and MDCT for assessing the systemic venous anomalies were (83.3%, 100%) and (100%, 100%) respectively (6) .…”

Section: Discussionmentioning

confidence: 99%

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Role of Electrocardiogram-Gated Multidetector Computed Tomography in Diagnosis of Congenital Heart Disease

Ali

Mohammed

Rahman

2017

EJHM

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Aim of the work: this study aimed to assess the role of ECG gated multidetector computed tomography in detection and characterization of congenital heart diseases. Patients and method: this study was carried out in the Radiology Department of Ain Shams University Hospitals. A total of 30 patients presented with clinically/echocardiographically known to have congenital heart disease. They were 17(56.7%) females and 13 (43.3%) males. Their age was ranged from 3 days-18 year old. Results: Regarding the cardiac abnormalities, we found good agreement between Echo and ECG gated MDCT as regard cardiac abnormalities with kappa value measuring 0.771. Regarding great vessels anomalies, we found overall good agreement between Echo and MDCT where k measuring 0.790. As regard extracardiac findings, lung changes that were seen in MDCT only in form of lung consolidation in three cases (10%) and one case of unilateral lung hypoplasia (3.3 %). Conclusion: ECG gated MDCT is considered as an essential non-invasive diagnostic tool for the evaluation of congenital cardiac and extra cardiac great vessels. MDCT is complementary to the cardiac echocardiography especially in complex heart abnormalities.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

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Role of Electrocardiogram-Gated Multidetector Computed Tomography in Diagnosis of Congenital Heart Disease

Ali

Mohammed

Rahman

2017

EJHM

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“…Anomalies in coronary artery origin were detected in 10.9% of the studied cases with good agreement between CT coronary angiography and invasive coronary angiography (K value = 0.630), this percentage is comparable to Shehata et al [10], who found those anomalous in 7.4% of the studied cases with very poor agreement between CTA and ICA results (K value <0.2). This difference in agreement may be attributed to missing the non selective aortic injection of contrast medium during the procedure of ICA and also the outcomes are operator dependent.…”

Section: Discussionsupporting

confidence: 82%

Coronary Artery Anomalies by Multidetector Computed Tomography

Hablas¹,

El-Ahwal²,

Mostafa³

et al. 2019

IJMI

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The prevalence of coronary artery anomalies (CAAs) is reported to be 0.3% to 2% of the general population.Asymptomatic CAAs are more common and have a better prognosis. Nevertheless, some of these anomalies are linked with symptoms such as syncope, chest pain, and sudden cardiac death. The aim of the study was to determine the prevalence and describe the coronary congenital anomalies and their variations using coronary CT angiography. MD (320) CT angiography was used to prospectively examine 630 patients with either myocardial ischemic symptoms or suspected coronary anomalies by echocardiography or invasive coronary angiography. Contrast injection with ultra-thin cardiac scanning were then carried out. Images were analyzed with multiplanar reformations (MPR), curved multiplanar reformations (cMPR), maximum intensity projections (MIP) & volume rendering techniques (VR). Coronary artery anomalies were found in 217/630 patients (34.44% incidence), 69 (10.95%) anomalies were of vessel origin with good agreement between CTA and ICA results (K= 0.630), 140 (22.22%) were of vessel course and intrinsic vessel anomalies with moderate agreement between CTA and ICA results (K= 0.448), and 8 (1.27%) were of vessel termination with very good agreement between CTA and ICA results (K= 1.000). from this study we conclude that the prevalence of coronary anomalies is substantially higher with coronary CTA than with invasive coronary angiography and ECG gated multidetector coronary CT angiography allows accurate anatomical assessment of coronary artery anomalies.

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“…The MDCT angiography has been an escalating modality being preferred nowadays. Not only the anatomic information, MDCT also provides hemodynamic information, including extra-cardiac, intra-cardiac shunts and valvular diseases (7). The MDCT has advantage over catheter angiography in using less radiation and contrast dose.…”

Section: Discussionmentioning

confidence: 99%

Role of multi-detector computed tomography in congenital heart diseases

Mangal¹,

Jain²,

Amin³

et al. 2018

Int J Res Med Sci

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Background: The study aimed to assess sensitivity, specificity and accuracy of CT scan in diagnosing various cardiovascular anomalies in patients with complex congenital heart disease; to obtain additional information in pre-operative patients, inconclusive on echocardiography; and to compare results of multi-detector computed tomography (MDCT) with cardiac catheter angiography (CCA) in accurately delineating the cardiovascular morphological features and to determine if MDCT can replace diagnostic CCA in evaluation of complex CHD.Methods: In this prospective, comparative, single-centre study, a total 50 patients were included in the study aged between 6 days to 17 years. All patients were referred by pediatric cardiologists between August, 2014 and November, 2016. All patients had undergone initial echocardiography and final diagnosis was confirmed by comparing MDCT data with CCA.Results: Total of 177 cardiovascular anomalies are found in our study of 50 patients out of these 3 cases of VSD and one case of ASD was missed on CT angiography and its overall accuracy as compared to catheter angiography was found to be 97.1% Its accuracy in evaluation of TOF, DORV, TAPVC, TA TGA, COA, right sided aortic arch, MAPVC, persistent SVC, PDA, PS, vascular sling and coronary cameral fistula was 100%.Conclusions: The MDCT is found comparable to CCA in the diagnosis of extra cardiac vascular anomalies but the overall sensitivity in the diagnosis of intra-cardiac anomalies is little lower. It can be used as a substitute to CCA in complex CHD and is very helpful tool in preoperative planning and postoperative follow-up.

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Value of MDCT as a non- invasive modality in evaluation of pediatric congenital cardiovascular anomalies

Cited by 12 publications

References 31 publications

Role of Electrocardiogram-Gated Multidetector Computed Tomography in Diagnosis of Congenital Heart Disease

Role of Electrocardiogram-Gated Multidetector Computed Tomography in Diagnosis of Congenital Heart Disease

Coronary Artery Anomalies by Multidetector Computed Tomography

Role of multi-detector computed tomography in congenital heart diseases

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