Magnetic Resonance Imaging and Computed Tomography in Congenital Heart Diseases

Abstract

The successes of the diagnosis and the treatment of the grown up congenital heart disease improved the prognosis of these patients by further innovations. Lifelong regular follow up is necessary for these patients. Cardiac magnetic resonance imagination and the computed tomography give us more suffi cient information about the morphology and the function when the fi rst line diagnostic tool echocardiographic information is handicapped.

Keywords

• Congenital heart defects; magnetic resonance imaging; multislice computed tomography

Konjenital Kalp Hastalıklarında Manyetik Rezonans Görüntüleme ve Bilgisayarlı Tomografi

Abstract

Konjenital kalp hastalıklarının anlaşılmasında, erken teşhisinde ve modern cerrahideki ilerlemeler ve başarılar, konjenital kalp hastalığı olan hastaların prognozlarında belirgin ilerlemelere yol açmıştır. Yaşam boyu düzenli takip, erişkin konjenital kalp hastalığı olan hastaların medikal hayatlarının değişmez bir parçasıdır. Kullanım kolaylığı ve taşınabilirliği nedeniyle hala birinci derecede tanısal olan ekokardiyografi nin yetersiz olabildiği bu hastalarda, kardiyak manyetik rezonans ve bilgisayarlı tomografi ile kardiyak yapılar ve fonksiyonları hakkında daha net bilgiler elde edilebilmektedir

Keywords

• Konjenital kalp kusurları; manyetik rezonans görüntüleme; çok kesitli bilgisayarlıtomografi.

References

1. Therrien J, Dore A, Gersony W, Iserin L, Liberthson R, Meijbo- om F, et al. Canadian Cardiovascular Society. CCS Consensus Conference 2001 update: recommendations for the management of adults with congenital heart disease. Part I. Can J Cardiol 2001;17:940-59.
2. American Heart Association. Heart Disease and Stroke Statistics -2004 Update. Dallas, Texas: American Heart Association, 2003.
3. Perloff JK, Child JS. Congenital Heart Disease in Adults. 2nd ed. Philadelphia: WB Saunders Company, 1998.
4. Babu-Narayan SV, Gatzoulis MA, Kilner PJ. Non-invasive imaging in adult congenital heart disease using cardiovascular magnetic resonance. J Cardiovasc Med (Hagerstown) 2007;8:23-9.
5. Gatzoulis MA, Webb GD, Daubeney P. Diagnosis and Manage- ment of Adult Congenital Heart Disease. New York: Churchill Li- vingstone, 2003.
6. Weinberg PM, Fogel MA. Cardiac MR imaging in congenital heart disease. Cardiol Clin 1998;16:315-48.
7. Lorenz CH, Walker ES, Morgan VL, Klein SS, Graham TP Jr. Nor- mal human right and left ventricular mass, systolic function, and gender differences by cine magnetic resonance imaging. J Cardi- ovasc Magn Reson 1999;1:7-21.
8. Lorenz CH, Walker ES, Graham TP Jr, Powers TA. Right ventricu- lar performance and mass by use of cine MRI late after atrial repa- ir of transposition of the great arteries. Circulation 1995;92:233-9.

9. Grothues F, Moon JC, Bellenger NG, Smith GS, Klein HU, Pennell DJ. Interstudy reproducibility of right ventricular volumes, function, and mass with cardiovascular magnetic resonance. Am Heart J 2004;147:218-23.
10. Geva T, Sahn DJ, Powell AJ. Magnetic resonance imaging of con- genital heart disease in adults. Prog Pediatr Cardiol 2003;17:21-39.
11. Didier D, Ratib O, Beghetti M, Oberhaensli I, Friedli B. Morpholo- gic and functional evaluation of congenital heart disease by mag- netic resonance imaging. J Magn Reson Imaging 1999;10:639-55.
12. Manning WJ, Pennell DJ (editors). Cardiovascular Magnetic Re- sonance. New York: Churchill Livingstone/Elsevier Science, 2002.
13. Odegard KC, DiNardo JA, Tsai-Goodman B, Powell AJ, Geva T, Laussen PC. Anesthesia considerations for cardiac MRI in infants and small children. Pediatr Anesthes 2004;14:471-6.
14. Shellock FG. Magnetic resonance safety update 2002: implants and devices. J Magn Reson Imaging 2002;16:485-96.
15. Hayes DL, Holmes DR Jr, Gray JE. Effect of 1.5 Tesla nuclear magnetic resonance imaging scanner on implanted permanent pacemaker. J Am Coll Cardiol 1987;10:782-6.
16. International MR Safety website. Accessible at www.mrisafety. com
17. Lotz J, Meier C, Leppert A, Galanski M. Cardiovascular fl ow mea- surement with phase-contrast MR imaging: basic facts and imple- mentation. Radiographics 2002;22:651-71.
18. Varaprasathan GA, Araoz PA, Higgins CB, Reddy GP. Quantifi cati- on of fl ow dynamics in congenital heart disease: applications of ve- locity-encoded cine MR imaging. Radiographics 2002;22:895-905.
19. Firmin DN, Nayler GL, Kilner PJ, Longmore DB. The application of phase shifts in NMR for fl ow measurement. Magn Reson Med 1990;14:230-41.
20. Kilner PJ, Manzara CC, Mohiaddin RH, Pennell DJ, Sutton MG, Firmin DN, et al. Magnetic resonance jet velocity mapping in mitral and aortic valve stenosis. Circulation 1993;87:1239-48.
21. Geva T, Greil GF, Marshall AC, Landzberg M, Powell AJ. Gadolini- umenhanced 3-dimensional magnetic resonance angiography of pulmonary blood supply in patients with complex pulmonary ste- nosis or atresia: comparison with X-ray angiography. Circulation 2002;106:473-8.
22. Wilke N, Jerosch-Herold M, Wang Y, Huang Y, Christensen BV, Stillman AE, et al. Myocardial perfusion reserve: assessment with multisection, quantitative fi rst-pass MR Imaging. Radiology 1997;204:373-84.
23. McElhinney DB, Chatterjee KM, Reddy VM. Double-chambe- red right ventricle presenting in adulthood. Ann Thorac Surg 2000;70:124-7.
24. Rebergen SA, Chin JGJ, Ottenkamp J, Vanderwall EE, de Roos A. Pulmonary regurgitation in the late postoperative follow-up of tetralogy of Fallot-volumetric quantitation by nuclear magnetic re- sonance velocity mapping. Circulation 1993;88:2257-66.
25. Therrien J, Provost Y, Merchant N, Williams W, Colman J, Webb G. Optimal timing for pulmonary valve replacement in adults after tetralogy of Fallot repair. Am J Cardiol 2005;95:779-82.
26. Vliegen HW, van Straten A, de Roos A, Roest AA, Schoof PH, Zwinderman AH, et al. Magnetic resonance imaging to assess the hemodynamic effects of pulmonary valve replacement in adults late after repair of tetralogy of Fallot. Circulation 2002;106:1703-7.
27. Nicol ED, Gatzoulis M, Padley SP, Rubens M. Assessment of adult congenital heart disease with multi-detector computed tomog- raphy: beyond coronary lumenography. Clin Radiol 2007;62:518- 27.
28. Samyn MM. A review of the complementary information available with cardiac magnetic resonance imaging and multi-slice compu- ted tomography (CT) during the study of congenital heart disease. Int J Cardiovasc Imaging 2004;20:569-78.
29. Leschka S, Alkhadi H, Plass A, Desbiolles L, Grünenfelder J, Marincek B, et al. Accuracy of MSCT coronary angiography with 64-slice technology: fi rst experience. Eur Heart J 2005;26:1482-7.
30. Garcia MJ, Lessick J, Hoffman MHK. Accuracy of 16-row multi- detector computed tomography for the assessment of coronary artery stenosis. JAMA 2006;296:403-11.
31. Tanaka H, Shimada K, Yoshida K, Jissho S, Yoshikawa J, Yoshi- yama M. The simultaneous assessment of aortic valve area and coronary artery stenosis using 16-slice multidetector-row compu- ted tomography in patients with aortic stenosis comparison with echocardiography. Circ J 2007;71:1593-8.
32. Jeurgens KU, Gruge M, Maintz D, Fallenberg EM, Wichter T, He- indel W, et al. Multi-detector row CT of left ventricular function with dedicated analysis software versus MR imaging: initial experien- ce. Radiology 2003;230:403-10.
33. Lembcke A, Dohmen PM, Dewey M, Klessen C, Elgeti T, Hermann KG, et al. Multislice computed tomography for preoperative eva- luation of right ventricular volumes and function: comparison with magnetic resonance imaging. Ann Thorac Surg 2005;79:1344-51.
34. Dirksen MS, Bax JJ, de Roos A, Jukema JW, van der Geest RJ, Geleijns K, et al. Usefulness of dynamic multislice computed to- mography of left ventricular function in angina pectoris and com- parison with echocardiography. Am J Cardiol 2002;90:1157-60.
35. Dogan H, Kroft LJ, Bax JJ, Schuijf JD, van der Geest RJ, Doorn- bos J, et al. MDCT assessment of right ventricular systolic functi- on. AJR Am J Roentgenol 2006;186:S366-70.
36. Giannakoulas G, Dimopoulos K, Engel R, Goktekin O, Kucukdur- maz Z, Vatankulu MA, et al. Burden of coronary artery disease in adults with congenital heart disease and its relation to congenital and traditional heart risk factors. Am J Cardiol 2009;103:1445-50.
37. Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Yun TJ, et al. CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics 2003;23 Spec No:S147-65.