MR-Tomographie kongenitaler Herzvitien im Kindesalter

TY - JOUR

T1 - MR-Tomographie kongenitaler Herzvitien im Kindesalter

AU - Weiss, F

AU - Habermann, C R

AU - Lilje, C

AU - Weil, J

AU - Adam, G

PY - 2004/2

Y1 - 2004/2

N2 - MRI provides a non-invasive diagnostic tool complementing echocardiography on one hand, and showing advantages over echocardiography, on the other hand, especially after corrective procedures. The multiple different MRI sequences need to be adapted to examinations of children and patients with congenital heart disease (CHD), and can be used to detect morphologic changes, blood-flow in the heart and thoracic vessels and diastolic or systolic function of myocardium. Several factors determine the success of the examination of a complex congenital heart disease or a postoperative situs. Pediatric radiologists and radiologists experienced in congenital heart diseases have to work in close cooperation. Echocardiography should be performed before MRI. The results of prior examinations and the clinical history of the patients, including possible palliative or reconstructive operations, must be available before MRI to guide the planning of the examination. With a systematic segmental approach to the situs, to the atrial and ventricular morphology, and to the visceroatrial, atrioventricular and ventriculoarterial connections, most CHDs can be diagnosed correctly. With appropriate knowledge, MRI can also be performed quite accurately after complex operations and may avoid or delay invasive diagnostic procedures. The aim of this article is to impart knowledge, to mention problems and to provide guidance in the performance of cardiac MRI in patients with CHD.

AB - MRI provides a non-invasive diagnostic tool complementing echocardiography on one hand, and showing advantages over echocardiography, on the other hand, especially after corrective procedures. The multiple different MRI sequences need to be adapted to examinations of children and patients with congenital heart disease (CHD), and can be used to detect morphologic changes, blood-flow in the heart and thoracic vessels and diastolic or systolic function of myocardium. Several factors determine the success of the examination of a complex congenital heart disease or a postoperative situs. Pediatric radiologists and radiologists experienced in congenital heart diseases have to work in close cooperation. Echocardiography should be performed before MRI. The results of prior examinations and the clinical history of the patients, including possible palliative or reconstructive operations, must be available before MRI to guide the planning of the examination. With a systematic segmental approach to the situs, to the atrial and ventricular morphology, and to the visceroatrial, atrioventricular and ventriculoarterial connections, most CHDs can be diagnosed correctly. With appropriate knowledge, MRI can also be performed quite accurately after complex operations and may avoid or delay invasive diagnostic procedures. The aim of this article is to impart knowledge, to mention problems and to provide guidance in the performance of cardiac MRI in patients with CHD.

KW - Adolescent

KW - Adult

KW - Age Factors

KW - Aortic Coarctation/diagnosis

KW - Child

KW - Child, Preschool

KW - Diagnosis, Differential

KW - Echocardiography

KW - Female

KW - Heart Defects, Congenital/diagnosis

KW - Heart Septal Defects, Atrial/diagnosis

KW - Heart Septal Defects, Ventricular/diagnosis

KW - Humans

KW - Infant

KW - Infant, Newborn

KW - Magnetic Resonance Imaging/methods

KW - Male

KW - Palliative Care

KW - Tetralogy of Fallot/diagnosis

KW - Transposition of Great Vessels/diagnosis

U2 - 10.1055/s-2004-817626

DO - 10.1055/s-2004-817626

M3 - SCORING: Zeitschriftenaufsatz

C2 - 14872372

VL - 176

SP - 191

EP - 199

JO - ROFO-FORTSCHR RONTG

JF - ROFO-FORTSCHR RONTG

SN - 1438-9029

IS - 2

ER -