Ley Sebastian, Zaporozhan Julia, Arnold Raoul, Eichhorn Joachim, Schenk Jens-Peter, Ulmer Herbert, Kreitner Karl-Friedrich, Kauczor Hans-Ulrich
Department of Pediatric Radiology, University Children's Hospital, Im Neuenheimer Feld 153, 69120 Heidelberg, Germany.
Eur Radiol. 2007 Jan;17(1):151-62. doi: 10.1007/s00330-006-0300-8. Epub 2006 Jun 24.
Congenital heart disease (CHD), including complex anomalies of the pulmonary arteries, are now earlier diagnosed and treated. Due to improvements in interventional and surgical therapy, the number of patients with the need for follow-up examinations is increasing. Pre- and postinterventional imaging should be done as gently as possible, avoiding invasive techniques if possible. With the technical improvement of multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI), both techniques are increasingly used for noninvasive assessment of the pulmonary vasculature in children with CHD. Knowledge of the most common diseases affecting the pulmonary vasculature and the kind of surgical and interventional procedures is essential for optimal imaging planning. This is especially important because interventions can be positively influenced by high-quality imaging. Therefore, the most common diseases and procedures are described and imaging modality of choice and important image findings are discussed.
先天性心脏病（CHD），包括肺动脉的复杂畸形，现在能够更早地被诊断和治疗。由于介入和外科治疗的改进，需要进行随访检查的患者数量正在增加。介入前后的成像应尽可能轻柔，尽可能避免使用侵入性技术。随着多排探测器计算机断层扫描（MDCT）和磁共振成像（MRI）技术的改进，这两种技术越来越多地用于对患有CHD的儿童进行肺血管系统的无创评估。了解影响肺血管系统的最常见疾病以及手术和介入程序的类型对于优化成像计划至关重要。这一点尤为重要，因为高质量的成像可以对干预产生积极影响。因此，本文描述了最常见的疾病和程序，并讨论了首选的成像方式和重要的图像表现。
