Warin-Fresse K, Isornii M-A, Dacher J-N, Pontana F, Gorincour G, Boddaert N, Jacquier A, Raimondi F
Department of Cardiovascular Imaging, CHU Nantes HGRL, 44093 Nantes, France.
Department of Radiology, Hôpital Marie Lannelongue, 92350 Le Plessis-Robinson, France.
Diagn Interv Imaging. 2020 Jun;101(6):335-345. doi: 10.1016/j.diii.2020.01.007. Epub 2020 Feb 3.
This article was designed to provide a pediatric cardiac computed tomography angiography (CCTA) expert panel consensus based on opinions of experts of the Société Française d'Imagerie Cardiaque et Vasculaire diagnostique et interventionnelle (SFICV) and of the Filiale de Cardiologie Pédiatrique Congénitale (FCPC). This expert panel consensus includes recommendations for indications, patient preparation, CTA radiation dose reduction techniques, and post-processing techniques. The consensus was based on data from available literature (original papers, reviews and guidelines) and on opinions of a group of specialists with extensive experience in the use of CT imaging in congenital heart disease. In order to reach high potential and avoid pitfalls, CCTA in children with congenital heart disease requires training and experience. Moreover, pediatric cardiac CCTA protocols should be standardized to acquire optimal images in this population with the lowest radiation dose possible to prevent unnecessary radiation exposure. We also provided a suggested structured report and a list of acquisition protocols and technical parameters in relation to specific vendors.
本文旨在基于法国心血管诊断与介入成像协会（SFICV）及先天性小儿心脏病学分会（FCPC）专家的意见，提供一份儿科心脏计算机断层扫描血管造影（CCTA）专家共识。该专家共识包括关于适应证、患者准备、CTA辐射剂量降低技术及后处理技术的建议。该共识基于现有文献（原始论文、综述及指南）的数据以及一组在先天性心脏病CT成像应用方面具有丰富经验的专家的意见。为了充分发挥潜力并避免陷阱，先天性心脏病患儿的CCTA需要培训和经验。此外，儿科心脏CCTA方案应标准化，以便在该人群中以尽可能低的辐射剂量获取最佳图像，防止不必要的辐射暴露。我们还提供了一份建议的结构化报告以及与特定供应商相关的采集方案和技术参数列表。
