Department of Pediatrics, Section of Pediatric Cardiology, Yale University School of Medicine, New Haven, Connecticut.
Heart Institute, Cincinnati Children's Hospital Medical Center.
Curr Opin Pediatr. 2021 Oct 1;33(5):495-502. doi: 10.1097/MOP.0000000000001051.
Significant improvements in the diagnosis and management of patients with congenital heart disease (CHD) have led to improved survival. These patients require life-long noninvasive evaluation. The use of advanced imaging such as cardiac magnetic resonance imaging (CMR) and cardiac computed tomography (CCT) has increased to support this need. The purpose of this review is to discuss the basics of advanced cardiac imaging, indications and review the recent innovations.
Recent literature has demonstrated the increasing reliance of advanced imaging for CHD patients. In addition, research is focusing on CMR techniques to shorten scan time and address previous limitations that made imaging younger and sicker patients more challenging. CCT research has involved demonstrating high-quality images with low radiation exposure. Advances in digital technology have impacted the interactivity of 3D imaging through the use of virtual and augmented reality platforms. With the increased reliance of advanced imaging, appropriate use criteria have been developed to address possible under or over utilization.
The utilization of advanced cardiac imaging continues to increase. As CMR and CCT continue to grow, increased knowledge of these modalities and their usage will be necessary for clinicians caring for CHD patients.
先天性心脏病（CHD）患者的诊断和治疗取得了显著进展，生存率得以提高。这些患者需要终身进行非侵入性评估。为了满足这一需求，心脏磁共振成像（CMR）和心脏计算机断层扫描（CCT）等先进成像技术的应用有所增加。本文旨在讨论先进心脏成像的基础知识、适应证，并回顾近期的创新技术。
最近的文献表明，先进成像在 CHD 患者中的应用日益增加。此外，研究重点在于 CMR 技术，以缩短扫描时间并解决先前限制，使成像更适用于年轻和病情更重的患者。CCT 研究涉及展示低辐射暴露下的高质量图像。数字技术的进步通过使用虚拟现实和增强现实平台影响了 3D 成像的交互性。随着先进成像的应用日益增加，已经制定了适当的使用标准，以解决可能的过度或不足使用问题。
先进心脏成像的应用不断增加。随着 CMR 和 CCT 的不断发展，为了照顾 CHD 患者，临床医生需要增加对这些模式及其应用的了解。
