Puricelli Filippo, Voges Inga, Gatehouse Peter, Rigby Michael, Izgi Cemil, Pennell Dudley J, Krupickova Sylvia
Departments of CMR (F.P., P.G., C.I., D.J.P., S.K.) and Paediatric Cardiology (M.R., S.K.), Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK; Department of Paediatric Cardiology, University Hospital of Padova, Padua, Italy (F.P.); Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany (I.V.); and National Heart and Lung Institute, Imperial College, London, England (C.I., D.J.P., S.K.).
Radiol Cardiothorac Imaging. 2022 Jun 2;4(3):e210235. doi: 10.1148/ryct.210235. eCollection 2022 Jun.
Cardiac MRI has become a widely accepted standard for anatomic and functional assessment of complex Fontan physiology, because it is noninvasive and suitable for comprehensive follow-up evaluation after Fontan completion. The use of cardiac MRI in pediatric and adult patients after completion of the Fontan procedure are described, and a practical and experience-based cardiac MRI protocol for evaluating these patients is provided. The current approach and study protocol in use at the authors' institution are presented, which address technical considerations concerning sequences, planning, and optimal image acquisition in patients with Fontan circulation. Additionally, for each sequence, the information that can be obtained and guidance on how to integrate it into clinical decision-making is discussed. Pediatrics, MRI, MRI Functional Imaging, Heart, Congenital © RSNA, 2022.
心脏磁共振成像(Cardiac MRI)已成为复杂Fontan循环生理结构和功能评估中被广泛接受的标准,因为它是非侵入性的,适用于Fontan手术完成后的全面随访评估。本文描述了在Fontan手术完成后的儿科和成年患者中使用心脏磁共振成像的情况,并提供了一个基于实践和经验的用于评估这些患者的心脏磁共振成像方案。介绍了作者所在机构目前使用的方法和研究方案,其中涉及Fontan循环患者序列、规划和最佳图像采集的技术考量。此外,针对每个序列,讨论了可获得的信息以及如何将其整合到临床决策中的指导意见。儿科学、磁共振成像、磁共振功能成像、心脏、先天性疾病 © RSNA,2022年