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Clinical intra-cardiac 4D flow CMR: acquisition, analysis, and clinical applications.临床心内 4D 流心脏磁共振:采集、分析及临床应用。
Eur Heart J Cardiovasc Imaging. 2022 Jan 24;23(2):154-165. doi: 10.1093/ehjci/jeab112.
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Reduced scan time and superior image quality with 3D flow MRI compared to 4D flow MRI for hemodynamic evaluation of the Fontan pathway.与 4D 血流 MRI 相比,3D 血流 MRI 可减少扫描时间并提高图像质量,用于法洛四联症根治术后患者Fontan 循环的血流动力学评估。
Sci Rep. 2021 Mar 22;11(1):6507. doi: 10.1038/s41598-021-85936-6.
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Assessment of gadolinium deposition in the brain tissue of pediatric and adult congenital heart disease patients after contrast enhanced cardiovascular magnetic resonance.评估增强型心血管磁共振成像后小儿和成人先天性心脏病患者脑内钆沉积。
J Cardiovasc Magn Reson. 2020 Dec 3;22(1):82. doi: 10.1186/s12968-020-00676-2.
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2020 ESC Guidelines for the management of adult congenital heart disease.2020年欧洲心脏病学会成人先天性心脏病管理指南。
Eur Heart J. 2021 Feb 11;42(6):563-645. doi: 10.1093/eurheartj/ehaa554.
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Fontan-Associated Liver Disease: Screening, Management, and Transplant Considerations.Fontan 相关肝疾病:筛查、管理和移植考虑因素。
Circulation. 2020 Aug 11;142(6):591-604. doi: 10.1161/CIRCULATIONAHA.120.045597. Epub 2020 Aug 10.
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4D flow cardiac magnetic resonance in children and adults with congenital heart disease: Clinical experience in a high volume center.先天性心脏病儿童和成人的4D流心脏磁共振成像:高容量中心的临床经验
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mDixon ECG-gated 3-dimensional cardiovascular magnetic resonance angiography in patients with congenital cardiovascular disease.先天性心血管疾病患者的 mDixon ECG 门控三维心血管磁共振血管造影。
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Stress increases intracardiac 4D flow cardiovascular magnetic resonance -derived energetics and vorticity and relates to VOmax in Fontan patients.应激增加心内 4D 血流心血管磁共振衍生的能量学和涡度,并与 Fontan 患者的 VOmax 相关。
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心脏磁共振成像在接受Fontan循环手术的儿科和成年患者中的应用表现

Performance of Cardiac MRI in Pediatric and Adult Patients with Fontan Circulation.

作者信息

Puricelli Filippo, Voges Inga, Gatehouse Peter, Rigby Michael, Izgi Cemil, Pennell Dudley J, Krupickova Sylvia

机构信息

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.).

出版信息

Radiol Cardiothorac Imaging. 2022 Jun 2;4(3):e210235. doi: 10.1148/ryct.210235. eCollection 2022 Jun.

DOI:10.1148/ryct.210235
PMID:35833165
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9274315/
Abstract

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.

摘要

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