Vollbrecht Thomas M, Luetkens Julian A
Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.
Quantitative Imaging Lab Bonn (QILaB), Bonn, Deutschland.
Radiologie (Heidelb). 2022 Nov;62(11):933-940. doi: 10.1007/s00117-022-01062-y. Epub 2022 Aug 17.
Cardiac magnetic resonance imaging (MRI) is an important diagnostic tool for initial diagnostic workup and follow-up of patients with congenital heart disease (CHD) of different age groups.
This review provides an overview of clinically applied MRI sequences for the assessment of CHD, highlights technical developments, and demonstrates key aspects of reporting in specific heart defects.
Presentation of epidemiologic data, summary of studies on MRI sequences and their clinical application, and demonstration of clinical examples.
The broad spectrum of congenital heart defects requires the use of various sequences, which can be modified depending on patient age or treatment status. Cine imaging can be used to assess cardiac function and volumes, phase contrast flow measurements allow for the assessment of vessel hemodynamics, and various techniques of MR angiography allow visualization of the thoracic vessels with high spatiotemporal resolution. New developments allow high-resolution vascular imaging without the need for contrast agents, assessment of additional hemodynamic parameters, or fetal cardiac MRI.
Cardiac MRI can be employed in children as well as in adults with CHD. By using different sequences and considering the treatment status and surgery-related complications, the vast majority of clinical questions can be answered.
心脏磁共振成像（MRI）是不同年龄组先天性心脏病（CHD）患者初始诊断检查和随访的重要诊断工具。
本综述概述了用于评估CHD的临床应用MRI序列，强调技术发展，并展示特定心脏缺陷报告的关键方面。
呈现流行病学数据，总结MRI序列及其临床应用的研究，并展示临床实例。
广泛的先天性心脏缺陷需要使用各种序列，这些序列可根据患者年龄或治疗状态进行调整。电影成像可用于评估心脏功能和容积，相位对比血流测量可评估血管血流动力学，多种磁共振血管造影技术可实现高时空分辨率的胸部血管可视化。新进展允许无需造影剂的高分辨率血管成像、评估额外的血流动力学参数或胎儿心脏MRI。
心脏MRI可用于患有CHD的儿童和成人。通过使用不同序列并考虑治疗状态和手术相关并发症，绝大多数临床问题都可得到解答。
