Single centre experience of the application of self navigated 3D whole heart cardiovascular magnetic resonance for the assessment of cardiac anatomy in congenital heart disease.

Détails

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Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_823CB0E50EA3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Single centre experience of the application of self navigated 3D whole heart cardiovascular magnetic resonance for the assessment of cardiac anatomy in congenital heart disease.
Périodique
Journal of Cardiovascular Magnetic Resonance
Auteur(s)
Monney P., Piccini D., Rutz T., Vincenti G., Coppo S., Koestner S.C., Sekarski N., Di Bernardo S., Bouchardy J., Stuber M., Schwitter J.
ISSN
1532-429X (Electronic)
ISSN-L
1097-6647
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
17
Numéro
17
Pages
55
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
BACKGROUND: For free-breathing cardiovascular magnetic resonance (CMR), the self-navigation technique recently emerged, which is expected to deliver high-quality data with a high success rate. The purpose of this study was to test the hypothesis that self-navigated 3D-CMR enables the reliable assessment of cardiovascular anatomy in patients with congenital heart disease (CHD) and to define factors that affect image quality.
METHODS: CHD patients ≥2 years-old and referred for CMR for initial assessment or for a follow-up study were included to undergo a free-breathing self-navigated 3D CMR at 1.5T. Performance criteria were: correct description of cardiac segmental anatomy, overall image quality, coronary artery visibility, and reproducibility of great vessels diameter measurements. Factors associated with insufficient image quality were identified using multivariate logistic regression.
RESULTS: Self-navigated CMR was performed in 105 patients (55% male, 23 ± 12y). Correct segmental description was achieved in 93% and 96% for observer 1 and 2, respectively. Diagnostic quality was obtained in 90% of examinations, and it increased to 94% if contrast-enhanced. Left anterior descending, circumflex, and right coronary arteries were visualized in 93%, 87% and 98%, respectively. Younger age, higher heart rate, lower ejection fraction, and lack of contrast medium were independently associated with reduced image quality. However, a similar rate of diagnostic image quality was obtained in children and adults.
CONCLUSION: In patients with CHD, self-navigated free-breathing CMR provides high-resolution 3D visualization of the heart and great vessels with excellent robustness.
Mots-clé
Adolescent, Adult, Aorta/pathology, Child, Child, Preschool, Coronary Vessels/pathology, Female, Heart Defects, Congenital/pathology, Heart Defects, Congenital/physiopathology, Humans, Image Interpretation, Computer-Assisted/methods, Imaging, Three-Dimensional/methods, Magnetic Resonance Imaging/methods, Male, Middle Aged, Myocardium/pathology, Observer Variation, Predictive Value of Tests, Pulmonary Artery/pathology, Reproducibility of Results, Respiration, Switzerland, Young Adult
Pubmed
Web of science
Open Access
Oui
Création de la notice
07/09/2015 11:06
Dernière modification de la notice
20/08/2019 15:42
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