Key result
Recent advancements in multimodal imaging, including 3D echocardiography, CT, and CMR, improve preoperative and postoperative assessment and clinical management in TOF and DORV.
Why the study?
This review was conducted to highlight significant advancements in preoperative and postoperative imaging for Tetralogy of Fallot and double outlet right ventricle over the past 18 months.
Advancements in multimodality imaging, including 3D echocardiography, CMR, and 4D flow, are poised to significantly improve preoperative planning and postoperative management in patients with TOF and DORV.
Innovations in 3DSTE and DoVeR extend noninvasive RV assessment in TOF/DORV; leaves open prospective validation before clinical adoption.
PURPOSE OF REVIEW: In the ever-evolving field of medical imaging, this review highlights significant advancements in preoperative and postoperative imaging for Tetralogy of Fallot (TOF) and double outlet right ventricle (DORV) over the past 18 months. RECENT FINDINGS: This review showcases innovations in echocardiography such as 3D speckle tracking echocardiography (3DSTE) for assessing right ventricle-pulmonary artery coupling (RVPAC) and Doppler velocity reconstruction (DoVeR) for intracardiac flow fields evaluation. Furthermore, advances in assessment of cardiovascular anatomy using computed tomography (CT) improve the integration of imaging in ablation procedures. Additionally, the inclusion of cardiac magnetic resonance (CMR) parameters as risk score predictors for morbidity, and mortality and for timing of pulmonary valve replacement (PVR) indicates its significance in clinical management. The utilization of 4D flow techniques for postoperative hemodynamic assessment promises new insights into pressure mapping. Lastly, emerging technologies such as 3D printing and 3D virtual reality are expected to improve image quality and surgical confidence in preoperative planning. SUMMARY: Developments in multimodality imaging in TOF and DORV are poised to shape the future of clinical practice in this field.
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Singh et al. (2024) conducted a review in Tetralogy of Fallot (TOF) and double outlet right ventricle (DORV). Multimodal imaging was evaluated. Recent advancements in multimodal imaging, including 3D echocardiography, CT, and CMR, improve preoperative and postoperative assessment and clinical management in TOF and DORV.
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