Key result
CMR effectively assesses neonatal congenital heart disease and can potentially obviate cardiac catheterization.
Why the study?
Cardiovascular MR imaging is increasingly used in neonates and infants with congenital heart disease for diagnosis and follow-up, but specific technical adjustments and indications require clarification.
Does cardiovascular MR imaging provide useful diagnostic and functional information for treatment planning in neonates and infants with congenital heart disease?
Does cardiovascular MR imaging provide useful diagnostic and functional information for treatment planning in neonates and infants with congenital heart disease?
Cardiovascular MR imaging is a valuable, non-invasive alternative to echocardiography and angiocardiography for evaluating congenital heart disease in neonates and infants.
Cardiovascular magnetic resonance (MR) imaging has become an important alternative to echocardiography and angiocardiography in the evaluation of patients with congenital heart disease (CHD). It is increasingly being used in neonates and infants for the initial investigation of CHD or as follow-up after surgery or catheter-guided intervention. Specific indications for cardiovascular MR imaging in neonates and infants include investigation of the thoracic vasculature, quantification of the ventricular volumes, and evaluation of primary cardiac tumors. To obtain good-quality MR images in neonates and infants, it is essential to adjust the technical parameters of the pulse sequences to the small size and fast heart rates of the patients. Various MR imaging techniques are available that are effective in demonstrating the complex morphologic features of the cardiovascular system and that provide additional functional and hemodynamic information. The information provided by cardiovascular MR imaging is useful for treatment planning and, in many cases, may obviate potentially harmful cardiac catheterization.
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Kellenberger et al. (2007) conducted a review in Congenital heart disease. Cardiovascular magnetic resonance (MR) imaging vs. Echocardiography and angiocardiography was evaluated. Cardiovascular magnetic resonance imaging provides effective morphologic and functional evaluation in neonates and infants with congenital heart disease, potentially obviating cardiac catheterization.
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