CMR is a powerful tool in the armamentarium of pediatric cardiology and health care workers caring for patients with congenital heart disease (CHD), but a successful study still presents major technical and clinical challenges. This text was created to give trainees, practitioners, allied professionals, and researchers a repository of dependable information and images to base their use of CMR on.
Because CHD presents an intricate web of connections and associations that need to be deciphered, the imager performing CMR needs to understand not only anatomy, physiology, function, and surgery for CHD, but also the technical aspects of imaging. Written by experts from the world’s leading institutions, many of whom pioneered the techniques and strategies described, the text is organized in a logical way to provide a complete understanding of the issues involved. It is divided into three main parts:
- The Basics of CMR - familiarizes the reader with the minimum tools needed to understand the basics, such as evaluating morphology, ventricular function, and utilizing contrast agents
- CMR of Congenital and Acquired Pediatric Heart Disease - discusses broad categories of CHD and the use of CMR in specific disease states
- Special Topics in Pediatric Cardiac MR - covers other important areas such as the complementary role of CT scanning, interventional CMR, the role of the technologist in performing a CMR exam, and more
With the ever increasing sophistication of technology, more can be done with CMR in a high quality manner in a shorter period of time than had been imagined as recently as just a few years ago. Principles and Practice of Cardiac Magnetic Resonance in Congenital Heart Disease: Form, Function, and Flow makes a major contribution to applying these techniques to improved patient care. An ideal introduction for the novice or just the curious, this reference will be equally useful to the seasoned practitioner who wants to keep pace with developments in the field and would like a repository of information and images readily availalble.
Table of Contents
List of contributors, vii
Foreword, x
Preface, xi
Part I: The basics of cardiac MR
1 Physics of cardiac MR and image formation, 3
Orlando P Simonetti and Georgeta Mihai
2 Technical aspects of pediatric cardiac MR, 17
Christopher Occleshaw
3 Assessment of morphology, 33
John C Wood
4 Assessment of ventricular function and blood fl ow, 51
Mark A Fogel
5 Contrast cardiac MR – anatomy, physiology, viability and perfusion, 75
Scott D Flamm
Part II: Cardiac MR of congenital and acquired pediatric heart disease
6 The normal cardiac magnetic resonance examination – ruling out congenital heart disease, 93
Matthew Harris and Mark A Fogel
7 Abnormalities of the atria and systemic veins, 110
Tiffanie R Johnson and Mark A Fogel
8 Abnormalities of the ventricles and pericardium, 124
Beth F Printz
9 MRI in conotruncal anomalies (except tetralogy of Fallot), 155
Willem A Helbing and Adriaan Moelker
10 Tetralogy of Fallot: morphology and function, 172
Arno AW Roest, Lucia JM Kroft and Albert de Roos
11 Aortic arch anomalies, 183
Paul M Weinberg and Kevin K Whitehead
12 MR assessment of pulmonary circulation, 209
Shi-Joon Yoo and Lars Grosse-Wortmann
13 Valvular heart disease, 236
Juha Koskenvuo, Karen G Ordovás and Charles B Higgins
14 Imaging coronary arteries in children, 250
Gerald F Greil, Rene M Botnar and Taylor Chung
15 Other complex congenital heart disease – heterotaxy, complex spatial relationships, conjoined twins and ectopia cordis, 265
Rajesh Krishnamurthy and Taylor Chung
Part III: Special topics in cardiac MR of pediatric and congenital heart disease
16 Cardiac magnetic resonance of single ventricles, 289
Mark A Fogel
17 Baffl es and conduits, 316
Philipp Beerbaum, Israel Valverde, Gerald F Greil and Sonya V Babu-Narayan
18 Cardiac tumors, 345
Ashwin Prakash
19 Considerations in the post-operative patient, 354
G Wesley Vick III
20 Interventional magnetic resonance imaging, 382
Gerald F Greil, Sanjeet Hegde, Kawal Rhode, Carsten Schirra, Philipp Beerbaum and Reza Razavi
21 Adult congenital heart disease, 398
Victor A Ferrari and Alexander R Opotowsky
22 Cardiovascular computed tomographic angiography: complementary role to magnetic resonance imaging, 414
Jeffrey C Hellinger and Stephen C Cook
23 Radiation in cardiac imaging in congenital heart disease, 429
Mark A Fogel
24 Pediatric cardiovascular MRI in the outpatient private practice setting, 440
Nancy L Morris and Edward T Martin
25 The role of the technologist in performing a cardiac MRI (CMR) exam, 444
Christine Harris
Index, 450
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