COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF CONGENITAL HEART DEFECTS IN CHILDREN: A LITERATURE REVIEW
Keywords:
cardiac computed tomographyAbstract
Cardiovascular computed tomography (CCT) is an important imaging modality in congenital and acquired heart diseases in children. Technological advances have led to significant improvements in the spatial and temporal resolution of ККТ, accompanied by increased data acquisition speed and reduced radiation exposure. This has transformed ССT from a rarely used technique into an essential diagnostic tool, applied alongside echocardiography, cardiovascular MRI, and invasive angiography in daily multidisciplinary diagnostic practice. The use of CCT in congenital and acquired pediatric heart diseases may present both technical and diagnostic challenges. This review highlights key aspects of the current state-of-the-art ККТ capabilities across the spectrum of pediatric cardiac pathologies.
References
1. Jadhav S.P., Golriz F., Atweh L.A., Zhang W., Krishnamurthy R. CT angiography of neonates and infants: comparison of radiation dose and image quality of target mode prospectively ECG-gated 320-MDCT and ungated helical 64-MDCT. AJR Am J Roentgenol, 2015. – 204(W184–W191). – https://doi.org/10.2214/AJR.14.12846
2. Huang M.P., Liang C.H., Zhao Z.J., Liu H., Li J.L., Zhang J.E. et al. Evaluation of image quality and radiation dose at prospective ECG-triggered axial 256-slice multi-detector CT in infants with congenital heart disease. Pediatr Radiol, 2011. – 41(858–866). – https://doi.org/10.1007/s00247-011-2079-2
3. Ghoshhajra B.B., Lee A.M., Engel L.C., Celeng C., Kalra M.K., Brady T.J. et al. Radiation dose reduction in pediatric cardiac computed tomography: experience from a tertiary medical center. Pediatr Cardiol, 2014. – 35(171–179). – https://doi.org/10.1007/s00246-013-0758-5
4. Han B.K., Lesser A.M., Vezmar M., Rosenthal K., Rutten-Ramos S., Lindberg J. et al. Cardiovascular imaging trends in congenital heart disease: a single center experience. J Cardiovasc Comput Tomogr, 2013. – 7(361–366). – https://doi.org/10.1016/j.jККТ.2013.11.002
5. Han B.K., Overman D.M., Grant K., Rosenthal K., Rutten-Ramos S., Cook D. et al. Non-sedated, free-breathing cardiac CT for evaluation of complex congenital heart disease in neonates. J Cardiovasc Comput Tomogr, 2013. – 7(354–360). – https://doi.org/10.1016/j.jККТ.2013.11.006
6. Girshin M., Shapiro V., Rhee A., Ginsberg S., Inchiosa M.A. Increased risk of general anesthesia for high-risk patients undergoing magnetic resonance imaging. J Comput Assist Tomogr, 2009. – 33(312–315). – https://doi.org/10.1097/RCT.0b013e31818474b8
7. Callahan M.J., Poznauskis L., Zurakowski D., Taylor G.A. Nonionic iodinated intravenous contrast material-related reactions: incidence in large urban children’s hospital – retrospective analysis of data in 12,494 patients. Radiology, 2009. – 250(674–681). – https://doi.org/10.1148/radiol.2503071577
8. Amaral J.G., Traubici J., Ben-David G., Reintamm G., Daneman A. Safety of power injector use in children as measured by incidence of extravasation. AJR Am J Roentgenol, 2006. – 187(580–583). – https://doi.org/10.2214/AJR.05.0667
9. Stacul F., van der Molen A.J., Reimer P., Webb J.A., Thomsen H.S., Morcos S.K. et al. Contrast-induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines. Eur Radiol, 2011. – 21(2527–2541). – https://doi.org/10.1007/s00330-011-2225-0
10. Krishnamurthy R. Neonatal cardiac imaging. Pediatr Radiol, 2010. – 40(518–527). – https://doi.org/10.1007/s00247-010-1549-2
11. Greenberg S.B., Bhutta S.T. A dual contrast injection technique for multidetector computed tomography angiography of Fontan procedures. Int J Cardiovasc Imaging, 2008. – 24(345–348). – https://doi.org/10.1007/s10554-007-9259-z
12. Lidegran M., Palmér K., Jorulf H., Lindén V. CT in the evaluation of patients on ECMO due to acute respiratory failure. Pediatr Radiol, 2002. – 32(567–574). – https://doi.org/10.1007/s00247-002-0756-x
13. Han B.K., Rigsby C.K., Leipsic J., Bardo D., Abbara S., Ghoshhajra B. et al. Computed tomography imaging in patients with congenital heart disease, part 2: technical recommendations. Expert consensus document of the Society of Cardiovascular Computed Tomography (SККТ) endorsed by the Society of Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr, 2015. – 9(493–513). – https://doi.org/10.1016/j.jККТ.2015.07.007
