Computed Tomography in Paediatric heart disease

Overview

Journal Br J Radiol

Publisher Oxford University Press

Specialty Radiology

Date 2018 Jul 14

PMID 30004804

Citations 7

Authors

Kristian H Mortensen

Oliver Tann

Affiliations

Soon will be listed here.

Abstract

Cardiovascular CT (CCT) is an important imaging modality in congenital and acquired paediatric heart disease. Technological advances have resulted in marked improvements in spatial and temporal resolution of CCT with a concomitant increase in speed of data acquisition and a decrease in radiation dose. This has elevated CCT from being sparingly used to an essential diagnostic tool in the daily multimodality imaging practice alongside echocardiography, cardiovascular MR and invasive angiography. The application of CCT in paediatric congenital and acquired heart disease can be both technically and diagnostically challenging. This review highlights important considerations for current state of the art CCT across the spectrum of heart disease encountered in children.

Citing Articles

Complete Transposition of the Great Arteries in the Pediatric Field: A Multimodality Imaging Approach.

Moscatelli S, Avesani M, Borrelli N, Sabatino J, Pergola V, Leo I Children (Basel). 2024; 11(6).

PMID: 38929206 PMC: 11202141. DOI: 10.3390/children11060626.

Multimodality Imaging Assessment of Tetralogy of Fallot: From Diagnosis to Long-Term Follow-Up.

Moscatelli S, Pergola V, Motta R, Fortuni F, Borrelli N, Sabatino J Children (Basel). 2023; 10(11).

PMID: 38002838 PMC: 10670209. DOI: 10.3390/children10111747.

Coronary allograft vasculopathy in post-heart transplant patients: pathogenesis and role of cardiac computed tomography in diagnosis-a comprehensive review.

Sharma V, Agarwal S, Grover T, Malhotra A, Kumar H, Gowda D Ann Med Surg (Lond). 2023; 85(7):3531-3537.

PMID: 37427227 PMC: 10328616. DOI: 10.1097/MS9.0000000000000942.

Computed tomography for aortic assessment in children.

Griffin L Pediatr Radiol. 2022; 52(13):2470-2484.

PMID: 36151220 DOI: 10.1007/s00247-022-05501-9.

Cardiac Computed Tomography-Derived Left Atrial Strain and Volume in Pediatric Patients With Congenital Heart Disease: A Comparative Analysis With Transthoracic Echocardiography.

Xie W, Chen L, Hu L, Ouyang R, Guo C, Sun A Front Cardiovasc Med. 2022; 9:870014.

PMID: 35795359 PMC: 9251122. DOI: 10.3389/fcvm.2022.870014.

References

Kim T, Kim Y, Suh C, Cho D, Park I, Kim W . Helical CT angiography and three-dimensional reconstruction of total anomalous pulmonary venous connections in neonates and infants. AJR Am J Roentgenol. 2000; 175(5):1381-6. DOI: 10.2214/ajr.175.5.1751381. View

Lidegran M, Palmer K, Jorulf H, Linden V . CT in the evaluation of patients on ECMO due to acute respiratory failure. Pediatr Radiol. 2002; 32(8):567-74. DOI: 10.1007/s00247-002-0756-x. View

Siegel M, Schmidt B, Bradley D, Suess C, Hildebolt C . Radiation dose and image quality in pediatric CT: effect of technical factors and phantom size and shape. Radiology. 2004; 233(2):515-22. DOI: 10.1148/radiol.2332032107. View

Greil G, Schoebinger M, Kuettner A, Schaefer J, Dammann F, Claussen C . Imaging of aortopulmonary collateral arteries with high-resolution multidetector CT. Pediatr Radiol. 2006; 36(6):502-9. DOI: 10.1007/s00247-006-0143-0. View

Amaral J, Traubici J, BenDavid G, Reintamm G, Daneman A . Safety of power injector use in children as measured by incidence of extravasation. AJR Am J Roentgenol. 2006; 187(2):580-3. DOI: 10.2214/AJR.05.0667. View

Chu W, Mok G, Lam W, Yam M, Sung R . Assessment of coronary artery aneurysms in paediatric patients with Kawasaki disease by multidetector row CT angiography: feasibility and comparison with 2D echocardiography. Pediatr Radiol. 2006; 36(11):1148-53. DOI: 10.1007/s00247-006-0281-4. View

Schueller-Weidekamm C, Schaefer-Prokop C, Weber M, Herold C, Prokop M . CT angiography of pulmonary arteries to detect pulmonary embolism: improvement of vascular enhancement with low kilovoltage settings. Radiology. 2006; 241(3):899-907. DOI: 10.1148/radiol.2413040128. View

Li J, Udayasankar U, Toth T, Seamans J, Small W, Kalra M . Automatic patient centering for MDCT: effect on radiation dose. AJR Am J Roentgenol. 2007; 188(2):547-52. DOI: 10.2214/AJR.06.0370. View

Greenberg S, Bhutta S . A dual contrast injection technique for multidetector computed tomography angiography of Fontan procedures. Int J Cardiovasc Imaging. 2007; 24(3):345-8. DOI: 10.1007/s10554-007-9259-z. View

10.

Eichhorn J, Jourdan C, Hill S, Raman S, Cheatham J, Long F . CT of pediatric vascular stents used to treat congenital heart disease. AJR Am J Roentgenol. 2008; 190(5):1241-6. DOI: 10.2214/AJR.07.3194. View

11.

Callahan M, Poznauskis L, Zurakowski D, Taylor G . 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(3):674-81. DOI: 10.1148/radiol.2503071577. View

12.

Girshin M, Shapiro V, Rhee A, Ginsberg S, Inchiosa Jr M . Increased risk of general anesthesia for high-risk patients undergoing magnetic resonance imaging. J Comput Assist Tomogr. 2009; 33(2):312-5. DOI: 10.1097/RCT.0b013e31818474b8. View

13.

Ou P, Celermajer D, Marini D, Agnoletti G, Vouhe P, Brunelle F . Safety and accuracy of 64-slice computed tomography coronary angiography in children after the arterial switch operation for transposition of the great arteries. JACC Cardiovasc Imaging. 2009; 1(3):331-9. DOI: 10.1016/j.jcmg.2008.02.005. View

14.

Araoz P, Kirsch J, Primak A, Braun N, Saba O, Williamson E . Optimal image reconstruction phase at low and high heart rates in dual-source CT coronary angiography. Int J Cardiovasc Imaging. 2009; 25(8):837-45. PMC: 2788116. DOI: 10.1007/s10554-009-9489-3. View

15.

Weustink A, Neefjes L, Kyrzopoulos S, van Straten M, Eu R, Meijboom W . Impact of heart rate frequency and variability on radiation exposure, image quality, and diagnostic performance in dual-source spiral CT coronary angiography. Radiology. 2009; 253(3):672-80. DOI: 10.1148/radiol.2533090358. View

16.

Park E, Lee W, Chung S, Yin Y, Chung J, Park J . Optimal scan timing and intravenous route for contrast-enhanced computed tomography in patients after Fontan operation. J Comput Assist Tomogr. 2010; 34(1):75-81. DOI: 10.1097/RCT.0b013e3181ae292c. View

17.

Krishnamurthy R . Neonatal cardiac imaging. Pediatr Radiol. 2010; 40(4):518-27. DOI: 10.1007/s00247-010-1549-2. View

18.

LaBounty T, Leipsic J, Min J, Heilbron B, Mancini G, Lin F . Effect of padding duration on radiation dose and image interpretation in prospectively ECG-triggered coronary CT angiography. AJR Am J Roentgenol. 2010; 194(4):933-7. DOI: 10.2214/AJR.09.3371. View

19.

Goo H, Yang D . Coronary artery visibility in free-breathing young children with congenital heart disease on cardiac 64-slice CT: dual-source ECG-triggered sequential scan vs. single-source non-ECG-synchronized spiral scan. Pediatr Radiol. 2010; 40(10):1670-80. DOI: 10.1007/s00247-010-1693-8. View

20.

Rigsby C, DeFreitas R, Nicholas A, Leidecker C, Johanek A, Anley P . Safety and efficacy of a drug regimen to control heart rate during 64-slice ECG-gated coronary CTA in children. Pediatr Radiol. 2010; 40(12):1880-9. DOI: 10.1007/s00247-010-1711-x. View