» Articles » PMID: 37520049

The Current State and Potential Innovation of Fetal Cardiac MRI

Overview
Journal Front Pediatr
Specialty Pediatrics
Date 2023 Jul 31
PMID 37520049
Authors
Affiliations
Soon will be listed here.
Abstract

Fetal cardiac MRI is a rapidly evolving form of diagnostic testing with utility as a complementary imaging modality for the diagnosis of congenital heart disease and assessment of the fetal cardiovascular system. Previous technical limitations without cardiac gating for the fetal heart rate has been overcome with recent technology. There is potential utility of fetal electrocardiography for direct cardiac gating. In addition to anatomic assessment, innovative technology has allowed for assessment of blood flow, 3D datasets, and 4D flow, providing important insight into fetal cardiovascular physiology. Despite remaining technical barriers, with increased use of fCMR worldwide, it will become an important clinical tool to improve the prenatal care of fetuses with CHD.

Citing Articles

Third trimester fetal 4D flow MRI with motion correction.

Tompkins R, Fujiwara T, Schrauben E, Browne L, van Schuppen J, Clur S Magn Reson Med. 2025; 93(5):1969-1983.

PMID: 39789817 PMC: 11893028. DOI: 10.1002/mrm.30411.


The New Frontiers of Fetal Imaging: MRI Insights into Cardiovascular and Thoracic Structures.

Cundari G, Galea N, Di Mascio D, Gennarini M, Ventriglia F, Curti F J Clin Med. 2024; 13(16).

PMID: 39200740 PMC: 11354430. DOI: 10.3390/jcm13164598.


Importance of Cardiovascular Magnetic Resonance Applied to Congenital Heart Diseases in Pediatric Age: A Narrative Review.

Moscatelli S, Pozza A, Leo I, Ielapi J, Scatteia A, Piana S Children (Basel). 2024; 11(7).

PMID: 39062326 PMC: 11276187. DOI: 10.3390/children11070878.


Deep learning denoising reconstruction for improved image quality in fetal cardiac cine MRI.

Vollbrecht T, Hart C, Zhang S, Katemann C, Sprinkart A, Isaak A Front Cardiovasc Med. 2024; 11:1323443.

PMID: 38410246 PMC: 10894983. DOI: 10.3389/fcvm.2024.1323443.


Fetal MRI-Based Mediastinal Shift Angle (MSA) and Percentage Area of Left Ventricle (pALV) as Prognostic Parameters for Congenital Diaphragmatic Hernia.

Thater G, Angermann L, Virlan S, Weiss C, Rafat N, Boettcher M J Clin Med. 2024; 13(1).

PMID: 38202274 PMC: 10779621. DOI: 10.3390/jcm13010268.


References
1.
Weidner M, Hagelstein C, Debus A, Walleyo A, Weiss C, Schoenberg S . MRI-based ratio of fetal lung volume to fetal body volume as a new prognostic marker in congenital diaphragmatic hernia. AJR Am J Roentgenol. 2014; 202(6):1330-6. DOI: 10.2214/AJR.13.11023. View

2.
Dong S, Zhu M . Prenatal cardiac magnetic resonance imaging of right aortic arch with mirror image branching and retroesophageal left ductus arteriosus. J Matern Fetal Neonatal Med. 2017; 32(7):1057-1062. DOI: 10.1080/14767058.2017.1399116. View

3.
Serrano R, Hussain S, Brown B, Ebenroth E, Farrell A . Risk stratification of patients with hypoplastic left heart syndrome and intact atrial septum using fetal MRI and echocardiography. Cardiol Young. 2020; 30(6):790-798. DOI: 10.1017/S1047951120001006. View

4.
Schrauben E, Saini B, Darby J, Soo J, Lock M, Stirrat E . Fetal hemodynamics and cardiac streaming assessed by 4D flow cardiovascular magnetic resonance in fetal sheep. J Cardiovasc Magn Reson. 2019; 21(1):8. PMC: 6340188. DOI: 10.1186/s12968-018-0512-5. View

5.
Hermida U, van Poppel M, Lloyd D, Steinweg J, Vigneswaran T, Simpson J . Learning the Hidden Signature of Fetal Arch Anatomy: a Three-Dimensional Shape Analysis in Suspected Coarctation of the Aorta. J Cardiovasc Transl Res. 2022; 16(3):738-747. PMC: 10299929. DOI: 10.1007/s12265-022-10335-9. View