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Erschienen in: Pediatric Radiology 12/2009

01.12.2009 | Original Article

Three-dimensional cine MRI in free-breathing infants and children with congenital heart disease

verfasst von: Achim Seeger, Michael C. Fenchel, Gerald F. Greil, Petros Martirosian, Ulrich Kramer, Christiane Bretschneider, Joerg Doering, Claus D. Claussen, Ludger Sieverding, Stephan Miller

Erschienen in: Pediatric Radiology | Ausgabe 12/2009

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Abstract

Background

Patients with congenital heart disease frequently have complex cardiac and vascular malformations requiring detailed non-invasive diagnostic evaluation including functional parameters.

Objective

To evaluate the morphological and functional information provided by a novel 3-D cine steady-state free-precession (SSFP) sequence.

Materials and methods

Twenty consecutive children (mean age 2.2 years, nine boys) were examined using a 1.5-T MR system including 2-D cine gradient-recalled-echo sequences, static 3-D SSFP and 3-D cine SSFP sequences.

Results

Measurement of ventricular structures and volumes showed close agreement between the 3-D cine SSFP sequence and the 2-D cine gradient-recalled-echo and static 3-D SSFP sequences (left ventricular volumes mean difference 1.0–1.9 ml and 8.8–11.4%, respectively; right ventricular volumes 1.7–2.1 ml and 9.9–16.9%, respectively). No systematic bias was observed.

Conclusion

3-D cine MRI provides anatomic as well as functional information with sufficient spatial and temporal resolution in free-breathing infants with congenital heart disease.
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Literatur
1.
Zurück zum Zitat Fletcher BD, Jacobstein MD (1986) MRI of congenital abnormalities of the great arteries. Am J Radiol 146:941–948 Fletcher BD, Jacobstein MD (1986) MRI of congenital abnormalities of the great arteries. Am J Radiol 146:941–948
2.
Zurück zum Zitat Boxt LM, Rozenshtein A (2003) MR imaging of congenital heart disease. Magn Reson Imaging Clin N Am 11:27–48CrossRefPubMed Boxt LM, Rozenshtein A (2003) MR imaging of congenital heart disease. Magn Reson Imaging Clin N Am 11:27–48CrossRefPubMed
3.
Zurück zum Zitat Van Praagh R, Van Praagh S (2008) Morphologic anatomy. In: Fyler DC (ed) Nadas’ pediatric cardiology, 1st edn. Hanley & Belfus, Philadelphia, pp 17–26 Van Praagh R, Van Praagh S (2008) Morphologic anatomy. In: Fyler DC (ed) Nadas’ pediatric cardiology, 1st edn. Hanley & Belfus, Philadelphia, pp 17–26
4.
Zurück zum Zitat Geva T (1997) Echocardiographie and Doppler ultrasound. In: Garson A, Bricker JT, Fisher DJ et al (eds) The science and practice of pediatric cardiology, 2nd edn. Williams & Wilkins, Philadelphia, p 832 Geva T (1997) Echocardiographie and Doppler ultrasound. In: Garson A, Bricker JT, Fisher DJ et al (eds) The science and practice of pediatric cardiology, 2nd edn. Williams & Wilkins, Philadelphia, p 832
5.
Zurück zum Zitat Sorensen TS, Korperich H, Greil GF et al (2004) Operator-independent isotropic three-dimensional magnetic resonance imaging for morphology in congenital heart disease: a validation study. Circulation 110:163–169CrossRefPubMed Sorensen TS, Korperich H, Greil GF et al (2004) Operator-independent isotropic three-dimensional magnetic resonance imaging for morphology in congenital heart disease: a validation study. Circulation 110:163–169CrossRefPubMed
6.
Zurück zum Zitat Razavi RS, Hill DL, Muthurangu V et al (2003) Three-dimensional magnetic resonance imaging of congenital cardiac anomalies. Cardiol Young 13:461–465PubMed Razavi RS, Hill DL, Muthurangu V et al (2003) Three-dimensional magnetic resonance imaging of congenital cardiac anomalies. Cardiol Young 13:461–465PubMed
7.
Zurück zum Zitat Weber OM, Martin AJ, Higgins CB (2003) Whole-heart steady-state free precession coronary artery magnetic resonance angiography. Magn Reson Med 50:1223–1228CrossRefPubMed Weber OM, Martin AJ, Higgins CB (2003) Whole-heart steady-state free precession coronary artery magnetic resonance angiography. Magn Reson Med 50:1223–1228CrossRefPubMed
8.
Zurück zum Zitat Fenchel M, Greil GF, Martirosian P et al (2006) Three-dimensional morphological magnetic resonance imaging in infants and children with congenital heart disease. Pediatr Radiol 36:1265–1272CrossRefPubMed Fenchel M, Greil GF, Martirosian P et al (2006) Three-dimensional morphological magnetic resonance imaging in infants and children with congenital heart disease. Pediatr Radiol 36:1265–1272CrossRefPubMed
9.
Zurück zum Zitat Greil GF, Boettger T, Germann S et al (2007) Quantitative assessment of ventricular function using three-dimensional SSFP magnetic resonance angiography. J Magn Reson Imaging 26:288–295CrossRefPubMed Greil GF, Boettger T, Germann S et al (2007) Quantitative assessment of ventricular function using three-dimensional SSFP magnetic resonance angiography. J Magn Reson Imaging 26:288–295CrossRefPubMed
10.
Zurück zum Zitat Martirosian P, Greil GF, Fenchel M et al (2007) Optimization of blood-myocardial contrast in 3D true FISP cardiac imaging at 1.5 T. Magn Reson Med 57:213–219CrossRefPubMed Martirosian P, Greil GF, Fenchel M et al (2007) Optimization of blood-myocardial contrast in 3D true FISP cardiac imaging at 1.5 T. Magn Reson Med 57:213–219CrossRefPubMed
11.
Zurück zum Zitat McConnell MV, Khasgiwala VC, Savord BJ et al (1997) Comparison of respiratory suppression methods and navigator locations for MR coronary angiography. AJR 168:1369–1375PubMed McConnell MV, Khasgiwala VC, Savord BJ et al (1997) Comparison of respiratory suppression methods and navigator locations for MR coronary angiography. AJR 168:1369–1375PubMed
12.
Zurück zum Zitat Miller S, Simonetti OP, Carr J et al (2002) MR Imaging of the heart with cine true fast imaging with steady-state precession: influence of spatial and temporal resolutions on left ventricular functional parameters. Radiology 223:263–269CrossRefPubMed Miller S, Simonetti OP, Carr J et al (2002) MR Imaging of the heart with cine true fast imaging with steady-state precession: influence of spatial and temporal resolutions on left ventricular functional parameters. Radiology 223:263–269CrossRefPubMed
13.
Zurück zum Zitat Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310PubMed Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310PubMed
14.
Zurück zum Zitat Botnar RM, Stuber M, Kissinger KV et al (2000) Free-breathing 3D coronary MRA: the impact of “isotropic” image resolution. J Magn Reson Imaging 11:389–393CrossRefPubMed Botnar RM, Stuber M, Kissinger KV et al (2000) Free-breathing 3D coronary MRA: the impact of “isotropic” image resolution. J Magn Reson Imaging 11:389–393CrossRefPubMed
15.
Zurück zum Zitat Beerbaum P, Sarikouch S, Laser KT et al (2009) Coronary anomalies assessed by whole heart isotropic 3D magnetic resonance imaging for cardiac morphology in congenital heart disease. J Magn Reson Imaging 29:320–327CrossRefPubMed Beerbaum P, Sarikouch S, Laser KT et al (2009) Coronary anomalies assessed by whole heart isotropic 3D magnetic resonance imaging for cardiac morphology in congenital heart disease. J Magn Reson Imaging 29:320–327CrossRefPubMed
16.
Zurück zum Zitat Laing IA, Teele RL, Stark AR (1988) Diaphragmatic movement in newborn infants. J Pediatr 112:638–643CrossRefPubMed Laing IA, Teele RL, Stark AR (1988) Diaphragmatic movement in newborn infants. J Pediatr 112:638–643CrossRefPubMed
17.
Zurück zum Zitat Devlieger H, Daniels H, Marchal G et al (1991) The diaphragm of the newborn infant: anatomical and ultrasonographic studies. J Dev Physiol 16:321–329PubMed Devlieger H, Daniels H, Marchal G et al (1991) The diaphragm of the newborn infant: anatomical and ultrasonographic studies. J Dev Physiol 16:321–329PubMed
18.
Zurück zum Zitat Hamdan A, Kelle S, Schnackenburg B et al (2008) Single-breathhold four-dimensional assessment of left ventricular volumes and function using k-t BLAST after application of extracellular contrast agent at 3 Tesla. J Magn Reson Imaging 27:1028–1036CrossRefPubMed Hamdan A, Kelle S, Schnackenburg B et al (2008) Single-breathhold four-dimensional assessment of left ventricular volumes and function using k-t BLAST after application of extracellular contrast agent at 3 Tesla. J Magn Reson Imaging 27:1028–1036CrossRefPubMed
19.
Zurück zum Zitat Lai P, Huang F, Larson AC et al (2008) Fast four-dimensional coronary MR angiography with k-t GRAPPA. J Magn Reson Imaging 27:659–665CrossRefPubMed Lai P, Huang F, Larson AC et al (2008) Fast four-dimensional coronary MR angiography with k-t GRAPPA. J Magn Reson Imaging 27:659–665CrossRefPubMed
20.
Zurück zum Zitat Warmuth C, Schnorr J, Kaufels N et al (2007) Whole-heart coronary magnetic resonance angiography: contrast-enhanced high-resolution, time-resolved 3D imaging. Invest Radiol 42:550–557CrossRefPubMed Warmuth C, Schnorr J, Kaufels N et al (2007) Whole-heart coronary magnetic resonance angiography: contrast-enhanced high-resolution, time-resolved 3D imaging. Invest Radiol 42:550–557CrossRefPubMed
21.
Zurück zum Zitat Uribe S, Muthurangu V, Boubertakh R et al (2007) Whole-heart cine MRI using real-time respiratory self-gating. Magn Reson Med 57:606–613CrossRefPubMed Uribe S, Muthurangu V, Boubertakh R et al (2007) Whole-heart cine MRI using real-time respiratory self-gating. Magn Reson Med 57:606–613CrossRefPubMed
22.
Zurück zum Zitat Lai P, Larson AC, Park J et al (2008) Respiratory self-gated four-dimensional coronary MR angiography: a feasibility study. Magn Reson Med 59:1378–1385CrossRefPubMed Lai P, Larson AC, Park J et al (2008) Respiratory self-gated four-dimensional coronary MR angiography: a feasibility study. Magn Reson Med 59:1378–1385CrossRefPubMed
23.
Zurück zum Zitat Sigfridsson A, Kvitting JP, Knutsson H et al (2007) Five-dimensional MRI incorporating simultaneous resolution of cardiac and respiratory phases for volumetric imaging. J Magn Reson Imaging 25:113–121CrossRefPubMed Sigfridsson A, Kvitting JP, Knutsson H et al (2007) Five-dimensional MRI incorporating simultaneous resolution of cardiac and respiratory phases for volumetric imaging. J Magn Reson Imaging 25:113–121CrossRefPubMed
24.
Zurück zum Zitat Shechter G, Resar JR, McVeigh ER (2005) Rest period duration of the coronary arteries: implications for magnetic resonance coronary angiography. Med Phys 32:255–262CrossRefPubMed Shechter G, Resar JR, McVeigh ER (2005) Rest period duration of the coronary arteries: implications for magnetic resonance coronary angiography. Med Phys 32:255–262CrossRefPubMed
25.
Zurück zum Zitat Wang Y, Vidan E, Bergman GW (1999) Cardiac motion of coronary arteries: variability in the rest period and implications for coronary MR angiography. Radiology 213:751–758PubMed Wang Y, Vidan E, Bergman GW (1999) Cardiac motion of coronary arteries: variability in the rest period and implications for coronary MR angiography. Radiology 213:751–758PubMed
26.
Zurück zum Zitat Moon JC, Lorenz CH, Francis JM et al (2002) Breath-hold FLASH and FISP cardiovascular MR imaging: left ventricular volume differences and reproducibility. Radiology 223:789–797CrossRefPubMed Moon JC, Lorenz CH, Francis JM et al (2002) Breath-hold FLASH and FISP cardiovascular MR imaging: left ventricular volume differences and reproducibility. Radiology 223:789–797CrossRefPubMed
27.
Zurück zum Zitat Lee T, Tsai IC, Fu YC et al (2006) Using multidetector-row CT in neonates with complex congenital heart disease to replace diagnostic cardiac catheterization for anatomical investigation: initial experiences in technical and clinical feasibility. Pediatr Radiol 36:1273–1282CrossRefPubMed Lee T, Tsai IC, Fu YC et al (2006) Using multidetector-row CT in neonates with complex congenital heart disease to replace diagnostic cardiac catheterization for anatomical investigation: initial experiences in technical and clinical feasibility. Pediatr Radiol 36:1273–1282CrossRefPubMed
Metadaten
Titel
Three-dimensional cine MRI in free-breathing infants and children with congenital heart disease
verfasst von
Achim Seeger
Michael C. Fenchel
Gerald F. Greil
Petros Martirosian
Ulrich Kramer
Christiane Bretschneider
Joerg Doering
Claus D. Claussen
Ludger Sieverding
Stephan Miller
Publikationsdatum
01.12.2009
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 12/2009
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-009-1390-7

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