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Updated: Jul 12, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
08:13

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography

Published on: February 16, 2016

[Applications of multi-slice computed tomography imaging in children with congenital heart diseases]

Isao Shiraishi1

  • 1Department of Pediatric Cardiology and Nephrology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|September 4, 2007
PubMed

Insights

Multi-slice computed tomography (MSCT) provides clear 3D images of complex congenital heart diseases (CHD) in children. This non-ECG-gated MSCT aids in precise surgical planning and the development of new procedures.

Area of Science:

  • Medical Imaging
  • Cardiology
  • Pediatrics

Background:

  • 3D diagnostic imaging like MRI and MSCT offer advanced visualization of the heart and great vessels.
  • Multi-slice computed tomography (MSCT) is increasingly replacing cardiac angiography for diagnosing complex congenital heart diseases (CHD).

Purpose of the Study:

  • To demonstrate the applications of MSCT in diagnosing and planning surgical interventions for pediatric patients with CHD.
  • To highlight the benefits of non-ECG-gated MSCT for minimizing radiation exposure in children.

Main Methods:

  • Non-ECG-gated MSCT examinations were performed on children with CHD.
  • 3D images were reconstructed with color-coding to differentiate arteries and veins.
  • Laser stereolithography was explored for creating plastic replicas of complex CHD anatomy.

Main Results:

  • Non-ECG-gated MSCT clearly visualized complex vascular structures in conditions such as hypoplastic left heart, total anomalous pulmonary venous drainage, pulmonary atresia, and VSD with major aortopulmonary collateral arteries.
  • The detailed 3D imaging provided valuable information for surgical planning.
  • Plastic replicas are being developed for surgical simulation and procedure development.

Conclusions:

  • Non-ECG-gated MSCT is a valuable tool for precise diagnosis of complex CHDs in children.
  • This imaging modality significantly aids in surgical planning and the innovation of surgical techniques.
  • MSCT offers a promising approach for improving outcomes in pediatric CHD management.

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