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Published on: June 20, 2014
Specifics of cardiac magnetic resonance imaging in children
Laurent Bonnemains1, Francesca Raimondi2, Freddy Odille3
1Department of Cardiac Surgery, CHU de Strasbourg, 67000 Strasbourg, France; U947, Inserm, 54000 Nancy, France; IADI, University of Lorraine, 54000 Nancy, France; University of Strasbourg, 67000 Strasbourg, France.
Insights
Pediatric cardiac magnetic resonance imaging (CMR) presents unique challenges due to small heart size, high heart rates, and motion artifacts. This review details current and future practices in pediatric CMR across French centers.
Area of Science:
- Pediatric cardiology
- Medical imaging
- Cardiovascular research
Background:
- Cardiac magnetic resonance imaging (MRI) in children faces unique technical hurdles.
- These include optimizing signal-to-noise ratio and spatial resolution for small hearts.
- Higher and variable heart rates complicate tissue and temporal resolution.
Purpose of the Study:
- To review the specific challenges of pediatric cardiac MRI.
- To present current and future practices in pediatric cardiac MRI.
- To consolidate experience from French pediatric cardiac MRI centers.
Main Methods:
- Review of existing literature and clinical practices.
- Analysis of challenges in pediatric cardiac MRI.
- Consolidation of data from French pediatric cardiac MRI centers.
Main Results:
- Small heart size impacts signal-to-noise ratio and spatial resolution.
- High and variable heart rates limit tissue and temporal resolution.
- Motion artifacts, particularly respiratory motion, require specific management strategies.
Conclusions:
- Addressing the unique challenges of pediatric cardiac MRI is crucial for accurate diagnosis.
- Current and future practices are evolving to overcome these limitations.
- Experience sharing among specialized centers can advance the field.
Abstract:
This review points out three specific features of cardiac magnetic resonance imaging (MRI) in children: the small size of the heart modifies the usual balance between signal-to-noise ratio and spatial resolution; the higher and more variable heart rate limits tissue characterization and temporal resolution; and motion artefacts (notably respiratory motions) must be dealt with. In the second part of this review, we present the current and future practices of cardiac magnetic resonance (CMR) in children, based on the experience of all French paediatric cardiac MRI centres.
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