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3D Whole Heart Imaging for Congenital Heart Disease

Gerald Greil1, Animesh Aashoo Tandon2, Miguel Silva Vieira3

  • 1Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Biomedical Engineering, University of Texas Southwestern Medical Center, Dallas, TX, USA; Division of Pediatric Cardiology, Children's Medical Center Dallas, Dallas, TX, USA; Division of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.

Frontiers in Pediatrics
|March 15, 2017
PubMed

Insights

Three-dimensional (3D) whole heart magnetic resonance imaging is crucial for congenital heart disease (CHD). This technique offers radiation-free imaging with advanced capabilities, despite potential acquisition time challenges.

Area of Science:

  • Cardiovascular Magnetic Resonance Imaging
  • Congenital Heart Disease Imaging

Background:

  • Three-dimensional (3D) whole heart imaging is a key technique in cardiovascular magnetic resonance imaging (CMR) for congenital heart disease (CHD).
  • It provides advantages like no ionizing radiation, free-breathing capability, and ECG-gated dual-phase imaging for precise measurements.
  • Higher signal-to-noise ratio and isotropic resolution enhance multiplanar assessment.

Purpose of the Study:

  • To detail recent advances and current applications of 3D whole heart imaging in CHD.
  • To discuss the limitations and future directions of this imaging modality.

Main Methods:

  • Review of recent advances in 3D whole heart imaging techniques for CHD.
  • Analysis of current applications in clinical practice.
  • Discussion of limitations and future research trajectories.

Main Results:

  • 3D whole heart imaging offers significant benefits for CHD assessment, including superior image quality and diagnostic information.
  • Limitations such as extended scan times and potential for image degradation were noted.
  • Recent technological and methodological improvements are enhancing its utility.

Conclusions:

  • 3D whole heart CMR is an indispensable tool for diagnosing and managing CHD.
  • Ongoing advancements are addressing current limitations, promising further improvements in diagnostic accuracy and patient experience.
  • Future directions focus on optimizing acquisition speed and image quality.

Keywords:
cardiovascular MRIcongenital heart diseasecoronary imagingpediatricsthree-dimensional whole heart imaging

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