Cyanosis MRI: Difference between revisions
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==Overview== | ==Overview== | ||
[[Cardiac MRI]] is noninvasive imaging for the evaluation of [[cyanotic congenital heart disease]] and determines [[myocardial function]] and area of fibrosis, the direction of flow and velocity across the palliative shunt and valves, the anomaly of connection of arteries and veins and correlation of anatomic and morphologic ventricles with great arteries in complex [[congenital heart disease]]. | |||
==MRI== | |||
A [[cardiac MRI]] is a useful tool for diagnostic of [[cyanotic congenital heart disease]]. Findings on a [[cardiac MRI]] in [[ cyanotic congenital heart disease]] include:<ref name="SreedharRam2005">{{cite journal|last1=Sreedhar|first1=CM|last2=Ram|first2=MN Sree|last3=Alam|first3=A|last4=Indrajit|first4=IK|title=Cardiac MRI in Congenital Heart Disease – Our Experience|journal=Medical Journal Armed Forces India|volume=61|issue=1|year=2005|pages=57–62|issn=03771237|doi=10.1016/S0377-1237(05)80122-4}}</ref> | |||
:* Assessment of [[turbulent flow]] in stenotic or [[regurgitant valves]], [[septal defect]], [[ventricular mass]], [[chamber volume]], [[ejection fracture]] | |||
:* Assessment of anatomic and physiologic information of simple and complex [[congenital heart lesions]] | |||
:* Determination of [[blood velocity]] and [[blood flow gradients]] across the [[shunt]] and direction of [[blood flow]] | |||
:* Determination of the flow and anatomic relation of [[aorta]] and [[pulmonary arteries]] | |||
:* Evaluation of [[right ventricular]] dysfunction in patients with [[right ventricular obstruction]] and study the [[left ventricle]] of patients with [[transposition of great arteries]] | |||
== Recommendation for [[Cardiac MRI]]([[CMR]])imaging in [[congenital heart disease]] according to 2018AHA/ACC Guideline == | |||
{| class="wikitable" | |||
|- | |||
! Class OF Recommendation !! Level Of Evidence !! Recommendations | |||
|- | |||
| । || B || Serial [[CMR]] for assessment of [[right ventricle]] enlargement and dysfunction in [[congenital heart disease]] who are at risk | |||
|- | |||
|॥a || C|| Initial evaluation and serial assessment of [[congenital heart disease]] based on complexity and anatomy | |||
|} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Primary care]] | |||
[[Category:Up-To-Date]] | |||
[[Category: | |||
Latest revision as of 20:14, 29 January 2021
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Cyanosis MRI On the Web |
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American Roentgen Ray Society Images of Cyanosis MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Zand, M.D.[2] Amandeep Singh M.D.[3]
Overview
Cardiac MRI is noninvasive imaging for the evaluation of cyanotic congenital heart disease and determines myocardial function and area of fibrosis, the direction of flow and velocity across the palliative shunt and valves, the anomaly of connection of arteries and veins and correlation of anatomic and morphologic ventricles with great arteries in complex congenital heart disease.
MRI
A cardiac MRI is a useful tool for diagnostic of cyanotic congenital heart disease. Findings on a cardiac MRI in cyanotic congenital heart disease include:[1]
- Assessment of turbulent flow in stenotic or regurgitant valves, septal defect, ventricular mass, chamber volume, ejection fracture
- Assessment of anatomic and physiologic information of simple and complex congenital heart lesions
- Determination of blood velocity and blood flow gradients across the shunt and direction of blood flow
- Determination of the flow and anatomic relation of aorta and pulmonary arteries
- Evaluation of right ventricular dysfunction in patients with right ventricular obstruction and study the left ventricle of patients with transposition of great arteries
Recommendation for Cardiac MRI(CMR)imaging in congenital heart disease according to 2018AHA/ACC Guideline
| Class OF Recommendation | Level Of Evidence | Recommendations |
|---|---|---|
| । | B | Serial CMR for assessment of right ventricle enlargement and dysfunction in congenital heart disease who are at risk |
| ॥a | C | Initial evaluation and serial assessment of congenital heart disease based on complexity and anatomy |
References
- ↑ Sreedhar, CM; Ram, MN Sree; Alam, A; Indrajit, IK (2005). "Cardiac MRI in Congenital Heart Disease – Our Experience". Medical Journal Armed Forces India. 61 (1): 57–62. doi:10.1016/S0377-1237(05)80122-4. ISSN 0377-1237.