ECHO 2013 / Cardiac Magnetic Resonance Imaging in the Adult Congenital Patient
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Non-Invasive Testing
Older Child/Adult
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Echocardiography |
Cardiac MRI |
CT Scan |
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SHUNT LESIONS |
2D/3D |
++ |
2D/3D |
++ |
2D/3D |
++ |
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Flow |
++ |
Flow |
+++ |
Flow |
+ |
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Pressure |
++ |
Pressure |
+ |
Pressure |
– |
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CONOTRUNCAL |
2D/3D |
++ |
2D/3D |
+++ |
2D/3D |
+++ |
ABNORMALITIES |
Flow |
++ |
Flow |
+++ |
Flow |
+ |
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Pressure |
++ |
Pressure |
+ |
Pressure |
– |
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SINGLE |
2D/3D |
+ |
2D/3D |
+++ |
2D/3D |
++ |
VENTRICLES |
Flow |
++ |
Flow |
+++ |
Flow |
+ |
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Pressure |
+ |
Pressure |
+ |
Pressure |
– |
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Technique
•Bright blood (cine) imaging
•Black blood imaging
•3D SSFP imaging
•Phase contrast
•Perfusion
•Delayed enhancement
•Magnetic resonance angiography
Bright Blood Imaging
4-Chamber |
RV Outflow Tract |
Black Blood Imaging
T1-weighted DIR |
T2-weighted DIR w/ Fat Sat |
3D SSFP Imaging
Sagittal |
Coronal |
Phase Contrast Velocity Imaging
Aorta |
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Main Pulmonary Artery |
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First Pass Perfusion
Axial
Myocardial Delayed Enhancement
Short Axis |
2 Chamber |
Magnetic Resonance Angiography
Coronal MIP
Magnetic Resonance Angiography
Volume Rendering
MPR