Purpose
To develop an appropriate and organized and practice of choosing first line imaging modalities as well as further imaging strategies among referring physicians,
cardiologists,
and radiologists in order to perform the most appropriate examinations in pediatric patients with suspected simple/complex congenital cardiovascular abnormalities according to patient's clinical situation and treatment planning considering their feasibility,
sensitivity,
specificity,
safety and availability.
Methods and Materials
This article is based on review of several up to datepublished articles on cardiac imaging.
Results
Introduction
Congenital cardiovascular anomalies (CCVAs) remain considerable health problem in pediatric population.
The reported incidence is approximately 6-8 per 1000 at birth,1 but after popularization of colour Doppler echocardiography that makes it possible to detect and characterize asymptomatic lesions,
most investigators report higher number of its incidence; 2 as in 2007 Andrew Crean reported that children with congenital heart disease account one in every 145 live births in the UK.3
CCVAs may present as a sole abnormality of stenosis,
obstruction,
defect or connection problems or...
Conclusion
Congenital cardiovascular anomalies are still considerable health problem in pediatric population.
Radiology plays an important role in initial detection as well post treatment evaluation of CCVAs.
Today various imaging modalities are utilized in detection and follow up of congenital cardiovascular anomalies and the trend in choosing the appropriate imaging modality is towards obtaining more accurate morphological and/or functional information with non/less invasive techniques and reduced/no radiation exposure.
The important and frequently performed radiological examination is still chest radiography which give clues of suspected CCVAs and...
References
Ntsinjana,
Hopewell N.,
Marina L.
Hughes,
and Andrew M.
Taylor.
"The role of cardiovascular magnetic resonance in pediatric congenital heart disease." J Cardiovasc Magn Reson 13.1 (2011): 51-71.
Baert,
A.
L.
Radiological imaging of the neonatal chest.
Ed.
Veronica B.
Donoghue.
Springer Science & Business Media,
2010.
Crean,
Andrew.
"Cardiovascular MR and CT in congenital heart disease." Heart93.12 (2007): 1637-1647.
Goo,
Hyun Woo,
et al.
"CT of Congenital Heart Disease: Normal Anatomy and Typical Pathologic Conditions 1." Radiographics 23.suppl_1 (2003): S147-S165.
Hoffman JIE,
Kaplan S:...