Magnetresonanztomographie (MRT) in der Kinderkardiologie

  • H. Stern

Zusammenfassung

Grundlage der anatomischen Diagnostik in der MRT sind nach wie vor EKG-getriggerte Spinechosequenzen (SE). In der Regel werden Multislicetechniken verwendet, die allerdings das Problem mit sich bringen, daß die einzelnen Bilder nicht zum gleichen Zeitpunkt des Herzzyklus akquiriert werden. Turbo-SE-Sequenzen haben noch einen Qualitätsverlust gegenüber konventionellen SE-Se- quenzen. Unerwünschte Flußsignale in den Gefäßen stellen ein wesentliches Problem in der anatomischen und funktionellen Diagnostik durch SE- Sequenzen dar, die auch durch Absättigung und Flußkompensation oft nicht völlig eliminiert werden können.

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Literatur

  1. 1.
    Ali F, Higgins CB, Gooding CA (1994) MRI of tracheal and esophageal compression following surgery for congenital heart disease. J Comput Assist Tomogr 18:39–42CrossRefGoogle Scholar
  2. 2.
    Amparo EG, Higgins CB, Shafton EP (1984) Demonstration of coarctation of the aorta by magnetic resonance imaging. AJR 143:1192–1194PubMedGoogle Scholar
  3. 3.
    Bauer R, Flierdt E v.d., Busch U, Stettmeier H, Lutilsky L, Langer W, Allgayer B (1988) Quantifizierung der Herzfunktion mit der Kernspintomographie. Nukl-Med 3:203–212Google Scholar
  4. 4.
    Blakenberg F, Rhee J, Hardy C, Helton G, Higgins SS, Higgins CB (1994) MRI versus echocardiography in the evaluation of the Jatene procedure. J Comput Assist Tomogr 18:749–754PubMedCrossRefGoogle Scholar
  5. 5.
    Brasch RC (1992) New directions in the development of MR imaging contrast media. Radiology 183:1–11PubMedGoogle Scholar
  6. 6.
    Chung KJ, Simpson IA, Glass RF, Sahn DJ, Hesselink JR (1988) Cine magnetic resonance imaging after surgical repair in patients with transposition of the great arteries. Circulation 77:104–109PubMedCrossRefGoogle Scholar
  7. 7.
    Didier D, Higgins CB, Fisher MR, Osaki L, Silverman NH, Cheitlin MD (1986) Congenital heart disease: gated MR imaging in 72 patients. Radiology 158:227–235PubMedGoogle Scholar
  8. 8.
    Dulce MC, Mostbeck GH, O’Sullivan M, Cheitlin M, Caputo GR, Higgins CB (1992) Severity of aortic regurgitation: interstudy reproducibility of measurements with velocityencoded cine MR imaging. Radiology 185:235–240PubMedGoogle Scholar
  9. 9.
    Fisher MR, Hricak H, Higgins CB (1985) Magnetic resonance imaging of developmental venous anomalies. AJR 145:705–709PubMedGoogle Scholar
  10. 10.
    Fletcher BD, Jacobstein MD, Nelson D, Riemenschneider TA, Alfidi RF (1984) Gated magnetic resonance imaging of congenital cardiac malformation. Radiology 150:137–140PubMedGoogle Scholar
  11. 11.
    Geva T, Vick GW, Wendt RE, Rockey R (1994) Role of spin echo and cine magnetic resonance imaging in presurgical planning of heterotaxy syndrome. Comparison with echocardiography and catheterization. Circulation 90:348–356PubMedGoogle Scholar
  12. 12.
    Honda N, Machida K, Hashimoto M et al. (1993) Aortic regurgitation: quantification with MR imaging velocity mapping Radiology 186:189–194PubMedGoogle Scholar
  13. 13.
    Ichida F, Hashimoto I, Miyazaki A et al. (1992) Magnetic resonance imaging: evaluation of the Blalock Taussig shunts and anatomy of the pulmonary artery. J Cardiol 22: 669–678PubMedGoogle Scholar
  14. 14.
    Jacobstein MD, Fletcher BD, Goldstein S, Riemenschneider TA (1985) Magnetic resonance imaging in patients with hypoplastic right heart syndrome. Am Heart J 110:154–158PubMedCrossRefGoogle Scholar
  15. 15.
    Julsrud PR, Ehman RL, Hagler DJ, Ilstrup DM (1989) Extracardiac vasculature in candidates for Fontan surgery: MR imaging. Radiology 173:503–506PubMedGoogle Scholar
  16. 16.
    Kaemmerer H, Theissen P, Kaulitz R et al. (1992) Magnetre-sonanztomographische Beurteilung von Anatomie und Ventrikelfunktion nach Mustard-Korrektur bei Transposition der großen Arterien Z Kardiol 81:217–225PubMedGoogle Scholar
  17. 17.
    Kersting-Sommerhoff BA, Sechtem UP, Higgins CB (1988) Evaluation of pulmonary blood supply by nuclear magnetic resonance imaging in patients with pulmonary atresia JACC 11:166–171PubMedGoogle Scholar
  18. 18.
    Kersting-Sommerhoff BA, Diethelm L, Stanger P, Dery R, Higashino SS, Higgins SM, Higgins CB (1990) Evaluation of complex congenital ventricular anomalies with magnetic resonance imaging Am Heart J 120:133–142PubMedCrossRefGoogle Scholar
  19. 19.
    Kilner PJ, Firmin DN, Rees RSO et al. (1991) Valve and great vessel stenosis: Assessment with MR jet velocity mapping. Radiology 178:229–235PubMedGoogle Scholar
  20. 20.
    Kondo C, Caputo GR, Masui T, et al. (1992) Pulmonary hypertension: pulmonary blood flow quantification and flow profile analysis with velocity-encoded cine MR imaging. Radiology 183:751–758PubMedGoogle Scholar
  21. 21.
    Maier SE, Bösiger P (1991) Quantitative in vivo blood flow measurements with magnetic resonance imaging. In: Lanzer P, Yoganathan AP, (eds) Vascular imaging by color Doppler and magnetic resonance. Springer, Berlin Heidelberg New York Tokyo, S 310–331CrossRefGoogle Scholar
  22. 22.
    Masui T, Seelos KC, Kersting-Sommerhoff BA, Higgins CB (1991) Abnormalities of the pulmonary veins: evaluation with MR imaging and comaprison with cardiac angiography and echocardiography Radiology 181:645–649PubMedGoogle Scholar
  23. 23.
    McDonald KM, Parrish T, Wennberg P, Stillman AE, Francis GS, Cohn JN, Hunter D (1992) Rapid, acurate and simultaneous noninvasive assessment of right and left ventricular mass with nuclear magnetic resonance imaging using the snapshot gradient method JACC 19:1601–1607PubMedGoogle Scholar
  24. 24.
    Mohiaddin RH, Wann SL, Underwood R, Firmin DN, Rees S, Longmore DB (1990) Vena caval flow: assessment with cine MR velocity mapping. Radiology 177:537–541PubMedGoogle Scholar
  25. 25.
    Onnasch DGW, Lange PE, Heintzen PH (1984) Left ventricular muscle volume in children and young adults. Pediatr Cardiol 5:101–106PubMedCrossRefGoogle Scholar
  26. 26.
    Parsons JM, Baker EJ (1990) The use of magnetic resonance imaging in the investigation of infants and children with congenital heart disease: current status and future prospects. Int J Cardiol 29:263–275PubMedCrossRefGoogle Scholar
  27. 27.
    Rees RSO, Sommerville J, Underwood SR, Wright J, Firmin DN, Klippstein RH, Longmore DB (1987) Magnetic resonance imaging of the pulmonary arteries and their systemic connections in pulmonary atresia: comparison with angiographic and surgical findings. Br Heart J 58:621–626PubMedCrossRefGoogle Scholar
  28. 28.
    Rees S, Sommerville J, Warnes C, Underwood R, Firmin D, Klipstein R, Longmore D (1988) Comparison of magnetic resonance imaging with echocardiography and radionuclide angiography in assessing cardiac function and anatomy following Mustard’s operation for transposition of the great arteries. Am J Cardiol 61:1316–1322PubMedCrossRefGoogle Scholar
  29. 29.
    Sampson C, Martinez JE, Rees S, Sommerville J, Underwood R, Longmore DB (1990) Evaluation of Fontan’s operation by magnetic resonance imaging. Am J Cardiol 65:819–821PubMedCrossRefGoogle Scholar
  30. 30.
    Schulthess GK von, Higashino SM, Higgins SS, Didier D, Fisher MR, Higgins CB (1986) Coarctation of the aorta: MR imaging. Radiology 158:469–474Google Scholar
  31. 31.
    Seelos KC, von Smekal A, Steinborn M, Gieseke J, Redel DA, Reiser M /1994) MR angiography of congenital heart disease: value of segmented two-dimensional inflow technique and maximum intensity projection display. J Magn Reson Imaging 4:29–36PubMedCrossRefGoogle Scholar
  32. 32.
    Sieverding L, Jung WI, Klose U, Apitz J (1990) Dynamische Kernspintomographie in der pädiatrischen Kardiologie: Erweiterung der diagnostischen Möglichkeiten mit Hilfe einer flußrephasierten Gradientenechosequenz. Z Kardiol 79: 774–782PubMedGoogle Scholar
  33. 33.
    Sieverding L, Klose U, Apitz J (1990) Morphological diagnosis of congenital and acqired heart disease by magnetic resonance imaging. Pediatr Radiol 20:311–319PubMedCrossRefGoogle Scholar
  34. 34.
    Sieverding L, Jung WI, Schick F, Widmaier S, Apitz J (1994) „White blood“ imaging of the cardiovascular system using a rapid echo flow-rephased spin echo technique (Abstract). Card Young (Suppl. 1) 4:8Google Scholar
  35. 35.
    Simpson IA, Chung KJ, Glass RF, Sahn DJ, Sherman FS, Hesselink J (1988) Cine magnetic resonance imaging for evaluation of anatomy and flow relations in infants and children with coarctation of the aorta. Circulation 78:142–148PubMedCrossRefGoogle Scholar
  36. 36.
    Soulen RL, Kan J, Mitchell S, White RI (1987) Evaluation of balloon angioplasty of coarctation restenosis by magnetic resonance imaging. Am J Cardiol 60:343–345PubMedCrossRefGoogle Scholar
  37. 37.
    Stern H (1994) Diagnostik angeborener Herz- und Gefäßfehler im Kindesalter. Med Welt 45:18–25Google Scholar
  38. 38.
    Stern HC, Locher D, Wallnöfer K, Weber F, Scheid KF, Emmrich P, Bühlmeyer K (1991) Noninvasive assessment of coarctation of the aorta: comparative measurements by twodimensional echocardiography, magnetic resonance, and angiography. Pediatr Cardiol 12:1–5PubMedCrossRefGoogle Scholar
  39. 39.
    Stern H, Bauer R, Schröter G, Sauer U, Emmrich P, Bühlmeyer K (1992) Magnetic resonance imaging in patients after modified Fontan operation. Card Young 2:158–168Google Scholar
  40. 40.
    Underwood SR, Firmin DN, Klipstein RH, Rees RSO, Longmore DB (1987) Magnetic resonance velocitiy mapping: clinical application of a new technique. Br Heart J 57:404–412PubMedCrossRefGoogle Scholar
  41. 41.
    Vogl T, Wilimzig C, Hofmann U, Hofmann D, Dresel S, Lissner J (1991) MRI in tracheal stenosis by innomonate artery in children. Pediatr Radiol 21:89–93PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

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  • H. Stern

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