Patent ductus arteriosus MRI: Difference between revisions
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[[Magnetic resonance imaging]] can be helpful as a diagnostic tool in conditions where the [[echocardiographic]] findings are inconclusive. | [[Magnetic resonance imaging]] can be helpful as a diagnostic tool in conditions where the [[echocardiographic]] findings are inconclusive. | ||
==MRI== | ==MRI== | ||
[[Magnetic resonance imaging]] ([[MRI]]) can be used as a diagnostic modality in [[congenital heart disease]]s.<ref name="LeeYou2008">{{cite journal|last1=Lee|first1=Hyung Geun|last2=You|first2=Dong Do|last3=Paik|first3=Kwang Yeol|last4=Heo|first4=Jin Seok|last5=Choi|first5=Seong Ho|last6=Choi|first6=Dong Wook|title=Prognostic Factors for Primary Duodenal Adenocarcinoma|journal=World Journal of Surgery|volume=32|issue=10|year=2008|pages=2246–2252|issn=0364-2313|doi=10.1007/s00268-008-9678-6}}</ref> | [[Magnetic resonance imaging]] ([[MRI]]) can be used as a diagnostic modality in [[congenital heart disease]]s.<ref name="LeeYou2008">{{cite journal|last1=Lee|first1=Hyung Geun|last2=You|first2=Dong Do|last3=Paik|first3=Kwang Yeol|last4=Heo|first4=Jin Seok|last5=Choi|first5=Seong Ho|last6=Choi|first6=Dong Wook|title=Prognostic Factors for Primary Duodenal Adenocarcinoma|journal=World Journal of Surgery|volume=32|issue=10|year=2008|pages=2246–2252|issn=0364-2313|doi=10.1007/s00268-008-9678-6}}</ref><ref name="ZengZhang2014">{{cite journal|last1=Zeng|first1=Yongyi|last2=Zhang|first2=Da|last3=Wu|first3=Ming|last4=Liu|first4=Ying|last5=Zhang|first5=Xiang|last6=Li|first6=Ling|last7=Li|first7=Zheng|last8=Han|first8=Xiao|last9=Wei|first9=Xueyong|last10=Liu|first10=Xiaolong|title=Lipid-AuNPs@PDA Nanohybrid for MRI/CT Imaging and Photothermal Therapy of Hepatocellular Carcinoma|journal=ACS Applied Materials & Interfaces|volume=6|issue=16|year=2014|pages=14266–14277|issn=1944-8244|doi=10.1021/am503583s}}</ref><ref name="JainShah2015">{{cite journal|last1=Jain|first1=Amish|last2=Shah|first2=Prakesh S.|title=Diagnosis, Evaluation, and Management of Patent Ductus Arteriosus in Preterm Neonates|journal=JAMA Pediatrics|volume=169|issue=9|year=2015|pages=863|issn=2168-6203|doi=10.1001/jamapediatrics.2015.0987}}</ref><ref name="GoiteinFuhrman2005">{{cite journal|last1=Goitein|first1=Orly|last2=Fuhrman|first2=Carl R.|last3=Lacomis|first3=Joan M.|title=Incidental Finding on MDCT of Patent Ductus Arteriosus: Use of CT and MRI to Assess Clinical Importance|journal=American Journal of Roentgenology|volume=184|issue=6|year=2005|pages=1924–1931|issn=0361-803X|doi=10.2214/ajr.184.6.01841924}}</ref><ref name="pmid19148344">{{cite journal| author=Clarke JR, Strohm O, Patton DJ| title=Patent ductus arteriosus demonstrated in an adult patient using cardiovascular magnetic resonance imaging. | journal=Can J Cardiol | year= 2009 | volume= 25 | issue= 1 | pages= e17 | pmid=19148344 | doi=10.1016/s0828-282x(09)70025-x | pmc=2691885 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19148344 }}</ref><ref name="KozakMertens2012">{{cite journal|last1=Kozak|first1=Marcelo F|last2=Mertens|first2=Luc|last3=Ho|first3=Ashley|last4=Yoo|first4=Shi-Joon|last5=Grosse-Wortmann|first5=Lars|title=Quantification of ductal blood flow with magnetic resonance imaging in newborns with obstructive left heart disease|journal=Journal of Cardiovascular Magnetic Resonance|volume=14|issue=S1|year=2012|issn=1532-429X|doi=10.1186/1532-429X-14-S1-P118}}</ref> | ||
<ref name="ZengZhang2014">{{cite journal|last1=Zeng|first1=Yongyi|last2=Zhang|first2=Da|last3=Wu|first3=Ming|last4=Liu|first4=Ying|last5=Zhang|first5=Xiang|last6=Li|first6=Ling|last7=Li|first7=Zheng|last8=Han|first8=Xiao|last9=Wei|first9=Xueyong|last10=Liu|first10=Xiaolong|title=Lipid-AuNPs@PDA Nanohybrid for MRI/CT Imaging and Photothermal Therapy of Hepatocellular Carcinoma|journal=ACS Applied Materials & Interfaces|volume=6|issue=16|year=2014|pages=14266–14277|issn=1944-8244|doi=10.1021/am503583s}}</ref> | |||
<ref name="JainShah2015">{{cite journal|last1=Jain|first1=Amish|last2=Shah|first2=Prakesh S.|title=Diagnosis, Evaluation, and Management of Patent Ductus Arteriosus in Preterm Neonates|journal=JAMA Pediatrics|volume=169|issue=9|year=2015|pages=863|issn=2168-6203|doi=10.1001/jamapediatrics.2015.0987}}</ref> | |||
===Advantages=== | ===Advantages=== | ||
* It can be used in cases where [[echocardiographic]] results are inconclusive. | * It can be used in cases where [[echocardiographic]] results are inconclusive. | ||
* Helps in measuring heart volumes, [[blood flow]] and ventricular wall thickness. | * Helps in measuring heart volumes, [[blood flow]] and [[ventricular]] wall thickness. | ||
* The [[magnetic resonance angiography]] helps in better visualization of heart vasculature. | * The [[magnetic resonance angiography]] helps in better visualization of heart vasculature. | ||
* Phase velocity mapping helps in measuring the ratio of pulmonary to systemic blood flow (Qp: Qs). | * Phase velocity mapping helps in measuring the ratio of [[pulmonary]] to [[systemic]] blood flow (Qp: Qs). | ||
===Disadvantages=== | ===Disadvantages=== | ||
* For successful [[MRI]] procedure breath-holding is required, which is sometimes difficult to achieve with small kids. Due to this, the procedure is done under [[general anesthesia]] in children. | * For successful [[MRI]] procedure breath-holding is required, which is sometimes difficult to achieve with small kids. Due to this, the procedure is done under [[general anesthesia]] in children. | ||
* In patients with patent ductus arteriosus, the usage of MRI can demonstrate the abnormality and its severity. The magnitude of the [[shunt]] can also be determined by radionuclide flow studies. | * In patients with [[patent ductus arteriosus]], the usage of [[Magnetic resonance imaging|MRI]] can demonstrate the abnormality and its severity. The magnitude of the [[shunt]] can also be determined by [[radionuclide]] flow studies. | ||
[[File:MRI demonstrates a patent ductus arteriosus.jpg|center|thumb|1014x1014px|Cardiac MRI demonstrates a patent ductus arteriosus. Pulmonary angiogram shows flow from the pulmonary artery to the descending aorta through a patent ductus (arrow), measuring 8 mm wide and 15 mm in length. RV: right ventricle; MPA: main pulmonary artery; PDA: patent ductus arteriosus; Des Ao: descending aorta. Case courtesy by Jaime Alfonso M. Aherrera et al.<ref>{{Cite web|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5295559/|title=Coarctation of the Aorta and a Parachute Mitral Valve in an Adult With Differential Cyanosis|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>]] | |||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Latest revision as of 13:40, 13 March 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Priyamvada Singh, M.B.B.S. [2], Cafer Zorkun, M.D., Ph.D. [3],Ramyar Ghandriz MD[4] Assistant Editor-In-Chief: Kristin Feeney, B.S. [5]
Overview
Magnetic resonance imaging can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive.
MRI
Magnetic resonance imaging (MRI) can be used as a diagnostic modality in congenital heart diseases.[1][2][3][4][5][6]
Advantages
- It can be used in cases where echocardiographic results are inconclusive.
- Helps in measuring heart volumes, blood flow and ventricular wall thickness.
- The magnetic resonance angiography helps in better visualization of heart vasculature.
- Phase velocity mapping helps in measuring the ratio of pulmonary to systemic blood flow (Qp: Qs).
Disadvantages
- For successful MRI procedure breath-holding is required, which is sometimes difficult to achieve with small kids. Due to this, the procedure is done under general anesthesia in children.
- In patients with patent ductus arteriosus, the usage of MRI can demonstrate the abnormality and its severity. The magnitude of the shunt can also be determined by radionuclide flow studies.
References
- ↑ Lee, Hyung Geun; You, Dong Do; Paik, Kwang Yeol; Heo, Jin Seok; Choi, Seong Ho; Choi, Dong Wook (2008). "Prognostic Factors for Primary Duodenal Adenocarcinoma". World Journal of Surgery. 32 (10): 2246–2252. doi:10.1007/s00268-008-9678-6. ISSN 0364-2313.
- ↑ Zeng, Yongyi; Zhang, Da; Wu, Ming; Liu, Ying; Zhang, Xiang; Li, Ling; Li, Zheng; Han, Xiao; Wei, Xueyong; Liu, Xiaolong (2014). "Lipid-AuNPs@PDA Nanohybrid for MRI/CT Imaging and Photothermal Therapy of Hepatocellular Carcinoma". ACS Applied Materials & Interfaces. 6 (16): 14266–14277. doi:10.1021/am503583s. ISSN 1944-8244.
- ↑ Jain, Amish; Shah, Prakesh S. (2015). "Diagnosis, Evaluation, and Management of Patent Ductus Arteriosus in Preterm Neonates". JAMA Pediatrics. 169 (9): 863. doi:10.1001/jamapediatrics.2015.0987. ISSN 2168-6203.
- ↑ Goitein, Orly; Fuhrman, Carl R.; Lacomis, Joan M. (2005). "Incidental Finding on MDCT of Patent Ductus Arteriosus: Use of CT and MRI to Assess Clinical Importance". American Journal of Roentgenology. 184 (6): 1924–1931. doi:10.2214/ajr.184.6.01841924. ISSN 0361-803X.
- ↑ Clarke JR, Strohm O, Patton DJ (2009). "Patent ductus arteriosus demonstrated in an adult patient using cardiovascular magnetic resonance imaging". Can J Cardiol. 25 (1): e17. doi:10.1016/s0828-282x(09)70025-x. PMC 2691885. PMID 19148344.
- ↑ Kozak, Marcelo F; Mertens, Luc; Ho, Ashley; Yoo, Shi-Joon; Grosse-Wortmann, Lars (2012). "Quantification of ductal blood flow with magnetic resonance imaging in newborns with obstructive left heart disease". Journal of Cardiovascular Magnetic Resonance. 14 (S1). doi:10.1186/1532-429X-14-S1-P118. ISSN 1532-429X.
- ↑ "Coarctation of the Aorta and a Parachute Mitral Valve in an Adult With Differential Cyanosis".