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==Overview==
==Overview==
Magnetic resonance imaging is a noninvasive imaging modality that can be used if echocardiographic findings are inconclusive. MRI helps in direct visualization of the defect and pulmonary veins. Also, right ventricular volume and function can be quantified, and shunt size can be estimated. However, it requires to be done in general anesthesia in small kids and could be a limiting factor when compared to echocardiography.
Magnest resonance imaging (MRI) is a noninvasive imaging modality that can be used as a diagnostic tool in identifying an atrial septal defect. MRI aids in direct visualization of the atrial septal defect and pulmonary veins. It can assist in quantifying ventricular volume and function as well as shunt size.


==Magnetic resonance imaging==  
==Magnest Resonance Imaging (MRI)==
Magnetic resonance imaging (MRI) can be used as a diagnostic modality in congenital heart diseases.
* Non-invasive imaging method
* Effective tool for when echocardiographic results are inconclusive.
* Provides better visualization of heart vasculture


Magnetic resonance imaging can be helpful over other diagnostic tools in certain conditions like for e.g. Atrial septal defects associated with other anomalies like anomalous pulmonary veins.
==Indications==
* Effective in measuring:
:* Flow measurements from the aorta and main pulmonary vein
:* Shunt flow
:* Heart volumes
:* Blood flows
:* Ventricular wall thickness
:* Size of the septum defect
* Provides identification of additional associated anomalies


'''Advantages of using MRI are:'''
==Advantages==
* Phase velocity mapping helps in measuring the ratio of pulmonary to systemic blood flow (Qp:Qs).
* Quantifies ventricular volume and function and shunt size
* Provides an assessment of the pressure gradient across the valves and atria
* Can provide morphologic image of the heart in neonates
* Provides multiple images of the heart per cardiac cycle


* It can be used in cases where echocardiographic results are inconclusive.
==Disadvantages==
* Helps in measuring heart volumes, blood flow and ventricular wall thickness.  
* Certain physiologic formations can be misidentified, such as a thin fossa ovalis, and mistaken for an ostium secundum defect.
* The magnetic resonance angiography helps in better visualization of heart vasculature
* Imaging, specifically static images, can provide a skewed perception of the thickness of the septum.
* Phase velocity mapping helps in measuring the ratio of pulmonary to systemic blood flow (Qp:Qs).  
* Lacks large study backing, needs more clinical trial investigation to further evaluate the potential indications and limitations of the technique.
 
* In pediatrics, it may require general anesthesia. This may be less desirable as echocardiography does not.
'''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.


==References==
==References==
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[[Category:Congenital heart disease]]
[[Category:Congenital heart disease]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[Category:Mature chapter]]


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Revision as of 20:19, 29 August 2011

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [[2]]; Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [[4]]

Overview

Magnest resonance imaging (MRI) is a noninvasive imaging modality that can be used as a diagnostic tool in identifying an atrial septal defect. MRI aids in direct visualization of the atrial septal defect and pulmonary veins. It can assist in quantifying ventricular volume and function as well as shunt size.

Magnest Resonance Imaging (MRI)

  • Non-invasive imaging method
  • Effective tool for when echocardiographic results are inconclusive.
  • Provides better visualization of heart vasculture

Indications

  • Effective in measuring:
  • Flow measurements from the aorta and main pulmonary vein
  • Shunt flow
  • Heart volumes
  • Blood flows
  • Ventricular wall thickness
  • Size of the septum defect
  • Provides identification of additional associated anomalies

Advantages

  • Phase velocity mapping helps in measuring the ratio of pulmonary to systemic blood flow (Qp:Qs).
  • Quantifies ventricular volume and function and shunt size
  • Provides an assessment of the pressure gradient across the valves and atria
  • Can provide morphologic image of the heart in neonates
  • Provides multiple images of the heart per cardiac cycle

Disadvantages

  • Certain physiologic formations can be misidentified, such as a thin fossa ovalis, and mistaken for an ostium secundum defect.
  • Imaging, specifically static images, can provide a skewed perception of the thickness of the septum.
  • Lacks large study backing, needs more clinical trial investigation to further evaluate the potential indications and limitations of the technique.
  • In pediatrics, it may require general anesthesia. This may be less desirable as echocardiography does not.

References

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