Non-invasive pediatric cardiac imaging-current status and further perspectives.

IF 2.4 Q1 PEDIATRICS
Meinrad Beer, Björn Schönnagel, Jochen Herrmann, Steffen Klömpken, Matthias Schaal, Michael Kaestner, Christian Apitz, Horst Brunner
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引用次数: 1

Abstract

Background: Non-invasive cardiac imaging has a growing role in diagnosis, differential diagnosis, therapy planning, and follow-up in children and adolescents with congenital and acquired cardiac diseases. This review is based on a systematic analysis of international peer-reviewed articles and additionally presents own clinical experiences. It provides an overview of technical advances, emerging clinical applications, and the aspect of artificial intelligence.

Main body: The main imaging modalities are echocardiography, CT, and MRI. For echocardiography, strain imaging allows a novel non-invasive assessment of tissue integrity, 3D imaging rapid holistic overviews of anatomy. Fast cardiac CT imaging new techniques-especially for coronary assessment as the main clinical indication-have significantly improved spatial and temporal resolution in adjunct with a major reduction in ionizing dose. For cardiac MRI, assessment of tissue integrity even without contrast agent application by mapping sequences is a major technical breakthrough. Fetal cardiac MRI is an emerging technology, which allows structural and functional assessment of fetal hearts including even 4D flow analyses. Last but not least, artificial intelligence will play an important role for improvements of data acquisition and interpretation in the near future.

Conclusion: Non-invasive cardiac imaging plays an integral part in the workup of children with heart disease. In recent years, its main application congenital heart disease has been widened for acquired cardiac diseases.

Abstract Image

Abstract Image

Abstract Image

无创儿童心脏成像的现状及进一步展望。
背景:无创心脏成像在儿童和青少年先天性和获得性心脏病的诊断、鉴别诊断、治疗计划和随访中发挥着越来越重要的作用。本综述基于对国际同行评议文章的系统分析,并提出了自己的临床经验。它提供了技术进步,新兴临床应用和人工智能方面的概述。主体:主要成像方式为超声心动图、CT和MRI。对于超声心动图,应变成像允许一种新的非侵入性组织完整性评估,3D成像快速全面概述解剖结构。快速心脏CT成像新技术-特别是作为主要临床指征的冠状动脉评估-显著提高了空间和时间分辨率,同时大大降低了电离剂量。对于心脏MRI来说,通过定位序列来评估组织完整性是一项重大的技术突破,即使没有造影剂的应用。胎儿心脏MRI是一项新兴技术,可以对胎儿心脏进行结构和功能评估,甚至包括4D血流分析。最后但并非最不重要的是,在不久的将来,人工智能将在改善数据采集和解释方面发挥重要作用。结论:无创心脏显像在儿童心脏病检查中起着重要作用。近年来,其主要应用已从先天性心脏病扩大到后天性心脏病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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