Role of Cardiac CT in the Assessment of Congenital Heart Disease in Children

Abstract

Back Ground: CHD is a common birth defect having significantly increasing. Old assessment for assessment depends on the bair ECHO and angiography. Recent consciences advance in CT. Aim of Work: To evaluate the value of CT in assessment of CHD in pediatrics as a non-invasive presurgical planning method and to compare its results with those of ECHO. Patients and Methods: This research included 50 children with an age up to 12 years-old, evaluated first by ECHO and referred CT examination for further assessment prior surgical interference. Such was conducted in Fayoum University Hospital Radiology Department. The diagnostic susceptibility, relevance, KAPPA and P-values, and ROC was performed according to AUC values of 2 methods. Results: We compared relevance for ECHO and CT in the identification of congenital cardiac impairments which chowed superior susceptibility for ECHO in the detection of heart composition s and heart vascular communication aberrations, while superior susceptibility for CT for detection of vascular impairments. Conclusions: The diagnostic susceptibility of both methods for CHD is comparably high with high. Each has its own advantages and disadvantages. ECHO is superior than CT in the identification of atrial septal aberrations, ASD and septal aneurysm. The bair are good in double outlet RV and TGA. On the other hand, CT is sensitive in Aortic pseudocoarctation, Aortic arch aberrations, peripheral PS, and atypical systemic venous drainage and tracing of APCs.