Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients.
The development of multi-slice spiral computed tomography (CT) has increased the clinical use of cardiac CT imaging in patients with congenital heart disease. Multi-slice CT has the advantages of fast scan speed; high spatial resolution, enabling the acquisition of isotropic volume data; and simultaneous evaluation of airways and lung parenchyma, thus increasing the ability to answer most clinical questions about structural abnormalities in patients with congenital heart disease. When coupled with electrocardiography-gating, multi-slice spiral CT can be used in functional evaluations, including ventricular wall motion, ventricular ejection fraction, and motion of cardiac valves, as well as enabling the performance of high-quality coronary CT angiography. In this article, we review imaging techniques of multi-slice spiral CT and imaging findings in pediatric and adult patients with various congenital heart diseases.
Goo
Hyun Woo
HW
Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. hwgoo@amc.seoul.kr
Park
In-Sook
IS
Ko
Jae Kon
JK
Kim
Young Hwee
YH
Seo
Dong-Man
DM
Park
Jeong-Jun
JJ
D000328:Adult; D002648:Child; D004562:Electrocardiography; D006321:Heart / Q000000981:diagnostic imaging; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006801:Humans; D014057:Tomography, X-Ray Computed / Q000379:methods*