Three-dimensional CT scanning: a new diagnostic modality in congenital heart disease.
New generation multislice CT technology has changed the approach to non-invasive assessment of congenital heart disease, in both paediatric and adult patients. This is mainly because of rapid advances in spatial and temporal resolution and in post-processing capability. At Hôpital Necker-Enfants Malades, CT with multiplanar and three-dimensional reconstruction has become a routine examination in the evaluation of congenital heart disease planning surgery, complex interventional catheterisations and for follow-up. It has proved to be an invaluable diagnostic and decision-aiding methodology in these situations, as a complement to echocardiography and, increasingly, as a substitute for diagnostic angiography (which is usually associated with higher-dose radiation and longer sedation times, as well as occasional morbidity). This review illustrates the current status of 64-slice CT in congenital heart diseases, including assessment of the aorta, the coronary arteries, the pulmonary arteries, the systemic and pulmonary veins, and other intra- and extracardiac malformations.
Ou
Phalla
P
University René Descartes-Paris 5, Department of Paediatric Radiology, Hôpital Necker-Enfants Malades AP-HP, Paris, France. phalla.ou@nck.ap-hop-paris.fr
Celermajer
David S
DS
Calcagni
Giulio
G
Brunelle
Francis
F
Bonnet
Damien
D
Sidi
Daniel
D
D001013:Aorta, Thoracic / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D003331:Coronary Vessels / Q000473:pathology; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007223:Infant; D007231:Infant, Newborn; D010690:Phlebography; D011651:Pulmonary Artery / Q000473:pathology; D011667:Pulmonary Veins / Q000473:pathology; D014057:Tomography, X-Ray Computed