Principles And Practice Of Cardiac Magnetic Resonance In Congenital Heart Disease

CMR is a powerful tool in the armamentarium of pediatric cardiology and health care workers caring for patients with congenital heart disease (CHD), but a successful study still presents major technical and clinical challenges. This text was created to give trainees, practitioners, allied professionals, and researchers a repository of dependable information and images to base their use of CMR on. Because CHD presents an intricate web of connections and associations that need to be deciphered, the imager performing CMR needs to understand not only anatomy, physiology, function, and surgery for CHD, but also the technical aspects of imaging. Written by experts from the world’s leading institutions, many of whom pioneered the techniques and strategies described, the text is organized in a logical way to provide a complete understanding of the issues involved. It is divided into three main parts: The Basics of CMR - familiarizes the reader with the minimum tools needed to understand the basics, such as evaluating morphology, ventricular function, and utilizing contrast agents CMR of Congenital and Acquired Pediatric Heart Disease - discusses broad categories of CHD and the use of CMR in specific disease states Special Topics in Pediatric Cardiac MR - covers other important areas such as the complementary role of CT scanning, interventional CMR, the role of the technologist in performing a CMR exam, and more With the ever increasing sophistication of technology, more can be done with CMR in a high quality manner in a shorter period of time than had been imagined as recently as just a few years ago. Principles and Practice of Cardiac Magnetic Resonance in Congenital Heart Disease: Form, Function, and Flow makes a major contribution to applying these techniques to improved patient care. An ideal introduction for the novice or just the curious, this reference will be equally useful to the seasoned practitioner who wants to keep pace with developments in the field and would like a repository of information and images readily availalble.

This heavily updated textbook focuses on the use of cardiac magnetic resonance (CMR) imaging in pediatric and adult patients with congenital heart disease. Over past two decades, CMR has come to occupy an ever more important place in the assessment and management of patients with congenital heart defects (CHD) and other cardiovascular disorders. The modality offers an ever-expanding amount of information about the heart and circulation, provides outstanding images of cardiovascular morphology and function, is increasingly being used to detect pathologic fibrosis, and has an expanding role in the assessment of myocardial viability. Magnetic Resonance Imaging of Congenital Heart Disease is an excellent foundation for any reader not familiar with the field whether they are imagers or clinicians who deal with cardiovascular disease. It also describes the technical details of MRI techniques to help the clinician understand the most important elements of CMR in assessing and managing their patients. In creating the book, the editors have assembled a world-renowned panel of contributors to review the use of CMR in CHD and make it accessible to those working in the field and to those who use the information derived from CMR in their clinical practice.

This book focuses on congenital heart disease (CHD) and emerging imaging technologies. It covers all clinically relevant aspects of the fascinating new cardiac imaging technologies, including a comprehensive explanation of their basic principles, practical aspects of novel clinical applications, and detailed descriptions of specific uses in the broad spectrum of clinically important adult CHD. Innovations and emerging technologies for diagnosis and therapeutics, evaluation and treatment are continually evolving, and due to these advances in non-invasive diagnosis, there has been a significant improvement in the survival rates for CHD patient. Novel approaches to trans-catheter interventions and advances in echocardiography, MRI and CT imaging are being developed and incorporated into routine clinical practice, while emerging three-dimensional printing technologies are fundamentally affecting patient care, research, trainee education, and interactions between multidisciplinary teams, patients, and caregivers. In addition, translational technologies on the horizon promise to take this nascent field even further. Exploring the applicability of these emerging technologies in improving our understanding of complex congenital cardiac defect anatomy and physiology will provide new treatment options for this unique population. Written by experts in the field who are also involved in patient care, this book discusses the practical application of innovations in advanced multimodality imaging in the daily clinical routine and offers tips and tricks for beginners.

​​This is the first major textbook to address both computed tomography (CT) and magnetic resonance (MR) cardiac imaging of adults for the diagnosis and treatment of congenital heart disease (CHD). Since the introduction of faster CT scanners, there has been tremendous advancement in the diagnosis of CHD in adults. This is mostly due to the higher spatial resolution of CT compared to MR, which enables radiologists to create more detailed visualizations of cardiac anatomic structures, leading to the discovery of anomalous pathologies often missed by conventional MR imaging. This book is unique in highlighting the advantages of both CT and MR for the diagnosis of CHD in adults, focusing on the complementary collaboration between the two modalities that is possible. Chapters include discussions of case examples, clinical data, MR and CT image findings, and correlative cadaveric pictures. The chapters focus not only on the diagnosis of the primary problem, but also give readers information on visual clues to look for that often reveal associated pathologies. This book appeals primarily to diagnostic and interventional radiologists, as well as cardiologists and interventional cardiologists.

Cardiovascular MR imaging has become a robust, clinically useful mod- ity, and the rapid pace of innovation and important information it conveys have attracted many students whose goal is to become adept practitioners. In turn, many excellent textbooks have been written to aid this process. These books are necessary and useful in helping the student learn the underlying pulse sequences used in CMR, as well as the imaging findings in a variety of disorders. However, one of the difficulties inherent in learning CMR from a book is that the printed format is not the ideal medium to d- play the dynamic imaging that comprises a typical CMR case. For instance, it may be difficult to perceive focal areas of wall motion abnormality on serial static pictures, but these abnormalities are often easily seen on cine loops. One might say that trying to learn CMR solely from a standard textbook with illustrations is like trying to learn to drive by looking at snapshots obtained through the windshield of a moving car. The learner needs to see the cardiac motion and decide if it is normal or abnormal; he or she needs to be in the driver’s seat. An additional limitation of the ava- able textbooks on CMR is that while they often have superb illustrations of abnormal findings, these images have been preselected.

This book is a comprehensive and authoritative text on the expanding scope of CMR, dedicated to covering basic principles in detail focusing on the needs of cardiovascular imagers. The target audience for this book includes CMR specialists, trainees in CMR and cardiovascular medicine, cardiovascular physicists or clinical cardiovascular imagers. This book includes figures and CMR examples in the form of high-resolution still images and is divided in two sections: basic MRI physics, i.e. the nuts and bolts of MR imaging; and imaging techniques (pulse sequences) used in cardiovascular MR imaging. Each imaging technique is discussed in a separate chapter that includes the physics and clinical applications (with cardiovascular examples) of a particular technique. Evolving techniques or research based techniques are discussed as well. This section covers both cardiac and vascular imaging. ​Cardiovascular magnetic resonance (CMR) imaging is now considered a clinically important imaging modality for patients with a wide variety of cardiovascular diseases. Recent developments in scanner hardware, imaging sequences, and analysis software have led to 3-dimensional, high-resolution imaging of the cardiovascular system. These developments have also influenced a wide variety of cardiovascular imaging applications and it is now routinely used in clinical practice in CMR laboratories around the world. The non-invasiveness and lack of ionizing radiation exposure make CMR uniquely important for patients whose clinical condition requires serial imaging follow-up. This is particularly true for patients with congenital heart disease (CHD) with or without surgical corrections who require lifelong clinical and imaging follow-up.

The diagnosis and management of congenital heart defects has rapidly evolved over the decades. This book presents the role that cardiac CT and MRI may play in the management of congenital heart defects.