Three-dimensional cine MRI in free-breathing infants and children with congenital heart disease

Pediatr Radiol. 2009 Dec;39(12):1333-42. doi: 10.1007/s00247-009-1390-7. Epub 2009 Oct 2.

Abstract

Background: Patients with congenital heart disease frequently have complex cardiac and vascular malformations requiring detailed non-invasive diagnostic evaluation including functional parameters.

Objective: To evaluate the morphological and functional information provided by a novel 3-D cine steady-state free-precession (SSFP) sequence.

Materials and methods: Twenty consecutive children (mean age 2.2 years, nine boys) were examined using a 1.5-T MR system including 2-D cine gradient-recalled-echo sequences, static 3-D SSFP and 3-D cine SSFP sequences.

Results: Measurement of ventricular structures and volumes showed close agreement between the 3-D cine SSFP sequence and the 2-D cine gradient-recalled-echo and static 3-D SSFP sequences (left ventricular volumes mean difference 1.0-1.9 ml and 8.8-11.4%, respectively; right ventricular volumes 1.7-2.1 ml and 9.9-16.9%, respectively). No systematic bias was observed.

Conclusion: 3-D cine MRI provides anatomic as well as functional information with sufficient spatial and temporal resolution in free-breathing infants with congenital heart disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child, Preschool
  • Female
  • Heart Defects, Congenital / pathology*
  • Humans
  • Imaging, Three-Dimensional / methods*
  • Infant
  • Infant, Newborn
  • Magnetic Resonance Imaging, Cine / methods*
  • Male
  • Reproducibility of Results
  • Respiratory Mechanics
  • Sensitivity and Specificity