Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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MR Imaging of Congenital Heart Diseases in Adolescents and Adults

  • Yeon Hyeon Choe (Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • I-Seok Kang (Department of Grown-up Congenital Heart Disease Clinic, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Seung Woo Park (Department of Grown-up Congenital Heart Disease Clinic, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Heung Jae Lee (Department of Grown-up Congenital Heart Disease Clinic, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2001.03.10
  • Accepted : 2001.07.20
  • Published : 2001.09.30
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Abstract

Echocardiography and catheterization angiography suffer certain limitations in the evaluation of congenital heart diseases in adults, though these are overcome by MRI, in which a wide field-of view, unlimited multiplanar imaging capability and three-dimensional contrast-enhanced MR angiography techniques are used. In adults, recently introduced fast imaging techniques provide cardiac MR images of sufficient quality and with less artifacts. Ventricular volume, ejection fraction, and vascular flow measurements, including pressure gradients and pulmonary-to-systemic flow ratio, can be calculated or obtained using fast cine MRI, phase-contrast MR flow-velocity mapping, and semiautomatic analysis software. MRI is superior to echocardiography in diagnosing partial anomalous pulmonary venous connection, unroofed coronary sinus, anomalies of the pulmonary arteries, aorta and systemic veins, complex heart diseases, and postsurgical sequelae. Biventricular function is reliably evaluated with cine MRI after repair of tetralogy of Fallot, and Senning's and Mustard's operations. MRI has an important and growing role in the morphologic and functional assessment of congenital heart diseases in adolescents and adults.

Keywords

Acknowledgement

This paper was supported in part by Samsung Medical Center and Sungkyunkwan University.

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