Aims and objectives:
Right ventricular (RV) size and volume assessment in cardiovascular magnetic resonance (CMR) is a gold standard [1,2]. CMR is of particular value in the detailed assessment of the RV, where the use of echocardiography can be limited due to problems with visualization, complex RV anatomy and motion [[...]
Methods and materials:
60 pediatric CMR studies were analysed [Table 1]. Children included in the study were representative of current routine indications for CMR. The following CMR parameters were measured: RV end-diastolic and end-systolic area (4CH EDA and 4CH ESA) [Figure 1, Figure 2], fractional area change (FAC), RV[...]
RVEDVI correlated best with 4CH ESA (r=0.85, <0.0001) and EDA (r=0.82, <0.0001). For RVEF only a moderate reverse correlation was found for 4CH ESA (-0.56, <0.0001), 4CH EDA (-0.49, 0.0001) and positive correlation for FAC (0.49, <0.0001). There was no correlation between TAPSE and RVEF [...]
For routine screening in clinical daily practice, 4CH ESA seem reliable and easy method to identify patients with RV dysfunction.
1. Helbing WA, Ouhlous M. Cardiac magnetic resonance imaging in children. Pediatr Radiol 2015;45:20–26. 2. Valsangiacomo Buechel ER, Mertens LL. Imaging the right heart: the use of integrated multimodality imaging. Eur Heart J 2012;33:949–960. 3. Mooij CF, De Wit CJ, Graham DA, Powell AJ, Geva T[...]