Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease
Standard of care echocardiography can have limited diagnostic accuracy in certain cases of fetal congenital heart disease. Prenatal cardiovascular magnetic resonance (CMR) imaging has potential to provide additional anatomic imaging information, including excellent soft tissue images in multiple pla...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-11-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.123.030640 |
| _version_ | 1797540974474297344 |
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| author | Angela Desmond Kim‐Lien Nguyen Christopher T. Watterson Mark Sklansky Gary M. Satou Ashley E. Prosper Meena Garg Glen S. Van Arsdell J. Paul Finn Yalda Afshar |
| author_facet | Angela Desmond Kim‐Lien Nguyen Christopher T. Watterson Mark Sklansky Gary M. Satou Ashley E. Prosper Meena Garg Glen S. Van Arsdell J. Paul Finn Yalda Afshar |
| author_sort | Angela Desmond |
| collection | DOAJ |
| description | Standard of care echocardiography can have limited diagnostic accuracy in certain cases of fetal congenital heart disease. Prenatal cardiovascular magnetic resonance (CMR) imaging has potential to provide additional anatomic imaging information, including excellent soft tissue images in multiple planes, improving prenatal diagnostics and in utero hemodynamic assessment. We conducted a literature review of fetal CMR, including its development and implementation into clinical practice, and compiled and analyzed the results. Our findings included the fact that technological and innovative approaches are required to overcome some of the challenges in fetal CMR, in part due to the dynamic nature of the fetal heart. A number of reconstruction algorithms and cardiac gating strategies have been developed over time to improve fetal CMR image quality, allowing unique investigations into fetal hemodynamics, oxygenation, and growth. Studies demonstrate that incorporating CMR in the prenatal arena influences postnatal clinical management. With further refinement and experience, fetal CMR in congenital heart disease continues to evolve and demonstrate ongoing potential as a complementary imaging modality to fetal echocardiography in the care of these patients. |
| first_indexed | 2024-03-10T13:09:42Z |
| format | Article |
| id | doaj.art-692e4d8a07814ee8be5ea2b27859d0fa |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-03-10T13:09:42Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-692e4d8a07814ee8be5ea2b27859d0fa2023-11-21T10:53:12ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802023-11-01122210.1161/JAHA.123.030640Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart DiseaseAngela Desmond0Kim‐Lien Nguyen1Christopher T. Watterson2Mark Sklansky3Gary M. Satou4Ashley E. Prosper5Meena Garg6Glen S. Van Arsdell7J. Paul Finn8Yalda Afshar9Division of Neonatology, Department of Pediatrics UCLA Mattel Children’s Hospital Los Angeles CA USADiagnostic Cardiovascular Imaging Laboratory, Department of Radiological Sciences David Geffen School of Medicine, UCLA Los Angeles CA USADepartment of Radiological Sciences David Geffen School of Medicine, UCLA Los Angeles CA USADivision of Pediatric Cardiology, Department of Pediatrics David Geffen School of Medicine, UCLA Mattel Children’s Hospital Los Angeles CA USADivision of Pediatric Cardiology, Department of Pediatrics David Geffen School of Medicine, UCLA Mattel Children’s Hospital Los Angeles CA USADiagnostic Cardiovascular Imaging Laboratory, Department of Radiological Sciences David Geffen School of Medicine, UCLA Los Angeles CA USADivision of Neonatology, Department of Pediatrics UCLA Mattel Children’s Hospital Los Angeles CA USADivision of Cardiac Surgery, Department of Surgery David Geffen School of Medicine, UCLA Los Angeles CA USADiagnostic Cardiovascular Imaging Laboratory, Department of Radiological Sciences David Geffen School of Medicine, UCLA Los Angeles CA USADivision of Maternal Fetal Medicine, Department of Obstetrics and Gynecology David Geffen School of Medicine, UCLA Los Angeles CA USAStandard of care echocardiography can have limited diagnostic accuracy in certain cases of fetal congenital heart disease. Prenatal cardiovascular magnetic resonance (CMR) imaging has potential to provide additional anatomic imaging information, including excellent soft tissue images in multiple planes, improving prenatal diagnostics and in utero hemodynamic assessment. We conducted a literature review of fetal CMR, including its development and implementation into clinical practice, and compiled and analyzed the results. Our findings included the fact that technological and innovative approaches are required to overcome some of the challenges in fetal CMR, in part due to the dynamic nature of the fetal heart. A number of reconstruction algorithms and cardiac gating strategies have been developed over time to improve fetal CMR image quality, allowing unique investigations into fetal hemodynamics, oxygenation, and growth. Studies demonstrate that incorporating CMR in the prenatal arena influences postnatal clinical management. With further refinement and experience, fetal CMR in congenital heart disease continues to evolve and demonstrate ongoing potential as a complementary imaging modality to fetal echocardiography in the care of these patients.https://www.ahajournals.org/doi/10.1161/JAHA.123.030640cardiac magnetic resonance imagingcongenital heart diseasefetal cardiac gatingpregnancy |
| spellingShingle | Angela Desmond Kim‐Lien Nguyen Christopher T. Watterson Mark Sklansky Gary M. Satou Ashley E. Prosper Meena Garg Glen S. Van Arsdell J. Paul Finn Yalda Afshar Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cardiac magnetic resonance imaging congenital heart disease fetal cardiac gating pregnancy |
| title | Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease |
| title_full | Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease |
| title_fullStr | Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease |
| title_full_unstemmed | Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease |
| title_short | Integration of Prenatal Cardiovascular Magnetic Resonance Imaging in Congenital Heart Disease |
| title_sort | integration of prenatal cardiovascular magnetic resonance imaging in congenital heart disease |
| topic | cardiac magnetic resonance imaging congenital heart disease fetal cardiac gating pregnancy |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.123.030640 |
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