Skip to main content
Top
Published in: La radiologia medica 7/2022

Open Access 01-07-2022 | Computed Tomography | Position Paper

Recommendations for cardiovascular magnetic resonance and computed tomography in congenital heart disease: a consensus paper from the CMR/CCT working group of the Italian Society of Pediatric Cardiology (SICP) and the Italian College of Cardiac Radiology endorsed by the Italian Society of Medical and Interventional Radiology (SIRM) Part I

Published in: La radiologia medica | Issue 7/2022

Login to get access

Abstract

Cardiovascular magnetic resonance (CMR) and computed tomography (CCT) are advanced imaging modalities that recently revolutionized the conventional diagnostic approach to congenital heart diseases (CHD), supporting echocardiography and often replacing cardiac catheterization. Nevertheless, correct execution and interpretation require in-depth knowledge of all technical and clinical aspects of CHD, a careful assessment of risks and benefits before each exam, proper imaging protocols to maximize diagnostic information, minimizing harm. This position paper, written by experts from the Working Group of the Italian Society of Pediatric Cardiology and from the Italian College of Cardiac Radiology of the Italian Society of Medical and Interventional Radiology, is intended as a practical guide for applying CCT and CMR in children and adults with CHD, wishing to support Radiologists, Pediatricians, Cardiologists and Cardiac Surgeons in the multimodality diagnostic approach to these patients. The first part provides a review of the most relevant literature in the field, describes each modality's advantage and drawback, making considerations on the main applications, image quality, and safety issues. The second part focuses on clinical indications and appropriateness criteria for CMR and CCT, considering the level of CHD complexity, the clinical and logistic setting and the operator expertise.
Literature
2.
go back to reference Ntsinjana HN, Hughes ML, Taylor AM (2011) The role of cardiovascular magnetic resonance in pediatric congenital heart disease. J. Cardiovasc Magn Reson 13:66CrossRef Ntsinjana HN, Hughes ML, Taylor AM (2011) The role of cardiovascular magnetic resonance in pediatric congenital heart disease. J. Cardiovasc Magn Reson 13:66CrossRef
7.
go back to reference Sechtem U, Neubauer S, Revel D, De Roos A, Van Rossum A, Von Schulthess G, Sieverding L, Van Der Wall E (1998) The clinical role of magnetic resonance in cardiovascular disease. Task Force of the European Society of Cardiology, in collaboration with the Association of European Paediatric Cardiologists. Eur Heart J 19:19–39CrossRef Sechtem U, Neubauer S, Revel D, De Roos A, Van Rossum A, Von Schulthess G, Sieverding L, Van Der Wall E (1998) The clinical role of magnetic resonance in cardiovascular disease. Task Force of the European Society of Cardiology, in collaboration with the Association of European Paediatric Cardiologists. Eur Heart J 19:19–39CrossRef
8.
go back to reference Pontone G, Di Cesare E, Castelletti S et al (2021) Appropriate use criteria for cardiovascular magnetic resonance imaging (CMR): SIC—SIRM position paper part 1 (ischemic and congenital heart diseases, cardio-oncology, cardiac masses and heart transplant). Radiol Medica 126:365–379. https://doi.org/10.1007/s11547-020-01332-6CrossRef Pontone G, Di Cesare E, Castelletti S et al (2021) Appropriate use criteria for cardiovascular magnetic resonance imaging (CMR): SIC—SIRM position paper part 1 (ischemic and congenital heart diseases, cardio-oncology, cardiac masses and heart transplant). Radiol Medica 126:365–379. https://​doi.​org/​10.​1007/​s11547-020-01332-6CrossRef
9.
go back to reference Valsangiacomo Buechel ER, Grosse-Wortmann L, Fratz S et al (2015) Indications for cardiovascular magnetic resonance in children with congenital and acquired heart disease: an expert consensus paper of the Imaging Working Group of the AEPC and the Cardiovascular Magnetic Resonance Section of the EACVI. Eur Heart J Cardiovasc Imaging 16:281–297. https://doi.org/10.1093/ehjci/jeu129CrossRefPubMed Valsangiacomo Buechel ER, Grosse-Wortmann L, Fratz S et al (2015) Indications for cardiovascular magnetic resonance in children with congenital and acquired heart disease: an expert consensus paper of the Imaging Working Group of the AEPC and the Cardiovascular Magnetic Resonance Section of the EACVI. Eur Heart J Cardiovasc Imaging 16:281–297. https://​doi.​org/​10.​1093/​ehjci/​jeu129CrossRefPubMed
10.
go back to reference Han BK, Rigsby CK, Hlavacek A et al (2015) Computed tomography imaging in patients with congenital heart disease part I: rationale and utility. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT). Endorsed by the Society of Pediatric Radiology (SPR) and the Nor. J Cardiovasc Comput Tomogr 9:475–492. https://doi.org/10.1016/j.jcct.2015.07.004CrossRefPubMed Han BK, Rigsby CK, Hlavacek A et al (2015) Computed tomography imaging in patients with congenital heart disease part I: rationale and utility. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT). Endorsed by the Society of Pediatric Radiology (SPR) and the Nor. J Cardiovasc Comput Tomogr 9:475–492. https://​doi.​org/​10.​1016/​j.​jcct.​2015.​07.​004CrossRefPubMed
11.
go back to reference Han BK, Rigsby CK, Leipsic J et al (2015) Computed tomography imaging in patients with congenital heart disease, part 2: technical recommendations. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT). Endorsed by the Society of Pediatric Radiology (SPR) and th. J Cardiovasc Comput Tomogr 9:493–513. https://doi.org/10.1016/j.jcct.2015.07.007CrossRefPubMed Han BK, Rigsby CK, Leipsic J et al (2015) Computed tomography imaging in patients with congenital heart disease, part 2: technical recommendations. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT). Endorsed by the Society of Pediatric Radiology (SPR) and th. J Cardiovasc Comput Tomogr 9:493–513. https://​doi.​org/​10.​1016/​j.​jcct.​2015.​07.​007CrossRefPubMed
12.
go back to reference Warnes CA, Williams RG, Bashore TM et al (2008) ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: executive summary—a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (writing committee to develop guidelines fo. Circulation 118:2395–2451CrossRef Warnes CA, Williams RG, Bashore TM et al (2008) ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: executive summary—a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (writing committee to develop guidelines fo. Circulation 118:2395–2451CrossRef
15.
go back to reference Esposito A, Francone M, Andreini D et al (2021) SIRM-SIC appropriateness criteria for the use of Cardiac Computed Tomography. Part 1: Congenital heart diseases, primary prevention, risk assessment before surgery, suspected CAD in symptomatic patients, plaque and epicardial adipose tissue characterization, and functional assessment of stenosis. Radiol Med 126(9):1236–1248. https://doi.org/10.1007/s11547-021-01378-0CrossRefPubMedPubMedCentral Esposito A, Francone M, Andreini D et al (2021) SIRM-SIC appropriateness criteria for the use of Cardiac Computed Tomography. Part 1: Congenital heart diseases, primary prevention, risk assessment before surgery, suspected CAD in symptomatic patients, plaque and epicardial adipose tissue characterization, and functional assessment of stenosis. Radiol Med 126(9):1236–1248. https://​doi.​org/​10.​1007/​s11547-021-01378-0CrossRefPubMedPubMedCentral
20.
go back to reference Powell AJ, Geva T (2000) Blood flow measurement by magnetic resonance imaging in congenital heart disease. Pediatr Cardiol 21:47–58CrossRef Powell AJ, Geva T (2000) Blood flow measurement by magnetic resonance imaging in congenital heart disease. Pediatr Cardiol 21:47–58CrossRef
22.
52.
go back to reference Tomà P, Magistrelli A, Secinaro A et al (2020) Sustainability of paediatric radiology in Italy. Pediatr Radiol 6:66 Tomà P, Magistrelli A, Secinaro A et al (2020) Sustainability of paediatric radiology in Italy. Pediatr Radiol 6:66
53.
go back to reference Francis SA, Daly C, Heydari B et al (2013) Cost-effectiveness analysis for imaging techniques with a focus on cardiovascular magnetic resonance. J Cardiovasc Magn Reson 15:52CrossRef Francis SA, Daly C, Heydari B et al (2013) Cost-effectiveness analysis for imaging techniques with a focus on cardiovascular magnetic resonance. J Cardiovasc Magn Reson 15:52CrossRef
62.
Metadata
Title
Recommendations for cardiovascular magnetic resonance and computed tomography in congenital heart disease: a consensus paper from the CMR/CCT working group of the Italian Society of Pediatric Cardiology (SICP) and the Italian College of Cardiac Radiology endorsed by the Italian Society of Medical and Interventional Radiology (SIRM) Part I
Publication date
01-07-2022
Published in
La radiologia medica / Issue 7/2022
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI
https://doi.org/10.1007/s11547-022-01490-9

Other articles of this Issue 7/2022

La radiologia medica 7/2022 Go to the issue