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Open Access 01-12-2022 | Computed Tomography | Review

Non-invasive pediatric cardiac imaging—current status and further perspectives

Authors: Meinrad Beer, Björn Schönnagel, Jochen Herrmann, Steffen Klömpken, Matthias Schaal, Michael Kaestner, Christian Apitz, Horst Brunner

Published in: Molecular and Cellular Pediatrics | Issue 1/2022

Abstract

Background

Non-invasive cardiac imaging has a growing role in diagnosis, differential diagnosis, therapy planning, and follow-up in children and adolescents with congenital and acquired cardiac diseases. This review is based on a systematic analysis of international peer-reviewed articles and additionally presents own clinical experiences. It provides an overview of technical advances, emerging clinical applications, and the aspect of artificial intelligence.

Main body

The main imaging modalities are echocardiography, CT, and MRI. For echocardiography, strain imaging allows a novel non-invasive assessment of tissue integrity, 3D imaging rapid holistic overviews of anatomy. Fast cardiac CT imaging new techniques—especially for coronary assessment as the main clinical indication—have significantly improved spatial and temporal resolution in adjunct with a major reduction in ionizing dose. For cardiac MRI, assessment of tissue integrity even without contrast agent application by mapping sequences is a major technical breakthrough. Fetal cardiac MRI is an emerging technology, which allows structural and functional assessment of fetal hearts including even 4D flow analyses. Last but not least, artificial intelligence will play an important role for improvements of data acquisition and interpretation in the near future.

Conclusion

Non-invasive cardiac imaging plays an integral part in the workup of children with heart disease. In recent years, its main application congenital heart disease has been widened for acquired cardiac diseases.

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Title: Non-invasive pediatric cardiac imaging—current status and further perspectives
Authors: Meinrad Beer
Björn Schönnagel
Jochen Herrmann
Steffen Klömpken
Matthias Schaal
Michael Kaestner
Christian Apitz
Horst Brunner
Publication date: 01-12-2022
Publisher: Springer International Publishing
Keywords: Computed Tomography
MR Angiography
Echocardiography
Myocarditis
Computed Tomography
Artificial Intelligence
Echocardiography
Cardiac MRI
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Published in: Molecular and Cellular Pediatrics / Issue 1/2022
Electronic ISSN: 2194-7791
DOI: https://doi.org/10.1186/s40348-022-00153-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Non-invasive pediatric cardiac imaging—current status and further perspectives

Abstract

Background

Main body

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Main body

Conclusion

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