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01-12-2019 | Computed Tomography | Pictorial Essay

Dual-source computed tomography coronary artery imaging in children

Authors: Aurelio Secinaro, Davide Curione, Kristian Havmand Mortensen, Teresa Pia Santangelo, Paolo Ciancarella, Carmela Napolitano, Alessia Del Pasqua, Andrew Mayall Taylor, Paolo Ciliberti

Published in: Pediatric Radiology | Issue 13/2019

Abstract

Computed tomography (CT) has a well-established diagnostic role in the assessment of coronary arteries in adults. However, its application in a pediatric setting is still limited and often impaired by several technical issues, such as high heart rates, poor patient cooperation, and radiation dose exposure. Nonetheless, CT is becoming crucial in the noninvasive approach of children affected by coronary abnormalities and congenital heart disease. In some circumstances, CT might be preferred to other noninvasive techniques such as echocardiography and MRI for its lack of acoustic window influence, shorter acquisition time, and high spatial resolution. The introduction of dual-source CT has expanded the role of CT in the evaluation of pediatric cardiovascular anatomy and pathology. Furthermore, technical advances in the optimization of low-dose protocols represent an attractive innovation. Dual-source CT can play a key role in several clinical settings in children, namely in the evaluation of children with suspected congenital coronary artery anomalies, both isolated and in association with congenital heart disease. Moreover, it can be used to assess acquired coronary artery abnormalities, as in children with Kawasaki disease and after surgical manipulation, especially in case of transposition of the great arteries treated with arterial switch operation and in case of coronary re-implantation.

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Title: Dual-source computed tomography coronary artery imaging in children
Authors: Aurelio Secinaro
Davide Curione
Kristian Havmand Mortensen
Teresa Pia Santangelo
Paolo Ciancarella
Carmela Napolitano
Alessia Del Pasqua
Andrew Mayall Taylor
Paolo Ciliberti
Publication date: 01-12-2019
Publisher: Springer Berlin Heidelberg
Keywords: Computed Tomography
Computed Tomography
Published in: Pediatric Radiology / Issue 13/2019
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-019-04494-2

ACC 2024 Congress

Springer Medicine

Dual-source computed tomography coronary artery imaging in children

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

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