Principles and Practice of Cardiac Magnetic Resonance in Congenital Heart Disease

Edited by Mark A. Fogel, MD, FACC, FAHA, FAAP, Associate Professor of Pediatrics and Radiology, University of Pennsylvania School of Medicine; Director of Cardiac MR, The Children's Hospital of Philadelphia, Philadelphia, PA, USA CMR is a powerful tool in the armamentarium of pediatric cardiology and health care workers caring for patients with congenital heart disease (CHD), but a successful study still presents major technical and clinical challenges. This text was created to give trainees, practitioners, allied professionals, and researchers a repository of dependable information and images to base their use of CMR on. Because CHD presents an intricate web of connections and associations that need to be deciphered, the imager performing CMR needs to understand not only anatomy, physiology, function, and surgery for CHD, but also the technical aspects of imaging. Written by experts from the world's leading institutions, many of whom pioneered the techniques and strategies described, the text is organized in a logical way to provide a complete understanding of the issues involved. It is divided into three main parts: The Basics of CMR - familiarizes the reader with the minimum tools needed to understand the basics, such as evaluating morphology, ventricular function, and utilizing contrast agents CMR of Congenital and Acquired Pediatric Heart Disease - discusses broad categories of CHD and the use of CMR in specific disease states Special Topics in Pediatric Cardiac MR - covers other important areas such as the complementary role of CT scanning, interventional CMR, the role of the technologist in performing a CMR exam, and more With the ever increasing sophistication of technology, more can be done with CMR in a high quality manner in a shorter period of time than had been imagined as recently as just a few years ago. Principles and Practice of Cardiac Magnetic Resonance in Congenital Heart Disease: Form, Function, and Flow makes a major contribution to applying these techniques to improved patient care. An ideal introduction for the novice or just the curious, this reference will be equally useful to the seasoned practitioner who wants to keep pace with developments in the field and would like a repository of information and images readily available. Mark Fogel MD, FACC, FAAP - Associate Professor of Pediatric Cardiology and Radiology, Director of Cardiac MR, University of PA School of Medicine/The Children's Hospital of Philadelphia CONTENTS Section I: The Basics of Cardiac MR. Physics of cardiac MR and Image Generation. Technical Aspects of Pediatric Cardiac MR. Assessment of Morphology. Assessment of Ventricular Function and Blood Flow. Contrast cardiac MR - Anatomy, Physiology, Viability and Perfusion. Section II: MR of Congenital and Acquired Pediatric Heart Disease. The Normal Pediatric Cardiac MR Exam and the Segmental Diagnosis of the Heart. Abnormalities of the Atria and Veins. Abnormalities of the Ventricles and Pericardium. Conotruncal Disease. Diseases of the Aorta Including Vascular Rings. Diseases of the Pulmonary Artery Including Slings. Valvular Heart Disease. Coronary Artery Disease. Other Complex Congenital Heart Disease - Complex Spatial Relationships, Heterotaxy and Conjoined Twins. Section III: Special Topics in Pediatric Cardiac MRI. The Single Ventricle and the Staged Fontan Reconstruction. Considerations in Tetralogy of Fallot. Conduits and Baffles. Considerations in the Post-Operative Patient. Adult Congenital Heart Disease. Interventional MRI. MRI Safety and Bioeffects. Section IV: The Future. The Future of Cardiac MR in Pediatric Practice and Research. Section V: Appendix. Abbreviations used in Pediatric Cardiac MRI.