Cardiovascular Magnetic Resonance from Fetal to Adult Life—Indications and Challenges: A State-of-the-Art Review

Author:

Moscatelli Sara12ORCID,Leo Isabella34ORCID,Lisignoli Veronica56,Boyle Siobhan67,Bucciarelli-Ducci Chiara48,Secinaro Aurelio9ORCID,Montanaro Claudia4610

Affiliation:

1. Inherited Cardiovascular Diseases, Great Ormond Street, Children NHS Foundation Trust, London WC1N 3JH, UK

2. Paediatric Cardiology Department, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, London SW3 5NP, UK

3. Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy

4. CMR Unit, Cardiology Department, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, London SW3 5NP, UK

5. Department of Cardiac Surgery, Cardiology, Heart and Lung Transplantation, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy

6. Adult Congenital Heart Disease Department, Royal Brompton and Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, London SW3 5NP, UK

7. Cardiology Department, Logan Hospital, Loganlea Rd, Meadowbrook, QLD 4131, Australia

8. School of Biomedical Engineering and Imaging Sciences, Faculty of Life Sciences and Medicine, King’s College University, London SW7 2BX, UK

9. Radiology Department, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy

10. National Heart and Lung Institute, Imperial Collage London, Dovehouse St, London SW3 6LY, UK

Abstract

Cardiovascular magnetic resonance (CMR) imaging offers a comprehensive, non-invasive, and radiation-free imaging modality, which provides a highly accurate and reproducible assessment of cardiac morphology and functions across a wide spectrum of cardiac conditions spanning from fetal to adult life. It minimises risks to the patient, particularly the risks associated with exposure to ionising radiation and the risk of complications from more invasive haemodynamic assessments. CMR utilises high spatial resolution and provides a detailed assessment of intracardiac and extracardiac anatomy, ventricular and valvular function, and flow haemodynamic and tissue characterisation, which aid in the diagnosis, and, hence, with the management of patients with cardiac disease. This article aims to discuss the role of CMR and the indications for its use throughout the different stages of life, from fetal to adult life.

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

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