TY - JOUR
T1 - Pediatric Cardiovascular Computed Tomography
T2 - Clinical Indications, Technique, and Standardized Reporting. Recommendations From the Cardiothoracic Taskforce of the European Society of Pediatric Radiology
AU - Kardos, Marek
AU - Curione, Davide
AU - Valverde, Israel
AU - van Schuppen, Joost
AU - Goo, Hyun Woo
AU - Kellenberger, Christian J.
AU - Secinaro, Aurelio
AU - Caro-Domínguez, Pablo
N1 - Publisher Copyright: © 2024 Lippincott Williams and Wilkins. All rights reserved.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - Congenital heart diseases affect 1% of all live births in the general population. The prognosis of these children is increasingly improving due to advances in medical care and surgical treatment. Imaging is also evolving rapidly to assess accurately complex cardiac anomalies prenatally and postnatally. Transthoracic echocardiography is the gold-standard imaging technique to diagnose and follow-up children with congenital heart disease. Cardiac computed tomography imaging plays a key role in the diagnosis of children with congenital heart defects that require intervention, due to its high temporal and spatial resolution, with low radiation doses. It is challenging for radiologists, not primarily specialized in this field, to perform and interpret these studies due to the difficult anatomy, physiology, and postsurgical changes. Technical challenges consist of necessary electrocardiogram gating and contrast bolus timing to obtain an optimal examination. This article aims to define indications for pediatric cardiac computed tomography, to explain how to perform and report these studies, and to discuss future applications of this technique.
AB - Congenital heart diseases affect 1% of all live births in the general population. The prognosis of these children is increasingly improving due to advances in medical care and surgical treatment. Imaging is also evolving rapidly to assess accurately complex cardiac anomalies prenatally and postnatally. Transthoracic echocardiography is the gold-standard imaging technique to diagnose and follow-up children with congenital heart disease. Cardiac computed tomography imaging plays a key role in the diagnosis of children with congenital heart defects that require intervention, due to its high temporal and spatial resolution, with low radiation doses. It is challenging for radiologists, not primarily specialized in this field, to perform and interpret these studies due to the difficult anatomy, physiology, and postsurgical changes. Technical challenges consist of necessary electrocardiogram gating and contrast bolus timing to obtain an optimal examination. This article aims to define indications for pediatric cardiac computed tomography, to explain how to perform and report these studies, and to discuss future applications of this technique.
KW - cardiac computed tomography
KW - pediatric
KW - prospective electrocardiogram gating
KW - radiation dose
KW - retrospective electrocardiogram gating
UR - http://www.scopus.com/inward/record.url?scp=85180006268&partnerID=8YFLogxK
U2 - 10.1097/RTI.0000000000000750
DO - 10.1097/RTI.0000000000000750
M3 - Review article
C2 - 37884389
SN - 0883-5993
VL - 39
SP - 18
EP - 33
JO - Journal of thoracic imaging
JF - Journal of thoracic imaging
IS - 1
ER -