Performance of Cardiac MRI in Pediatric and Adult Patients with Fontan Circulation

Filippo Puricelli; Inga Voges; Peter Gatehouse; Michael Rigby; Cemil Izgi; Dudley J Pennell; Sylvia Krupickova

doi:10.1148/ryct.210235

Performance of Cardiac MRI in Pediatric and Adult Patients with Fontan Circulation

Radiol Cardiothorac Imaging. 2022 Jun 2;4(3):e210235. doi: 10.1148/ryct.210235. eCollection 2022 Jun.

Authors

Filippo Puricelli¹, Inga Voges¹, Peter Gatehouse¹, Michael Rigby¹, Cemil Izgi¹, Dudley J Pennell¹, Sylvia Krupickova¹

Affiliation

¹ Departments of CMR (F.P., P.G., C.I., D.J.P., S.K.) and Paediatric Cardiology (M.R., S.K.), Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK; Department of Paediatric Cardiology, University Hospital of Padova, Padua, Italy (F.P.); Department of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany (I.V.); and National Heart and Lung Institute, Imperial College, London, England (C.I., D.J.P., S.K.).

Abstract

Cardiac MRI has become a widely accepted standard for anatomic and functional assessment of complex Fontan physiology, because it is noninvasive and suitable for comprehensive follow-up evaluation after Fontan completion. The use of cardiac MRI in pediatric and adult patients after completion of the Fontan procedure are described, and a practical and experience-based cardiac MRI protocol for evaluating these patients is provided. The current approach and study protocol in use at the authors' institution are presented, which address technical considerations concerning sequences, planning, and optimal image acquisition in patients with Fontan circulation. Additionally, for each sequence, the information that can be obtained and guidance on how to integrate it into clinical decision-making is discussed. Keywords: Pediatrics, MRI, MRI Functional Imaging, Heart, Congenital © RSNA, 2022.

Keywords: Congenital; Heart; MRI; MRI Functional Imaging; Pediatrics.

Publication types

Review