Patent ductus arteriosus MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Priyamvada Singh, M.B.B.S. [2], Cafer Zorkun, M.D., Ph.D. [3],Ramyar Ghandriz MD [4] Assistant Editor-In-Chief: Kristin Feeney, B.S. [5]

Overview

Magnetic resonance imaging can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive.

MRI

Magnetic resonance imaging (MRI) can be used as a diagnostic modality in congenital heart diseases.^[1]^[2]^[3]^[4]^[5]^[6]

Advantages

It can be used in cases where echocardiographic results are inconclusive.
Helps in measuring heart volumes, blood flow and ventricular wall thickness.
The magnetic resonance angiography helps in better visualization of heart vasculature.
Phase velocity mapping helps in measuring the ratio of pulmonary to systemic blood flow (Qp: Qs).

Disadvantages

For successful MRI procedure breath-holding is required, which is sometimes difficult to achieve with small kids. Due to this, the procedure is done under general anesthesia in children.
In patients with patent ductus arteriosus, the usage of MRI can demonstrate the abnormality and its severity. The magnitude of the shunt can also be determined by radionuclide flow studies.

Cardiac MRI demonstrates a patent ductus arteriosus. Pulmonary angiogram shows flow from the pulmonary artery to the descending aorta through a patent ductus (arrow), measuring 8 mm wide and 15 mm in length. RV: right ventricle; MPA: main pulmonary artery; PDA: patent ductus arteriosus; Des Ao: descending aorta. Case courtesy by Jaime Alfonso M. Aherrera et al.^[7]

References

↑ Lee, Hyung Geun; You, Dong Do; Paik, Kwang Yeol; Heo, Jin Seok; Choi, Seong Ho; Choi, Dong Wook (2008). “Prognostic Factors for Primary Duodenal Adenocarcinoma”. World Journal of Surgery. 32 (10): 2246–2252. doi:10.1007/s00268-008-9678-6. ISSN 0364-2313.
↑ Zeng, Yongyi; Zhang, Da; Wu, Ming; Liu, Ying; Zhang, Xiang; Li, Ling; Li, Zheng; Han, Xiao; Wei, Xueyong; Liu, Xiaolong (2014). “Lipid-AuNPs@PDA Nanohybrid for MRI/CT Imaging and Photothermal Therapy of Hepatocellular Carcinoma”. ACS Applied Materials & Interfaces. 6 (16): 14266–14277. doi:10.1021/am503583s. ISSN 1944-8244.
↑ Jain, Amish; Shah, Prakesh S. (2015). “Diagnosis, Evaluation, and Management of Patent Ductus Arteriosus in Preterm Neonates”. JAMA Pediatrics. 169 (9): 863. doi:10.1001/jamapediatrics.2015.0987. ISSN 2168-6203.
↑ Goitein, Orly; Fuhrman, Carl R.; Lacomis, Joan M. (2005). “Incidental Finding on MDCT of Patent Ductus Arteriosus: Use of CT and MRI to Assess Clinical Importance”. American Journal of Roentgenology. 184 (6): 1924–1931. doi:10.2214/ajr.184.6.01841924. ISSN 0361-803X.
↑ Clarke JR, Strohm O, Patton DJ (2009). “Patent ductus arteriosus demonstrated in an adult patient using cardiovascular magnetic resonance imaging”. Can J Cardiol. 25 (1): e17. doi:10.1016/s0828-282x(09)70025-x. PMC 2691885. PMID 19148344.
↑ Kozak, Marcelo F; Mertens, Luc; Ho, Ashley; Yoo, Shi-Joon; Grosse-Wortmann, Lars (2012). “Quantification of ductal blood flow with magnetic resonance imaging in newborns with obstructive left heart disease”. Journal of Cardiovascular Magnetic Resonance. 14 (S1). doi:10.1186/1532-429X-14-S1-P118. ISSN 1532-429X.
↑ “Coarctation of the Aorta and a Parachute Mitral Valve in an Adult With Differential Cyanosis”.

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[LeeYou2008-1] Lee, Hyung Geun; You, Dong Do; Paik, Kwang Yeol; Heo, Jin Seok; Choi, Seong Ho; Choi, Dong Wook (2008). “Prognostic Factors for Primary Duodenal Adenocarcinoma”. World Journal of Surgery. 32 (10): 2246–2252. doi:10.1007/s00268-008-9678-6. ISSN 0364-2313.

[ZengZhang2014-2] Zeng, Yongyi; Zhang, Da; Wu, Ming; Liu, Ying; Zhang, Xiang; Li, Ling; Li, Zheng; Han, Xiao; Wei, Xueyong; Liu, Xiaolong (2014). “Lipid-AuNPs@PDA Nanohybrid for MRI/CT Imaging and Photothermal Therapy of Hepatocellular Carcinoma”. ACS Applied Materials & Interfaces. 6 (16): 14266–14277. doi:10.1021/am503583s. ISSN 1944-8244.

[JainShah2015-3] Jain, Amish; Shah, Prakesh S. (2015). “Diagnosis, Evaluation, and Management of Patent Ductus Arteriosus in Preterm Neonates”. JAMA Pediatrics. 169 (9): 863. doi:10.1001/jamapediatrics.2015.0987. ISSN 2168-6203.

[GoiteinFuhrman2005-4] Goitein, Orly; Fuhrman, Carl R.; Lacomis, Joan M. (2005). “Incidental Finding on MDCT of Patent Ductus Arteriosus: Use of CT and MRI to Assess Clinical Importance”. American Journal of Roentgenology. 184 (6): 1924–1931. doi:10.2214/ajr.184.6.01841924. ISSN 0361-803X.

[pmid19148344-5] Clarke JR, Strohm O, Patton DJ (2009). “Patent ductus arteriosus demonstrated in an adult patient using cardiovascular magnetic resonance imaging”. Can J Cardiol. 25 (1): e17. doi:10.1016/s0828-282x(09)70025-x. PMC 2691885. PMID 19148344.

[KozakMertens2012-6] Kozak, Marcelo F; Mertens, Luc; Ho, Ashley; Yoo, Shi-Joon; Grosse-Wortmann, Lars (2012). “Quantification of ductal blood flow with magnetic resonance imaging in newborns with obstructive left heart disease”. Journal of Cardiovascular Magnetic Resonance. 14 (S1). doi:10.1186/1532-429X-14-S1-P118. ISSN 1532-429X.

[7] “Coarctation of the Aorta and a Parachute Mitral Valve in an Adult With Differential Cyanosis”.

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Patent ductus arteriosus MRI

Overview

MRI

Advantages

Disadvantages

References

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