BACKGROUND: Multislice CT (MSCT) allows high-quality volume-rendered (VR) and composite volume-rendered images. OBJECTIVE: To investigate the clinical usefulness of composite VR images in the evaluation of the relationship between cardiovascular structures and the airway in children with complex congenital heart disease (CHD). MATERIALS AND METHODS: Four- or 16-slice MSCT scanning was performed consecutively in 77 children (mean age 6.4 months) with CHD and respiratory symptoms, a chest radiographic abnormality, or abnormal course of the pulmonary artery on ECHO. MSCT scanning was performed during breathing or after sedation. Contrast medium (2 ml/kg) was administered through a pedal venous route or arm vein in all patients. The VR technique was used to reconstruct the cardiovascular structures and airway, and then both VR images were composed using the commercial software (VoxelPlus(2); Daejeon, Korea). RESULTS: Stenoses were seen in the trachea in 1 patient and in the bronchi in 14 patients (19%). Other patients with complex CHD did not have significant airway stenoses. CONCLUSIONS: Composite VR images with MSCT can provide more exact airway images in relationship to the surrounding cardiovascular structures and thus help in optimizing management strategies in treating CHD.
BACKGROUND: Multislice CT (MSCT) allows high-quality volume-rendered (VR) and composite volume-rendered images. OBJECTIVE: To investigate the clinical usefulness of composite VR images in the evaluation of the relationship between cardiovascular structures and the airway in children with complex congenital heart disease (CHD). MATERIALS AND METHODS: Four- or 16-slice MSCT scanning was performed consecutively in 77 children (mean age 6.4 months) with CHD and respiratory symptoms, a chest radiographic abnormality, or abnormal course of the pulmonary artery on ECHO. MSCT scanning was performed during breathing or after sedation. Contrast medium (2 ml/kg) was administered through a pedal venous route or arm vein in all patients. The VR technique was used to reconstruct the cardiovascular structures and airway, and then both VR images were composed using the commercial software (VoxelPlus(2); Daejeon, Korea). RESULTS: Stenoses were seen in the trachea in 1 patient and in the bronchi in 14 patients (19%). Other patients with complex CHD did not have significant airway stenoses. CONCLUSIONS: Composite VR images with MSCT can provide more exact airway images in relationship to the surrounding cardiovascular structures and thus help in optimizing management strategies in treating CHD.
Authors: J LoCicero; P Costello; C T Campos; N Francalancia; K M Dushay; R C Silvestri; J D Zibrak Journal: Ann Thorac Surg Date: 1996-09 Impact factor: 4.330
Authors: Yang Min Kim; Shi-Joon Yoo; Tae Hoon Kim; In Seung Park; Woong Han Kim; Jae Young Lee; Mi Young Han Journal: Cardiol Young Date: 2002-01 Impact factor: 1.093
Authors: A Corno; A Giamberti; S Giannico; B Marino; E Rossi; C Marcelletti; J K Kirklin Journal: J Thorac Cardiovasc Surg Date: 1990-06 Impact factor: 5.209