AustralieFrV1, PascalFrancis, Curation, bibRecord, 003327

Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology

Identifieur interne : 003327 ( PascalFrancis/Curation ); précédent : 003326; suivant : 003328

Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology

Auteurs : PHALLA OU [France] ; Davide Marini [France] ; David S. Celermajer [Australie] ; Gabriella Agnoletti [France] ; Pascal Vouhe [France] ; Daniel Sidi [France] ; Damien Bonnet [France] ; Francis Brunelle [France]

Source :

European journal of radiology [ 0720-048X ] ; 2009.

RBID : Pascal:09-0319382

Descripteurs français

Pascal (Inist)
- Sténose des veines, Cardiopathie congénitale, Méthode non invasive, Tomodensitométrie, Congénital, Sténose pulmonaire, Veine pulmonaire, Enfant, Coeur, Pédiatrie, Médecine nucléaire, Radiologie.
Wicri :
- topic : Enfant, Pédiatrie, Médecine nucléaire.

English descriptors

KwdEn :
- Child, Computerized axial tomography, Congenital, Congenital cardiopathy, Heart, Non invasive method, Nuclear medicine, Pediatrics, Pulmonary stenosis, Pulmonary vein, Radiology, Vein stenosis.

Abstract

Background: Management of congenital pulmonary vein stenosis is a diagnostic challenge. Echocardiography may be insufficient and thus cardiac catheterization remains the reference standard in this setting. The aim of the study was to investigate the accuracy of cardiac-non-gated CT using 64-slice technology in detecting congenital pulmonary vein stenosis in children. Materials and methods: CT examinations were consecutively performed from May 2005 to December 2006 in 13 children aged 1.5-12 months (median 5 months) for suspected congenital pulmonary vein stenosis. Cardiac-non-gated CT acquisitions were performed after the peripheral injection of contrast agent. Pulmonary veins were evaluated for their pattern of connectivity from the lung to the left atrium and for the presence of stenosis. CT findings of pulmonary vein stenosis were compared with combined findings available from echocardiography, catheterization and surgery. Results: Pulmonary veins from the right lung (n=29) and left lung (n=26) were evaluated as separate structures (N=55). Of the 55 structures, 32 had surgical and/or catheterization data and 45 had echocardiography for comparison. CT visualized 100% (55/55) of the investigated structures, while echocardiography visualized 82% (45/55). In the 13 subjects CT identified 10 stenotic pulmonary veins. CT confirmed the echocardiography suspicion of pulmonary vein stenosis in 100% (7/7) and established a new diagnosis in 3 other patients. CT agreed with surgery/catheterization in 100% (10/10) of the available comparisons. Conclusion: Cardiac-non-gated CT assessed the pulmonary veins more completely than echocardiography and should be considered as a viable alternative for invasive pulmonary venography for detecting pulmonary vein stenosis in children.

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A08	`01`	`1`	`ENG`	`@1 Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology`
A11	`01`	`1`		`@1 PHALLA OU`
A11	`02`	`1`		`@1 MARINI (Davide)`
A11	`03`	`1`		`@1 CELERMAJER (David S.)`
A11	`04`	`1`		`@1 AGNOLETTI (Gabriella)`
A11	`05`	`1`		`@1 VOUHE (Pascal)`
A11	`06`	`1`		`@1 SIDI (Daniel)`
A11	`07`	`1`		`@1 BONNET (Damien)`
A11	`08`	`1`		`@1 BRUNELLE (Francis)`
A14	`01`			`@1 Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades, Department of Pediatric Radiology @2 Paris @3 FRA @Z 1 aut. @Z 8 aut.`
A14	`02`			`@1 Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades @2 Paris @3 FRA @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut.`
A14	`03`			`@1 Department of Medicine, University of Sydney @3 AUS @Z 3 aut.`
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C01	`01`		`ENG`	@0 Background: Management of congenital pulmonary vein stenosis is a diagnostic challenge. Echocardiography may be insufficient and thus cardiac catheterization remains the reference standard in this setting. The aim of the study was to investigate the accuracy of cardiac-non-gated CT using 64-slice technology in detecting congenital pulmonary vein stenosis in children. Materials and methods: CT examinations were consecutively performed from May 2005 to December 2006 in 13 children aged 1.5-12 months (median 5 months) for suspected congenital pulmonary vein stenosis. Cardiac-non-gated CT acquisitions were performed after the peripheral injection of contrast agent. Pulmonary veins were evaluated for their pattern of connectivity from the lung to the left atrium and for the presence of stenosis. CT findings of pulmonary vein stenosis were compared with combined findings available from echocardiography, catheterization and surgery. Results: Pulmonary veins from the right lung (n=29) and left lung (n=26) were evaluated as separate structures (N=55). Of the 55 structures, 32 had surgical and/or catheterization data and 45 had echocardiography for comparison. CT visualized 100% (55/55) of the investigated structures, while echocardiography visualized 82% (45/55). In the 13 subjects CT identified 10 stenotic pulmonary veins. CT confirmed the echocardiography suspicion of pulmonary vein stenosis in 100% (7/7) and established a new diagnosis in 3 other patients. CT agreed with surgery/catheterization in 100% (10/10) of the available comparisons. Conclusion: Cardiac-non-gated CT assessed the pulmonary veins more completely than echocardiography and should be considered as a viable alternative for invasive pulmonary venography for detecting pulmonary vein stenosis in children.
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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child</term>
<term>Computerized axial tomography</term>
<term>Congenital</term>
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<term>Heart</term>
<term>Non invasive method</term>
<term>Nuclear medicine</term>
<term>Pediatrics</term>
<term>Pulmonary stenosis</term>
<term>Pulmonary vein</term>
<term>Radiology</term>
<term>Vein stenosis</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Sténose des veines</term>
<term>Cardiopathie congénitale</term>
<term>Méthode non invasive</term>
<term>Tomodensitométrie</term>
<term>Congénital</term>
<term>Sténose pulmonaire</term>
<term>Veine pulmonaire</term>
<term>Enfant</term>
<term>Coeur</term>
<term>Pédiatrie</term>
<term>Médecine nucléaire</term>
<term>Radiologie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Enfant</term>
<term>Pédiatrie</term>
<term>Médecine nucléaire</term>
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<front><div type="abstract" xml:lang="en">Background: Management of congenital pulmonary vein stenosis is a diagnostic challenge. Echocardiography may be insufficient and thus cardiac catheterization remains the reference standard in this setting. The aim of the study was to investigate the accuracy of cardiac-non-gated CT using 64-slice technology in detecting congenital pulmonary vein stenosis in children. Materials and methods: CT examinations were consecutively performed from May 2005 to December 2006 in 13 children aged 1.5-12 months (median 5 months) for suspected congenital pulmonary vein stenosis. Cardiac-non-gated CT acquisitions were performed after the peripheral injection of contrast agent. Pulmonary veins were evaluated for their pattern of connectivity from the lung to the left atrium and for the presence of stenosis. CT findings of pulmonary vein stenosis were compared with combined findings available from echocardiography, catheterization and surgery. Results: Pulmonary veins from the right lung (n=29) and left lung (n=26) were evaluated as separate structures (N=55). Of the 55 structures, 32 had surgical and/or catheterization data and 45 had echocardiography for comparison. CT visualized 100% (55/55) of the investigated structures, while echocardiography visualized 82% (45/55). In the 13 subjects CT identified 10 stenotic pulmonary veins. CT confirmed the echocardiography suspicion of pulmonary vein stenosis in 100% (7/7) and established a new diagnosis in 3 other patients. CT agreed with surgery/catheterization in 100% (10/10) of the available comparisons. Conclusion: Cardiac-non-gated CT assessed the pulmonary veins more completely than echocardiography and should be considered as a viable alternative for invasive pulmonary venography for detecting pulmonary vein stenosis in children.</div>
</front>
</TEI>
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</fA01>
<fA02 i1="01"><s0>EJRADR</s0>
</fA02>
<fA03 i2="1"><s0>Eur. j. radiol.</s0>
</fA03>
<fA05><s2>70</s2>
</fA05>
<fA06><s2>3</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>PHALLA OU</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>MARINI (Davide)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>CELERMAJER (David S.)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>AGNOLETTI (Gabriella)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>VOUHE (Pascal)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>SIDI (Daniel)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>BONNET (Damien)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>BRUNELLE (Francis)</s1>
</fA11>
<fA14 i1="01"><s1>Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades, Department of Pediatric Radiology</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Université Paris Descartes, Faculté de Médecine Necker-Enfants Malades</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Department of Medicine, University of Sydney</s1>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
</fA14>
<fA20><s1>595-599</s1>
</fA20>
<fA21><s1>2009</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>18731</s2>
<s5>354000187985390290</s5>
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<fA44><s0>0000</s0>
<s1>© 2009 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>20 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>09-0319382</s0>
</fA47>
<fA60><s1>P</s1>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>European journal of radiology</s0>
</fA64>
<fA66 i1="01"><s0>IRL</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Background: Management of congenital pulmonary vein stenosis is a diagnostic challenge. Echocardiography may be insufficient and thus cardiac catheterization remains the reference standard in this setting. The aim of the study was to investigate the accuracy of cardiac-non-gated CT using 64-slice technology in detecting congenital pulmonary vein stenosis in children. Materials and methods: CT examinations were consecutively performed from May 2005 to December 2006 in 13 children aged 1.5-12 months (median 5 months) for suspected congenital pulmonary vein stenosis. Cardiac-non-gated CT acquisitions were performed after the peripheral injection of contrast agent. Pulmonary veins were evaluated for their pattern of connectivity from the lung to the left atrium and for the presence of stenosis. CT findings of pulmonary vein stenosis were compared with combined findings available from echocardiography, catheterization and surgery. Results: Pulmonary veins from the right lung (n=29) and left lung (n=26) were evaluated as separate structures (N=55). Of the 55 structures, 32 had surgical and/or catheterization data and 45 had echocardiography for comparison. CT visualized 100% (55/55) of the investigated structures, while echocardiography visualized 82% (45/55). In the 13 subjects CT identified 10 stenotic pulmonary veins. CT confirmed the echocardiography suspicion of pulmonary vein stenosis in 100% (7/7) and established a new diagnosis in 3 other patients. CT agreed with surgery/catheterization in 100% (10/10) of the available comparisons. Conclusion: Cardiac-non-gated CT assessed the pulmonary veins more completely than echocardiography and should be considered as a viable alternative for invasive pulmonary venography for detecting pulmonary vein stenosis in children.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B24</s0>
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<fC03 i1="01" i2="X" l="FRE"><s0>Sténose des veines</s0>
<s2>NM</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Vein stenosis</s0>
<s2>NM</s2>
<s5>01</s5>
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<s5>01</s5>
</fC03>
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<s2>NM</s2>
<s5>02</s5>
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<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Cardiopathía congénita</s0>
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<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Méthode non invasive</s0>
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<fC03 i1="06" i2="X" l="SPA"><s0>Estenosis pulmonar</s0>
<s5>08</s5>
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<fC03 i1="07" i2="X" l="FRE"><s0>Veine pulmonaire</s0>
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Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology

Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technology

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