caa a22 4500 445824832 CHVBK 20180317145256.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00246-010-9871-x doi (NATIONALLICENCE)springer-10.1007/s00246-010-9871-x Utility of Free-Breathing, Whole-Heart, Three-Dimensional Magnetic Resonance Imaging in the Assessment of Coronary Anatomy for Congenital Heart Disease [Elektronische Daten] [Prabhakar Rajiah, Randolph Setser, Milind Desai, Scott Flamm, Janine Arruda] The incidence of coronary anomalies is increased in congenital heart disease (CHD). Whole-heart magnetic resonance imaging (MRI) has been proposed as a robust approach to coronary artery imaging without ionizing radiation. The proximal coronary arteries were imaged in 112 CHD patients (63 males) age 17±13years (range 11days-68years) using a navigator-gated, whole-heart, three-dimensional (3D) technique at 1.5T. Two observers assessed image quality overall and for left anterior descending coronary artery (LAD), left circumflex coronary artery (LCX), and right coronary artery (RCA) using a 5-point scale ranging from 0 (not visible) to 4 (clear margins). Weighted kappa was used to assess interobserver agreement. Coronary artery origins were visible in 99% of the patients. The left main origin was not visualized in one patient, although the LAD, LCX, and RCA were visualized. Eight patients (7%) had anomalies. The overall image quality was 3.3±0.8 for reader 1 and 3.1±1.0 for reader 2. Age had a significant effect on image quality, with younger patients having lower scores. Agreement between readers was moderate (overall kappa, 0.60). Free-breathing, navigator-gated, whole-heart 3D MRI is a useful, robust, and reliable noninvasive technique for assessing coronary artery origins and their proximal course with diagnostic quality in CHD patients. Springer Science+Business Media, LLC, 2010 Anomalous coronary arteries nationallicence Congenital heart disease nationallicence Magnetic resonance imaging nationallicence Rajiah Prabhakar Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut Setser Randolph Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut Desai Milind Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut Flamm Scott Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut Arruda Janine Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut Pediatric Cardiology Springer-Verlag 32/4(2011-04-01), 418-425 0172-0643 32:4<418 2011 32 246 https://doi.org/10.1007/s00246-010-9871-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-010-9871-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rajiah Prabhakar Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Setser Randolph Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Desai Milind Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Flamm Scott Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut NATIONALLICENCE 700 1- Arruda Janine Cardiovascular Imaging Laboratory, Imaging Institute, Cleveland Clinic, 9500 Euclid Avenue, 44195, Cleveland, OH, USA aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/4(2011-04-01), 418-425 0172-0643 32:4<418 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer