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Table 10 Pulmonary hypertension

From: SCMR expert consensus statement for cardiovascular magnetic resonance of acquired and non-structural pediatric heart disease

Sequence

Imaging plane

Indication

Standard imaging

 Cine bSSFP

Axial, vertical, and horizontal long axes of the RV

RV volumes, mass, and EF

Assessment of pulmonary artery anatomy and pulsatility

Short-axis stack

LV volumes, mass, and EF

RV volumes, mass, and EF

 Phase contrast flow

Ascending aorta, main pulmonary artery, and branch pulmonary arteries

Pulmonary regurgitation

Differential pulmonary blood flow

Qp:Qs measurement in context of a suspected shunt

Additional case-specific or comprehensive imaging

 Phase contrast flow

Pulmonary veins

Aortopulmonary collateral flow measurement

 Magnetic resonance contrast angiography

3D volume

Indicated as part of first study

Pulmonary artery anatomy

Pulmonary vein anatomy

 Late gadolinium enhancement

Short-axis stack

LV long-axis views

RV-specific views

Myocardial scarring

 3D bSSFP imaging

3D volume

Intracardiac anatomy

 4D flow imaging

Pulmonary arteries

RV inflow

Assessment of pulmonary arterial pressures

Wall shear stress

RV diastolic function

  1. 3D three-dimensional, 4D four-dimensional, EF ejection fraction, LV left ventricular, RV right ventricular, bSSFP balanced steady state free precession