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Proceedings Paper

Evaluation of ventricular geometry and performance in congenital heart disease utilizing magnetic resonance imaging
Author(s): Mark A. Fogel
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Paper Abstract

We have recently embarked on a systematic evaluation of the regional and global mechanical processes of the systemic, morphologic right ventricle (RV) which is in either a single or dual chambered circulation as well as single left ventricles (LV). An MRI tagging technique which lays down 2 sets of parallel stripes perpendicular to each other on the myocardium as well as standard cine MRI were utilized. Finite strain analysis was applied to the grid lines to derive principle strains and the motion of the intersection points were tracked through systole to determine regional radial shortening and twist. Cine sequences were used to derive the various parameters of ventricular geometry and performance as well as visualizing flow profiles in the aorta. We noted a marked decrease in vol, EF, and CO in the Fontan group of patients when compared to other surgical subgroups. It is hypothesized that atrial stiffening by surgical placement of baffles may contribute to the observed changes in ventricular mechanics. Aortic flow profiles in the reconstructed aorta were noted to be heterogenous across the aortic diameter.

Paper Details

Date Published: 1 May 1994
PDF: 23 pages
Proc. SPIE 2168, Medical Imaging 1994: Physiology and Function from Multidimensional Images, (1 May 1994); doi: 10.1117/12.174393
Show Author Affiliations
Mark A. Fogel, Children's Hospital of Philadelphia (United States)

Published in SPIE Proceedings Vol. 2168:
Medical Imaging 1994: Physiology and Function from Multidimensional Images
Eric A. Hoffman; Raj S. Acharya, Editor(s)

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