The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics

Nour Tawheed; Amr Mohamed El-Badry; Suzan Elhefnawy; Basma Samir Eldeeb

doi:doi:10.11648/j.ijmi.20210901.11

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The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics

Nour Tawheed, Amr Mohamed El-Badry, Suzan Elhefnawy, Basma Samir Eldeeb

Published in International Journal of Medical Imaging (Volume 9, Issue 1)

Received: 15 December 2020 Accepted: 28 December 2020 Published: 4 January 2021

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Abstract

Congenital pulmonary arteries anomalies included a wide-ranged spectrum of pathology that is usually associated with other congenital heart diseases. These anomalies can be classified into several major categories, which show considerable overlap among those categories. The aim of this study is to evaluate the role of multi-slice computed tomography (MSCT) angiography in assessment of pulmonary arteries anomalies. This study included 76 patients (42 males and 34 females) with male to female ratio 55.2% to 44.7%. The age of the patients ranged from 4 days to 15 years. The studied cases for pulmonary arteries anomalies were subclassified to anomalies of the caliber, origin and development (conotruncal anomalies). We compared MSCT findings with the data collected by cardiac catheterization and/or operation in 38 patients. 320-MSCT diagnosed cases of pulmonary arterial anomalies with 99% sensitivity, 99.8% specificity, 99% PPV, 99.8% NPV and 93.4% accuracy. This study concluded that MSCT is a non-invasive imaging modality that has a significant value in the evaluation of the congenital pulmonary arteries anomalies and its associated extracardiac anomalies in pediatric patients as well as assessment of post-operative complications. It is superior to ECHO in evaluating the pulmonary artery anomalies specially the pulmonary artery branches which are obscured by aerated lung. Also, there is good outcome of the cases owing to early and accurate diagnosis of the cases and post-operative follow up.

Published in	International Journal of Medical Imaging (Volume 9, Issue 1)
DOI	10.11648/j.ijmi.20210901.11
Page(s)	1-15
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

320-MSCT, Pulmonary Artery, Congenital Pulmonary Arteries Anomalies, Congenital Heart Diseases, and Retrospective ECG Gated MSCT

References

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APA Style

Nour Tawheed, Amr Mohamed El-Badry, Suzan Elhefnawy, Basma Samir Eldeeb. (2021). The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics. International Journal of Medical Imaging, 9(1), 1-15. https://doi.org/10.11648/j.ijmi.20210901.11

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ACS Style

Nour Tawheed; Amr Mohamed El-Badry; Suzan Elhefnawy; Basma Samir Eldeeb. The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics. Int. J. Med. Imaging 2021, 9(1), 1-15. doi: 10.11648/j.ijmi.20210901.11

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AMA Style

Nour Tawheed, Amr Mohamed El-Badry, Suzan Elhefnawy, Basma Samir Eldeeb. The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics. Int J Med Imaging. 2021;9(1):1-15. doi: 10.11648/j.ijmi.20210901.11

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@article{10.11648/j.ijmi.20210901.11,
  author = {Nour Tawheed and Amr Mohamed El-Badry and Suzan Elhefnawy and Basma Samir Eldeeb},
  title = {The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics},
  journal = {International Journal of Medical Imaging},
  volume = {9},
  number = {1},
  pages = {1-15},
  doi = {10.11648/j.ijmi.20210901.11},
  url = {https://doi.org/10.11648/j.ijmi.20210901.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20210901.11},
  abstract = {Congenital pulmonary arteries anomalies included a wide-ranged spectrum of pathology that is usually associated with other congenital heart diseases. These anomalies can be classified into several major categories, which show considerable overlap among those categories. The aim of this study is to evaluate the role of multi-slice computed tomography (MSCT) angiography in assessment of pulmonary arteries anomalies. This study included 76 patients (42 males and 34 females) with male to female ratio 55.2% to 44.7%. The age of the patients ranged from 4 days to 15 years. The studied cases for pulmonary arteries anomalies were subclassified to anomalies of the caliber, origin and development (conotruncal anomalies). We compared MSCT findings with the data collected by cardiac catheterization and/or operation in 38 patients. 320-MSCT diagnosed cases of pulmonary arterial anomalies with 99% sensitivity, 99.8% specificity, 99% PPV, 99.8% NPV and 93.4% accuracy. This study concluded that MSCT is a non-invasive imaging modality that has a significant value in the evaluation of the congenital pulmonary arteries anomalies and its associated extracardiac anomalies in pediatric patients as well as assessment of post-operative complications. It is superior to ECHO in evaluating the pulmonary artery anomalies specially the pulmonary artery branches which are obscured by aerated lung. Also, there is good outcome of the cases owing to early and accurate diagnosis of the cases and post-operative follow up.},
 year = {2021}
}

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TY - JOUR
T1 - The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics
AU - Nour Tawheed
AU - Amr Mohamed El-Badry
AU - Suzan Elhefnawy
AU - Basma Samir Eldeeb
Y1 - 2021/01/04
PY - 2021
N1 - https://doi.org/10.11648/j.ijmi.20210901.11
DO - 10.11648/j.ijmi.20210901.11
T2 - International Journal of Medical Imaging
JF - International Journal of Medical Imaging
JO - International Journal of Medical Imaging
SP - 1
EP - 15
PB - Science Publishing Group
SN - 2330-832X
UR - https://doi.org/10.11648/j.ijmi.20210901.11
AB - Congenital pulmonary arteries anomalies included a wide-ranged spectrum of pathology that is usually associated with other congenital heart diseases. These anomalies can be classified into several major categories, which show considerable overlap among those categories. The aim of this study is to evaluate the role of multi-slice computed tomography (MSCT) angiography in assessment of pulmonary arteries anomalies. This study included 76 patients (42 males and 34 females) with male to female ratio 55.2% to 44.7%. The age of the patients ranged from 4 days to 15 years. The studied cases for pulmonary arteries anomalies were subclassified to anomalies of the caliber, origin and development (conotruncal anomalies). We compared MSCT findings with the data collected by cardiac catheterization and/or operation in 38 patients. 320-MSCT diagnosed cases of pulmonary arterial anomalies with 99% sensitivity, 99.8% specificity, 99% PPV, 99.8% NPV and 93.4% accuracy. This study concluded that MSCT is a non-invasive imaging modality that has a significant value in the evaluation of the congenital pulmonary arteries anomalies and its associated extracardiac anomalies in pediatric patients as well as assessment of post-operative complications. It is superior to ECHO in evaluating the pulmonary artery anomalies specially the pulmonary artery branches which are obscured by aerated lung. Also, there is good outcome of the cases owing to early and accurate diagnosis of the cases and post-operative follow up.
VL - 9
IS - 1
ER -

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Author Information

Nour Tawheed

Department of Radiology, Faculty of Medicine, Tanta University, Tanta, Egypt
Amr Mohamed El-Badry

Department of Radiology, Faculty of Medicine, Tanta University, Tanta, Egypt
Suzan Elhefnawy

Department of Cardiology, Faculty of Medicine, Tanta University, Tanta, Egypt
Basma Samir Eldeeb

Department of Radiology, Faculty of Medicine, Tanta University, Tanta, Egypt

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APA Style

Nour Tawheed, Amr Mohamed El-Badry, Suzan Elhefnawy, Basma Samir Eldeeb. (2021). The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics. International Journal of Medical Imaging, 9(1), 1-15. https://doi.org/10.11648/j.ijmi.20210901.11

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ACS Style

Nour Tawheed; Amr Mohamed El-Badry; Suzan Elhefnawy; Basma Samir Eldeeb. The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics. Int. J. Med. Imaging 2021, 9(1), 1-15. doi: 10.11648/j.ijmi.20210901.11

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AMA Style

Nour Tawheed, Amr Mohamed El-Badry, Suzan Elhefnawy, Basma Samir Eldeeb. The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics. Int J Med Imaging. 2021;9(1):1-15. doi: 10.11648/j.ijmi.20210901.11

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@article{10.11648/j.ijmi.20210901.11,
  author = {Nour Tawheed and Amr Mohamed El-Badry and Suzan Elhefnawy and Basma Samir Eldeeb},
  title = {The Application of Retrospective ECG Gated 320-MSCT Angiography in Diagnosis of Congenital Pulmonary Arterial Anomalies in Pediatrics},
  journal = {International Journal of Medical Imaging},
  volume = {9},
  number = {1},
  pages = {1-15},
  doi = {10.11648/j.ijmi.20210901.11},
  url = {https://doi.org/10.11648/j.ijmi.20210901.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20210901.11},
  abstract = {Congenital pulmonary arteries anomalies included a wide-ranged spectrum of pathology that is usually associated with other congenital heart diseases. These anomalies can be classified into several major categories, which show considerable overlap among those categories. The aim of this study is to evaluate the role of multi-slice computed tomography (MSCT) angiography in assessment of pulmonary arteries anomalies. This study included 76 patients (42 males and 34 females) with male to female ratio 55.2% to 44.7%. The age of the patients ranged from 4 days to 15 years. The studied cases for pulmonary arteries anomalies were subclassified to anomalies of the caliber, origin and development (conotruncal anomalies). We compared MSCT findings with the data collected by cardiac catheterization and/or operation in 38 patients. 320-MSCT diagnosed cases of pulmonary arterial anomalies with 99% sensitivity, 99.8% specificity, 99% PPV, 99.8% NPV and 93.4% accuracy. This study concluded that MSCT is a non-invasive imaging modality that has a significant value in the evaluation of the congenital pulmonary arteries anomalies and its associated extracardiac anomalies in pediatric patients as well as assessment of post-operative complications. It is superior to ECHO in evaluating the pulmonary artery anomalies specially the pulmonary artery branches which are obscured by aerated lung. Also, there is good outcome of the cases owing to early and accurate diagnosis of the cases and post-operative follow up.},
 year = {2021}
}

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