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1.5T Pediatric Cardiac: Coarctation (children 8-30 kg)

Dr. Beerbaum, Philipp Bad Oeynhausen, Heart and Diabetes Center
K├Ârperich, Hermann Bad Oeynhausen, Heart and Diabetes Center

1.5T Master class Pediatric Cardiac RU Bochum: C - Coarctation

Login is required to download ExamCards.

ExamCard purpose

ExamCard intended for use in sedated children in combination with the SENSE Cardiac coil.
Purpose of the ExamCard is to assess aortic arch and isthmus, including high resolution imaging of vessel wall (to detect possible circumscript stenosis, aneurysms or dissection), diagnosis of collateral arteries and persistent ductus if present.

All scans are adapted for high (100 beats/min) cardiac frequencies.

ExamCard overview

Scan 1Surv 3x1
Scan 2Ref Syn-Cardiac : uses 8 NSA because no breathhold is possible
Scan 3Surv cor-sag : plan scan using single phase TFE with high TFE factor
Scan 4Inflow PE-no : gives nice pulmonary and systemic venous anatomy, as well as deliniation of atrial septum.
Scan 5Surv 2ch: plan 2 slices: 2chamber LA-LV and perpendicular to this plane and the ventricular septum.
Scan 6TSE-rt axial: respiratory-gated TSE (mixed weighting) with high in-plane resolution.
Scan 7TSE-rt sag: respiratory-gated TSE (mixed weighting) with high in-plane resolution.
Scan 8TFE sag 3sl: Cine-TFE with 3 overlapping slices to help detect turbulent flow and vessel dynamics.
Scan 9TSE-rt cor: respiratory-gated TSE (mixed weighting) with high in-plane resolution.
Scan 10TFE cor 3sl: Cine-TFE with 3 overlapping slices to help detect turbulent flow and vessel dynamics.
Scan 11VFx 4ch 5sl: Cine-TFE with 5 overlapping slices to help detect LV hypertrophy and assess AV valve function.
Scan 12VFx SA 12sl: optional scan, only necessary if ventricular function in 4-chamber view was impaired or LV hypertrophy needs quantification.

ExamCard images

 A: TSE-rt sag B: TSE-rt cor
A: TSE-rt sag
B: TSE-rt cor


  Free-breathing respiratory triggered, TSE sequences used in multiple angulations to

  delineate coarctation. Sagittal view (A) and coronal view (B) displaying coartation (arrow).


  ISTA = aortic isthmus

Patient preparation

Safety precautions

Follow institutional and regulatory requirements and guidelines for sedation and conduct under the supervision of a physician qualified to anesthetize or sedate pediatric patients.


Patient positioning

  • Supine
  • Head first
  • SENSE Cardiac coil
  • Respiratory belt

Related reading:

Clinicians at Clinic for Congenital Heart Disease, Heart and Diabetes Center, Ruhr- University Bochum (Bad Oeynhausen, Germany) are developing Master Class ExamCards to cover 80% of pediatric heart scans encountered daily in cardiac imaging centers.

Click the link below to read more.

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Jan 18, 2006

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Achieva 1.5T, Intera 1.5T
Release 1, Release 10, Release 11, Release 8, Release 9
Aorta, Cardiac, Cardiac Morphology, Function Cine, Pediatric

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