Cardiac computed tomography angiography in the paediatric population: Expert consensus from the Filiale de cardiologie pédiatrique et congénitale (FCPC) and the Société française d'imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV)

Arch Cardiovasc Dis. 2020 Aug-Sep;113(8-9):579-586. doi: 10.1016/j.acvd.2020.03.016. Epub 2020 Jun 7.

Abstract

This paper aims to provide a paediatric cardiac computed tomography angiography expert panel consensus based on the opinions of experts from the Société française d'imagerie cardiaque et vasculaire diagnostique et interventionnelle (SFICV) and the Filiale de cardiologie pédiatrique congénitale (FCPC). This expert panel consensus includes recommendations for indications, patient preparation, computed tomography angiography radiation dose reduction techniques and postprocessing techniques. We think that to realize its full potential and to avoid pitfalls, cardiac computed tomography angiography in children with congenital heart disease requires training and experience. Moreover, paediatric cardiac computed tomography angiography protocols should be standardized to acquire optimal images in this population with the lowest radiation dose possible, to prevent unnecessary radiation exposure. We also provide a suggested structured report and a list of acquisition protocols and technical parameters in relation to specific vendors.

Keywords: Acquisition protocols; Cardiac computed tomography scan; Cardiopathies congénitales; Congenital heart disease; Dose d’irradiation; Protocoles d’acquisition; Radiation dose; TDM cardiaque.

Publication types

  • Practice Guideline

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Computed Tomography Angiography / adverse effects
  • Computed Tomography Angiography / standards*
  • Consensus
  • Coronary Angiography / adverse effects
  • Coronary Angiography / standards*
  • Coronary Vessels / diagnostic imaging*
  • Heart Defects, Congenital / diagnostic imaging*
  • Heart Defects, Congenital / therapy
  • Humans
  • Infant
  • Infant, Newborn
  • Predictive Value of Tests
  • Prognosis
  • Radiation Dosage
  • Radiation Exposure / adverse effects
  • Reproducibility of Results
  • Risk Assessment
  • Risk Factors