Recent advances in multimodal imaging in tetralogy of fallot and double outlet right ventricle

Aakansha Ajay Vir Singh; Shi-Joon Yoo; Mike Seed; Christopher Z Lam; Israel Valverde

doi:10.1097/HCO.0000000000001154

Recent advances in multimodal imaging in tetralogy of fallot and double outlet right ventricle

Curr Opin Cardiol. 2024 Apr 17. doi: 10.1097/HCO.0000000000001154. Online ahead of print.

Authors

Aakansha Ajay Vir Singh¹, Shi-Joon Yoo², Mike Seed³, Christopher Z Lam⁴, Israel Valverde⁵

Affiliations

¹ The Hospital for Sick Children, University of Toronto.
² Division of Cardiac Imaging, Department of Diagnostic Imaging, The Hospital for Professor of Medical Imaging and Paediatrics at the University of Toronto.
³ Division of Cardiology, The Hospital for Sick Children, Professor of Paediatrics at the University of Toronto.
⁴ General Radiology, Department of Diagnostic Imaging, Assistant Professor of Medical Imaging at the University of Toronto.
⁵ The Hospital for Sick Children, Director of 3D Modeling & Printing Program- Cardiology, Associate Professor of Paediatrics at the University of Toronto, Toronto, Canada.

PMID: 38652290
DOI: 10.1097/HCO.0000000000001154

Abstract

Purpose of review: In the ever-evolving field of medical imaging, this review highlights significant advancements in preoperative and postoperative imaging for Tetralogy of Fallot (TOF) and double outlet right ventricle (DORV) over the past 18 months.

Recent findings: This review showcases innovations in echocardiography such as 3D speckle tracking echocardiography (3DSTE) for assessing right ventricle-pulmonary artery coupling (RVPAC) and Doppler velocity reconstruction (DoVeR) for intracardiac flow fields evaluation. Furthermore, advances in assessment of cardiovascular anatomy using computed tomography (CT) improve the integration of imaging in ablation procedures. Additionally, the inclusion of cardiac magnetic resonance (CMR) parameters as risk score predictors for morbidity, and mortality and for timing of pulmonary valve replacement (PVR) indicates its significance in clinical management. The utilization of 4D flow techniques for postoperative hemodynamic assessment promises new insights into pressure mapping. Lastly, emerging technologies such as 3D printing and 3D virtual reality are expected to improve image quality and surgical confidence in preoperative planning.

Summary: Developments in multimodality imaging in TOF and DORV are poised to shape the future of clinical practice in this field.