Peds/CHD Pre-Conference Course 02 - Basic Pediatric & CHD CMR Applications-Coronary imaging: Abnormal origins and Kawasaki disease

Coronary imaging: Abnormal origins and Kawasaki disease

Video Transcription

Video Summary

The talk reviews imaging options for coronary abnormalities and Kawasaki disease, emphasizing pediatric cardiac MRI. Ultrasound remains first-line, while CMR is preferred when echocardiography is limited and CT is increasingly useful. It explains technical challenges in CMR, including respiratory and cardiac motion, small vessel imaging, and variable patient size and age. Standard methods include navigator gating, ECG-triggering, 3D coronary MRA, stress perfusion, and late gadolinium enhancement. The speaker highlights CMR’s ability to assess coronary origins, intramural courses, vessel wall inflammation, perfusion defects, and myocardial damage, and notes promising future advances such as contrast agents and multiparametric single-scan imaging.

Keywords

coronary abnormalities

Kawasaki disease

pediatric cardiac MRI

echocardiography

3D coronary MRA