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Congenital Heart Disease Imaging in Adults

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101. White Matter Microstructure and Cognition in Adolescents with Congenital Heart Disease. (PubMed)

White Matter Microstructure and Cognition in Adolescents with Congenital Heart Disease. To describe the relationship between altered white matter microstructure and neurodevelopment in children with dextro-transposition of the great arteries (d-TGA).We report correlations between regional white matter microstructure as measured by fractional anisotropy (FA) and cognitive outcome in a homogeneous group of adolescents with d-TGA. Subjects with d-TGA (n = 49) and controls (n = 29) underwent (...) diffusion tensor imaging and neurocognitive testing. In the group with d-TGA, we correlated neurocognitive scores with FA in 14 composite regions of interest in which subjects with d-TGA had lower FA than controls.Among the patients with d-TGA, mathematics achievement correlated with left parietal FA (r = 0.39; P = .006), inattention/hyperactivity symptoms correlated with right precentral FA (r = -0.39; P = .006) and left parietal FA (r = -0.30; P = .04), executive function correlated with right

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2014 Journal of Pediatrics

102. Oncologic imaging

Health. All Rights Reserved. 3 Pancreatic Cancer 72 Paraneoplastic Syndrome 74 Penile, Vaginal, and Vulvar Cancers 75 Prostate Cancer 77 Sarcoma of Bone and Soft Tissue 80 Thoracic Cancers – Pleura, Thymus, Heart and Mediastinum 83 Thyroid Cancer 85 Uterine Cancer 88 Codes 91 History 93 Oncologic Imaging Copyright © 2019. AIM Specialty Health. All Rights Reserved. 4 Description and Application of the Guidelines The AIM Clinical Appropriateness Guidelines (hereinafter “the AIM Clinical Appropriateness (...) gastrointestinal indications or congenital spinal anomalies Repeated Imaging In general, repeated imaging of the same anatomic area should be limited to evaluation following an intervention, or when there is a change in clinical status such that imaging is required to determine next steps in management. At times, repeated imaging done with different techniques or contrast regimens may be necessary to clarify a finding seen on the original study. Repeated imaging of the same anatomic area (with same or similar

2019 AIM Specialty Health

103. Vascular imaging

– intracranial 14 Vertebrobasilar aneurysm or dissection 15 Vertebrobasilar stenosis or occlusion 15 Chest 15 Vascular Imaging Copyright © 2019. AIM Specialty Health. All Rights Reserved. 3 Aortic aneurysm or dissection 15 Atheromatous disease (Adult only) 16 Pulmonary embolism 16 Other vascular indications – chest 18 Abdomen and Pelvis 18 Aneurysm of the abdominal aorta 18 Aneurysm of the iliac vessels 19 Arteriovenous malformation or fistula 20 Dissection of the abdominal aorta or branch vessel 20 Hematoma (...) or MRA neck Vertebrobasilar stenosis or occlusion Advanced imaging is considered medically necessary for evaluation when the results of imaging will impact management. IMAGING STUDY - CTA or MRA neck Chest Aortic aneurysm or dissection Advanced imaging is considered medically necessary in ANY of the following scenarios: ADULT ? Suspected aortic aneurysm or dissection ? Evaluation for disease progression based on signs or symptoms ? Preoperative planning for aneurysm or dissection repair ? Following

2019 AIM Specialty Health

104. Chest imaging

effectively evaluate the most common causes of recurrent focal airspace disease, including foreign bodies, mucous plugging, and other intraluminal obstructions. However, practice consensus is that CT may be indicated when bronchoscopy is inconclusive. Recurrent pneumonia in the same area is likely due to underlying structural disease—primarily right middle lobe syndrome (airway disease of uncertain pathophysiology) (61%) and congenital lung malformations (21%); diagnostic imaging involving bronchoscopy (...) Imaging of the Chest Copyright © 2019. AIM Specialty Health. All Rights Reserved. 14 Parenchymal Lung Disease – not otherwise specified Asbestos-related lesions involving the lungs and pleura (Adult only) Advanced imaging is considered medically necessary for diagnosis and management when the results of imaging will impact treatment decisions. Note: Asbestos exposure may also manifest in nonmalignant pulmonary conditions including interstitial lung disease, pleural effusion, or pleural plaques

2019 AIM Specialty Health

105. Appropriate Use Criteria: Imaging of the Brain

under 5 months of age Rationale Congenital anomalies of the central nervous system can be classified 2 into disorders of dorsal/ventral induction such as myelomeningocele, holoprosencephaly, Dandy-Walker variant, or craniosynostosis, disorders of neural proliferation such as microcephaly and megalencephaly, disorders of neuronal migration such as schizencephaly and cortical heterotopias, and disorders of myelination such as adrenoleukodystrophy and Canavan disease. There are characteristic imaging (...) sensitive than ultrasound and is usually the primary modality of choice when indicated to direct management. 49 Dementia (Adult only) Advanced imaging is considered medically necessary in EITHER of the following scenarios: ? Initial evaluation to exclude a secondary cause of symptoms ? Evaluation of rapidly progressive symptoms IMAGING STUDY - MRI brain - CT brain (when MRI contraindicated) A one-time FDG-PET scan for differentiating between frontotemporal dementia and Alzheimer’s disease is considered

2019 AIM Specialty Health

106. ACR–ASNR–SPR Practice Parameter for the Performance and Interpretation of Magnetic Resonance Imaging (MRI) of the Brain

. Vascular a. Acute ischemia and infarction [9-13]. b. Chronic vascular disease [14-16]. c. Vascular malformations such as developmental venous anomaly, cavernous angioma, arteriovenous malformation, arteriovenous fistulas and aneurysm [17-20]. d. Arterial or venous/dural venous sinus abnormalities, including congenital and acquired disorders and thrombosis [21,22]. e. Additionally, magnetic resonance angiography (MRA) may provide more detailed noninvasive vascular information. (See the ACR–ASNR–SNIS–SPR (...) ). (Alternatively one postcontrast series could be obtained using a T1-weighted volumetric acquisition). Postcontrast FLAIR images may add value in the assessment of leptomenigeal disease [113]. With the advent of high-performance gradient coil assemblies and amplifiers and other technical enhancements, advanced imaging applications are also an option when the appropriate hardware and software exist. Improvements in the receiver and data acquisition systems also allow for more rapid imaging. Higher-field

2019 American Society of Neuroradiology

107. Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions—Part II: Recommendations.

management of anticoagulation in patients with nonvalvular atrial fibrillation: a report of the American College of Cardiology Clinical Expert Consensus Document Task Force. J Am Coll Cardiol . 2017 ; 69 : 871–898 , x 4 Raval, A.N., Cigarroa, J.E., Chung, M.K. et al. American Heart Association Clinical Pharmacology Subcommittee of the Acute Cardiac Care and General Cardiology Committee of the Council on Clinical Cardiology; Council on Cardiovascular Disease in the Young; and Council on Quality of Care (...) Kearon, C., Akl, E.A., Ornelas, J. et al. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. Chest . 2016 ; 149 : 315–352 , x 9 Lip, G.Y.H., Banerjee, A., Boriani, G. et al. Antithrombotic therapy for atrial fibrillation: CHEST guideline and expert panel report. Chest . 2018 ; 154 : 1121–1201 , x 10 Nishimura, R.A., Otto, C.M., Bonow, R.O. et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report

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2019 Society of Interventional Radiology

108. ACR–ASNR Practice Parameter for the Performance of Non-Breast Magnetic Resonance Imaging (MRI) Guided Procedures

, Truwit CL. Intraoperative MR-guided neurosurgery. J Magn Reson Imaging 2008;27:368-375. 50. Lewin JS, Nour SG, Meyers ML, et al. Intraoperative MRI with a rotating, tiltable surgical table: a time use study and clinical results in 122 patients. AJR 2007;189:1096-1103. 51. Razavi R, Hill DL, Keevil SF, et al. Cardiac catheterisation guided by MRI in children and adults with congenital heart disease. Lancet 2003;362:1877-1882. 52. Nazarian S, Kolandaivelu A, Zviman MM, et al. Feasibility of real-time (...) . 4. Catheter-based procedures Using passive or active tracking techniques, catheter and/or guidewire navigation can be performed in the cardiovascular system in near-real-time to achieve better soft tissue visualization and to obtain more pertinent physiological information compared to conventional X-ray fluoroscopic techniques. Preliminary clinical data demonstrate the safety and feasibility of MRI guidance for diagnostic cardiac catheterization in patients with congenital heart disease

2019 American Society of Neuroradiology

109. ACR–ASNR–SPR Practice Parameter for the Performance of Magnetic Resonance Imaging (MRI) of the Head and Neck

of Radiology (ACR), the American Society of Neuroradiology (ASNR), and the Society for Pediatric Radiology (SPR). Magnetic resonance imaging (MRI) of the head and neck is a proven and useful tool for the diagnosis, evaluation, and follow-up of diseases of the head and neck. Head and neck MRI should be performed only for a valid medical reason. The choice of MRI over ultrasound and computed tomography (CT) for assessing a head and neck lesion requires assessment of the suitability of MRI for each individual (...) scanning may be a better choice than MRI. In certain clinical scenarios, such as skull-base neoplasia, both MRI and CT may be required to address all clinical and management issues and provide the best lesion characterization. In the pediatric population, the majority of neck masses are benign and are congenital/developmental, acquired inflammatory or of vascular origin. After detailed physical examination, imaging evaluation should usually begin with conventional and color Doppler ultrasound because

2019 American Society of Neuroradiology

110. ACR–ASNR–SPR Practice Parameter for the Performance of Intracranial Magnetic Resonance Perfusion Imaging

in pediatric patients, especially in neonates, given the theoretical advantage in SNR due to higher velocities of flow in children and because GBCA administration is not required. Special considerations in interpreting perfusion studies in infants and young children include congenital heart disease involving right to left shunts, age-related changes in flow velocity, and sickle cell anemia in which flow velocity is typically elevated. The use of rCBV has limited application in pediatric brain tumors due (...) of Radiology (ACR), the American Society of Neuroradiology (ASNR), and the Society for Pediatric Radiology (SPR). Magnetic resonance perfusion imaging is a proven and useful tool for the evaluation, assessment of severity, and follow-up of diseases of the central nervous system. It can be performed with contrast administration using dynamic susceptibility contrast (DSC) or dynamic contrast enhancement (DCE) techniques or without contrast administration using arterial spin-labeling (ASL) techniques. II

2019 American Society of Neuroradiology

111. NICOM in Pregnant Women With Heart Disease

using the NICOM against echocardiography for use in structurally normal and abnormal pregnant hearts in order to better drive goal-directed (specifically delivery mode) therapy through continuous hemodynamic monitoring during the second and third stages of labor, and 24 hours postpartum. Condition or disease Intervention/treatment Heart Diseases in Pregnancy Congenital Heart Disease in Pregnancy Diagnostic Test: NICOM (non-invasive cardiac output monitor) Study Design Go to Layout table for study (...) Years and older (Adult, Older Adult) Sexes Eligible for Study: Female Gender Based Eligibility: Yes Gender Eligibility Description: pregnant women. Accepts Healthy Volunteers: Yes Sampling Method: Non-Probability Sample Study Population Both healthy pregnant women and pregnant women with a history of heart disease will be recruited to participate in our observational, non-inferiority trial comparing the cardiac output measurements obtained by two different modalities. Women in their first trimester

2018 Clinical Trials

112. Post-interventional three-dimensional dark blood MRI in the adult with congenital heart disease. (PubMed)

Post-interventional three-dimensional dark blood MRI in the adult with congenital heart disease. Investigate a novel three-dimensional (3D) turbo spin echo (TSE) magnetic resonance imaging (MRI) sequence to assess stented segments in adults with congenital heart disease (CHD) after transcatheter intervention.Adults with CHD referred for computed tomography (CT) after transcatheter intervention underwent MR exam with a 3D respiratory gated TSE sequence. Data obtained at the time of the study

2012 International journal of cardiology

113. Valvular Heart Disease

entities having participated in the development of this document: Associations: European Association of Echocardiography (EAE), European Association of Percutaneous Cardiovascular Interventions (EAPCI), Heart Failure Association (HFA) Working Groups: Acute Cardiac Care, Cardiovascular Surgery, Valvular Heart Disease, Thrombosis, Grown-up Congenital Heart Disease Councils: Cardiology Practice, Cardiovascular Imaging The content of these European Society of Cardiology (ESC) Guidelines has been published (...) seen at an older age and, as a consequence, there is a higher fre- quency of comorbidity, contributing to increased risk of interven- tion. 1,2 Another important aspect of contemporary VHD is the growing proportion of previously-operated patients who present with further problems. 1 Conversely, rheumatic valve disease still remains a major public health problem in developing countries, where it predominantly affects young adults. 3 When compared with other heart diseases, there are few trials

2012 European Society of Cardiology

114. Heart failure

ischemia and infarction, volume loading caused by cardiac lesions associated with congenital heart disease and valvular pathologies, and pressure loading 2018 9. Drugs That May Cause or Exacerbate Heart Failure Drugs That May Cause or Exacerbate Heart Failure | Circulation Search for this keyword Search Search for this keyword Search Header Publisher Menu AHA Scientific Statement Drugs That May Cause or Exacerbate Heart Failure A Scientific Statement From the American Heart Association Robert L. Page (...) Ponikowski (Chairperson) (Poland) * Corresponding authors: Piotr Ponikowski, Department of Heart Diseases, Wroclaw 2016 2. 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure : A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of Amer 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure : A Report of the American

2018 Trip Latest and Greatest

115. Rapid Flow Assessment of Congenital Heart Disease with High-Spatiotemporal-Resolution Gated Spiral Phase-Contrast MR Imaging. (PubMed)

Rapid Flow Assessment of Congenital Heart Disease with High-Spatiotemporal-Resolution Gated Spiral Phase-Contrast MR Imaging. To validate a prospectively triggered spiral phase-contrast magnetic resonance (MR) sequence accelerated with sensitivity encoding (SENSE) in a population of children and adults with congenital heart disease.The local research ethics committee approved this study, and written consent was obtained from all patients or guardians. Stroke volumes were quantified in 40 (...) patients (mean age ± standard deviation: 21.4 years ± 13.8, age range: 3.0-61.3 years; 22 male patients aged 3.0-38.0 years [mean age, 17.2 years ± 10.5], 18 female patients aged 4.7-61.3 years [mean age, 26.6 years ± 15.9]) with congenital heart disease in the aorta (n = 40), main pulmonary artery (n = 38), right pulmonary artery (n = 22), and left pulmonary artery (n = 24). Stroke volumes were obtained with (a) breath-hold spiral phase-contrast MR imaging with SENSE, (b) conventional breath-hold

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2011 Radiology

116. Diagnosis and Treatment of Lymphatic Plastic Bronchitis in Adults Using Advanced Lymphatic Imaging and Percutaneous Embolization. (PubMed)

with congenital heart disease.To use advanced lymphatic imaging techniques, including dynamic contrast-enhanced magnetic resonance (MR) lymphangiography (DCMRL) and intranodal lymphangiography, to investigate the mechanism of cast formation in adult patients with plastic bronchitis, and to evaluate the therapeutic outcome of percutaneous lymphatic embolization for these patients.Seven adults (male/female = 3/4, mean age = 50 yr) who presented with expectoration of branching bronchial casts were evaluated (...) Diagnosis and Treatment of Lymphatic Plastic Bronchitis in Adults Using Advanced Lymphatic Imaging and Percutaneous Embolization. Plastic bronchitis is a condition characterized by expectoration of branching bronchial casts. Although the mechanism of cast formation in adults with plastic bronchitis remains poorly understood, abnormal pulmonary lymphatic flow resulting in molding of congealing lymphatic fluids in the airway has been documented as a cause of the disease in children

2016 Annals of the American Thoracic Society

117. Appropriate Use Criteria: Imaging of the Head & Neck

. These include: ¾ Oncologic imaging – Considerations include the type of malignancy and the point along the care continuum at which imaging is requested ¾ Conditions which span multiple anatomic regions – Examples include certain gastrointestinal indications or congenital spinal anomalies Repeated Imaging In general, repeated imaging of the same anatomic area should be limited to evaluation following an intervention, or when there is a change in clinical status such that imaging is required to determine next (...) the guidelines for specific imaging exams is a determination that the following are true with respect to the imaging request: ? A clinical evaluation has been performed prior to the imaging request (which should include a complete history and physical exam and review of results from relevant laboratory studies, prior imaging and supplementary testing) to identify suspected or established diseases or conditions. ? For suspected diseases or conditions: ? Based on the clinical evaluation, there is a reasonable

2018 AIM Specialty Health

118. Appropriate Use Criteria: Imaging of the Chest

-52.e75. 26. Ghaye B, Szapiro D, Dacher JN, et al. Percutaneous ablation for atrial fibrillation: the role of cross-sectional imaging. Radiographics. 2003;23:S19-S33. 27. Gilkeson RC, Ciancibello L, Zahka K. Multidetector CT evaluation of congenital heart disease in pediatric and adult patients. AJR Am J Roentgenol. 2003;180(4):973-980. 28. Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL, Remy J. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008;246(3):697-722 (...) exams, particularly comparison studies There are certain clinical scenarios where simultaneous ordering of multiple imaging studies is consistent with current literature and/or standards of medical practice. These include: ¾ Oncologic imaging – Considerations include the type of malignancy and the point along the care continuum at which imaging is requested ¾ Conditions which span multiple anatomic regions – Examples include certain gastrointestinal indications or congenital spinal anomalies

2018 AIM Specialty Health

119. Appropriate Use Criteria: Imaging of the Abdomen & Pelvis

in transfusion-dependent thalassaemia major, sickle cell disease and other congenital anaemias. Intern Med J. 2011;41(7):516-524. 25. Holmes DR Jr, Mack MJ, Kaul S, et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement. J Am Coll Cardiol. 2012 Mar 27;59(13):1200-1254. 26. Jeong YY, Kang HK, Chung TW, et al. Uterine cervical carcinoma after therapy: CT and MR Imaging findings. Radiographics. 2003;23(4):969-981. 27. Jung SE. Lee JM, Rha SE, et al. CT and MR Imaging (...) difficile colitis: should CT guide therapy? AJR Am J Roentgenol. 2001;176(3):635-639 31. Lamba R, Fananapazir G, Corwin MT, et al. Diagnostic imaging of hepatic lesions in adults. Surg Oncol Clin N Am. 2014;23(4):789-820. 32. Lang G, Schmiegel W, Nicolas V, et al. Impact of Small Bowel MRI in Routine Clinical Practice on Staging of Crohn’s Disease. J Crohns Colitis. 2015;9(9):784-794. 33. Loch T. Prostate cancer diagnostics: innovative imaging in case of multiple negative biopsies. World J Urol. 2011;29

2018 AIM Specialty Health

120. ACR/SIR/SPR Practice Parameter for Specifications and Performance of Image-Guided Percutaneous Drainage/Aspiration of Abscesses and Fluid Collections (PDAFC)

of the benefits, alternatives, and risks of the procedures. The physician must have a thorough understanding of imaging anatomy (including congenital and developmental variants), the imaging equipment to be used during the procedures, radiation safety considerations, and physiologic monitoring equipment. The physician must also have access to adequate supplies and personnel to perform the procedure safely. PDAFC procedures must be performed by a physician who has the following qualifications. The physician’s (...) regarding patient radiation safety in imaging is available at the Image Gently ® for children (www.imagegently.org) and Image Wisely ® for adults (www.imagewisely.org) websites. These advocacy and awareness campaigns provide free educational materials for all stakeholders involved in imaging (patients, technologists, referring providers, medical physicists, and radiologists). Radiation exposures or other dose indices should be measured and patient radiation dose estimated for representative examinations

2018 Society of Interventional Radiology

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