Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomography
Abstract Background Congenital heart disease (CHD) is a leading cause of infant morbidity and mortality worldwide, with a prevalence of approximately 8 per 1,000 live births. Multi-detector computed tomography (MDCT) has emerged as a crucial imaging tool, providing detailed anatomical visualization...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-08-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
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| Online Access: | https://doi.org/10.1186/s43055-025-01555-5 |
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| author | Ayat Mousa Mohamed Ali Salem Rania Hegazy Hassan Elkiki |
| author_facet | Ayat Mousa Mohamed Ali Salem Rania Hegazy Hassan Elkiki |
| author_sort | Ayat Mousa |
| collection | DOAJ |
| description | Abstract Background Congenital heart disease (CHD) is a leading cause of infant morbidity and mortality worldwide, with a prevalence of approximately 8 per 1,000 live births. Multi-detector computed tomography (MDCT) has emerged as a crucial imaging tool, providing detailed anatomical visualization of cardiac structures, particularly in cases requiring preoperative assessment. Methods A retrospective analysis of CHD patients was conducted, assessing demographic characteristics, disease classification, and MDCT findings. Statistical data and radiological images from a 2-year study period were analyzed to determine the role of MDCT in CHD diagnosis. Results Of 619 patients analyzed, 61% were male and 39% were female. Cyanotic CHD accounted for 55% of cases, with tetralogy of Fallot (TOF) being the most prevalent (64.3%). Acyanotic CHD made up 45%, with coarctation of the aorta (16%) and left-to-right shunts (13.6%) being the most common. MDCT demonstrated superior diagnostic capability in assessing extracardiac vascular anomalies and complex CHD subtypes. Conclusions MDCT is a valuable adjunct to echocardiography in CHD evaluation, particularly for surgical planning. Despite concerns about radiation exposure, its high spatial resolution and three-dimensional reconstruction capabilities make it indispensable for complex CHD assessment. |
| format | Article |
| id | doaj-art-9633efacf5444e91b6d976aaf22f4f1c |
| institution | DOAJ |
| issn | 2090-4762 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj-art-9633efacf5444e91b6d976aaf22f4f1c2025-08-20T03:04:36ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622025-08-015611910.1186/s43055-025-01555-5Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomographyAyat Mousa0Mohamed Ali Salem1Rania Hegazy2Hassan Elkiki3Department of diagnostic and interventional radiology, Cairo UniversityDepartment of diagnostic and interventional radiology, Cairo UniversityDepartment of pediatric cardiology, Cairo UniversityDepartment of diagnostic and interventional radiology, Cairo UniversityAbstract Background Congenital heart disease (CHD) is a leading cause of infant morbidity and mortality worldwide, with a prevalence of approximately 8 per 1,000 live births. Multi-detector computed tomography (MDCT) has emerged as a crucial imaging tool, providing detailed anatomical visualization of cardiac structures, particularly in cases requiring preoperative assessment. Methods A retrospective analysis of CHD patients was conducted, assessing demographic characteristics, disease classification, and MDCT findings. Statistical data and radiological images from a 2-year study period were analyzed to determine the role of MDCT in CHD diagnosis. Results Of 619 patients analyzed, 61% were male and 39% were female. Cyanotic CHD accounted for 55% of cases, with tetralogy of Fallot (TOF) being the most prevalent (64.3%). Acyanotic CHD made up 45%, with coarctation of the aorta (16%) and left-to-right shunts (13.6%) being the most common. MDCT demonstrated superior diagnostic capability in assessing extracardiac vascular anomalies and complex CHD subtypes. Conclusions MDCT is a valuable adjunct to echocardiography in CHD evaluation, particularly for surgical planning. Despite concerns about radiation exposure, its high spatial resolution and three-dimensional reconstruction capabilities make it indispensable for complex CHD assessment.https://doi.org/10.1186/s43055-025-01555-5Congenital heart diseaseMulti-detector computed tomographyCyanotic CHDAcyanotic CHDRadiological assessment |
| spellingShingle | Ayat Mousa Mohamed Ali Salem Rania Hegazy Hassan Elkiki Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomography The Egyptian Journal of Radiology and Nuclear Medicine Congenital heart disease Multi-detector computed tomography Cyanotic CHD Acyanotic CHD Radiological assessment |
| title | Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomography |
| title_full | Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomography |
| title_fullStr | Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomography |
| title_full_unstemmed | Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomography |
| title_short | Assessment of radiological signs and epidemiology of congenital heart disease among Egyptian children undergoing multi-detector computed tomography |
| title_sort | assessment of radiological signs and epidemiology of congenital heart disease among egyptian children undergoing multi detector computed tomography |
| topic | Congenital heart disease Multi-detector computed tomography Cyanotic CHD Acyanotic CHD Radiological assessment |
| url | https://doi.org/10.1186/s43055-025-01555-5 |
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