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Imaging of the Tricuspid Valve: Magnetic Resonance Imaging

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Practical Manual of Tricuspid Valve Diseases

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Abstract

Echocardiography is considered as the main modality for the assessment of tricuspid valve disease. However, echocardiography has technical limitations as well as anatomic limitations when comes to complex structures of the tricuspid valve and the right side of the heart. Cardiac magnetic resonance (CMR) is considered as the gold standard for the assessment of right ventricle. In this chapter, we will discuss potential role of CMR in tricuspid valve disease. Imaging protocols, advantages and limitations of CMR imaging of the tricuspid valve complex will be discussed. Furthermore, CMR role in assessment of tricuspid regurgitation severity will be addressed.

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Authors and Affiliations

  1. Department of Pediatric Cardiology, Grown Up Congenital Heart Disease Unit, Cardiovascular Imaging Unit, Aswan Heart Centre, Magdi Yacoub Foundation, Aswan, Egypt

    Soha Romeih M.D., Ph.D., F.E.S.C.

  2. Department of Radiology, Alexandria University, Alexandria, Egypt

    Sara El Fawal M.D.

Authors
  1. Soha Romeih M.D., Ph.D., F.E.S.C.
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  2. Sara El Fawal M.D.
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Correspondence to Soha Romeih M.D., Ph.D., F.E.S.C. .

Editor information

Editors and Affiliations

  1. The Thoraxcenter, Erasmus MC: University Medical Center Rotterdam, Rotterdam, The Netherlands

    Osama I. Soliman  & Folkert J. ten Cate  & 

Review Questions

Review Questions

Select the Single Best Sentence

  1. 48.

    Which of the following statement regarding Cardiac MRI (CMR) assessment of tricuspid valve is correct?

    1. (a)

      CMR slice thickness is often similar to TV leaflet thickness (1–2 mm)

    2. (b)

      The slice thickness of CMR images is typically 5–8 mm

    3. (c)

      The slice thickness of steady state free-precession (SSFP) sequences is 2 mm

    4. (d)

      The slice thickness of the spoiled gradient echo (SGE) sequences is 1 mm

  2. 49.

    Which of the following statement regarding Cardiac MRI (CMR) assessment of tricuspid regurgitation volume is correct?

    1. (a)

      CMR 2D phase-contrast velocity mapping sequence is the standard method for tricuspid regurgitation fraction calculation

    2. (b)

      4D CMR flow is more accurate method for tricuspid regurgitation fraction calculation than 2D CMR phase-contrast flow

    3. (c)

      Cardiac motion is a major limitation of 4D flow

    4. (d)

      None of the above

  3. 50.

    Which of the following statement regarding Cardiac MRI (CMR) assessment of patients with tricuspid regurgitation is correct?

    1. (a)

      CMR is more accurate than echocardiography for the assessment of right heart function

    2. (b)

      CMR is more accurate than echocardiography for the assessment of tricuspid valve leaflets

    3. (c)

      CMR is more accurate than echocardiography for the assessment of papillary muscles

    4. (d)

      CMR is less accurate than echocardiography for the assessment of tricuspid annulus

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Romeih, S., El Fawal, S. (2018). Imaging of the Tricuspid Valve: Magnetic Resonance Imaging. In: Soliman, O.I., ten Cate, F.J. (eds) Practical Manual of Tricuspid Valve Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-58229-0_8

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