CT of Congenital Heart Disease

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Cardiac-Interventional Radiography: 1.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Procedures: 1.25
Diagnostic and Conduction System Studies: 1.25

Computed Tomography: 2.50
Patient Care: 0.25
Patient Interactions and Management: 0.25
Safety: 0.25
Radiation Safety and Dose: 0.25
Procedures: 2.00
Neck and Chest: 2.00

Magnetic Resonance Imaging: 0.50
Patient Care: 0.50
Patient Interactions and Management: 0.50

Nuclear Medicine Technology: 1.75
Patient Care: 0.50
Patient Interactions and Management: 0.50
Procedures: 1.25
Cardiac Procedures: 1.25

Radiography: 0.50
Patient Care: 0.50
Patient Interactions and Management: 0.50

Registered Radiologist Assistant: 1.75
Patient Care: 0.25
Pharmacology: 0.25
Safety: 0.25
Patient Safety, Radiation Protection and Equipment Operation: 0.25
Procedures: 1.25
Thoracic Section: 1.25

Sonography: 1.75
Patient Care: 0.50
Patient Interactions and Management: 0.50
Procedures: 1.25
Second/Third Trimester and High Risk Obstetrics: 1.25

Radiation Therapy: 1.50
Patient Care: 0.50
Patient and Medical Record Management: 0.50
Procedures: 1.00
Treatment Sites and Tumors: 0.75
Treatment Volume Localization: 0.25

Outline

1. Introduction
2. Scanning Technique
3. Radiation Exposure
4. Sequential Segmental Approach
5. Normal Anatomy
   1. Atria
   2. Ventricles
   3. Great Arteries
   4. Great Veins
   5. Normal Connections
6. Extracardiac Abnormalities
   1. Aortic Coarctation
   2. Anomalous Pulmonary Venous Connection
   3. Patent Ductus Arteriosus
7. Intracardiac Communications
   1. Atrial Septal Defect
   2. Ventricular Septal Defect
8. Conotruncal Defects
   1. Tetralogy of Fallot
   2. Common Arterial Trunk
9. Abnormal Connections
   1. Univentricular Heart
   2. Transposition of the Great Arteries
   3. Congenitally Corrected Transposition of the Great Arteries
   4. Double Outlet Ventricle
10. Isomerism
11. Conclusions

Objectives

Upon completion of this course, students will:

1. understand pitfalls of echocardiography
2. realize limitations of conventional angiography
3. realize limitations due to contraindications of MRI
4. understand benefits of MDCT
5. learn proper applications for ECG gated CT
6. be aware of increased radiation dose with ECG gated CT
7. know sequential segmental approach
8. understand correct anatomic sidedness
9. comprehend normal cardiac connections
10. understand normal atrial morphology
11. understand normal ventricular morphology
12. be able to determine normal ventricular sidedness
13. be familiar with normal thoracic aortic anatomy
14. be able to determine anatomic sidedness of the lungs
15. understand flow dynamics of the right atrium
16. understand flow dynamics of the left atrium
17. know the location of the tricuspid valve
18. know the location of the mitral valve
19. be able to identify extracardiac anomalies
20. understand aortic coarctation
21. understand variations of anomalous pulmonary veins
22. learn the physiology of patent ductus arteriosus
23. understand the value of CT imaging of patent ductus arteriosus
24. know the three types of atrial septal defects
25. understand ventricular septal defect
26. know the anomalies associated with tetralogy of Fallot
27. be able to identify common arterial trunk
28. be able to identify univentricular heart
29. understand the physiology of transposition of the great vessels
30. know the health ramifications of transpositions of the great arteries
31. understand the physiology of congenitally corrected transposition of the great vessels
32. be able to describe a double outlet ventricle
33. understand isomerism
34. be able to characterize right and left isomerism
35. understand how CT may be utilized as an adjunct to other modalities for patients with congenital heart disease