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Heart Disease  (Expert Forum)
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MRI vs Echo vs Cath
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MRI vs Echo vs Cath

by Brent, Nov 20, 1999 12:00AM
MRI vs Echo vs Cath

I understand how Doppler echo can visualize

flowmetrics using false coloration.  This, in

itself, is a less "direct" method than X-ray

based catheterization with contrast media.



I was recently subjected to a Cardiac MRI, which

was arguably the most unpleasant and tortuous

exams I have ever undertaken.  My question is,

for multiple fenestrations or perimembraneous

defect search, how can MRI be definitive and

preferable to direct Catheterization for anatomic

shunt search and evaluation?  I know it is

non-invasive, but it is highly "detached" from

the underlying real-time phenomenon. Thanks.

by CCF CARDIO MD JMF, Nov 22, 1999 12:00AM
Catheterization is still the gold standard for evaluating the functional significance of a VSD or shunt.  



You are correct in your assessment.  MRI however, will likely become a very useful too in the near future as flow mechanics are visualized via computer modelling.
Member Comments (3)

by Brent, Nov 22, 1999 12:00AM
Thanks.  That was my assessment.  This

is Children's Hospital, and I feel like

I'm being taken for a ride.  You are

absolutely correct, and I have a surgeon

straining at the leash to have his Cath

done, while the Cardios want to stay

"non-invasive".  IMHO, this is nonsense,

especially after a long history of complaints

and echo data suggesting shunt.

THANKS.

by CCF CARDIO MD JMF, Nov 30, 1999 12:00AM
Glad to be of some assistance.
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