Evidence map›Paper›PMID 40597770›Full record

ArticleBMC medical imaging2025

Imaging and evaluation of cervicothoracic lymphatic drainage pathways in single ventricle patients with Fontan circulation using the mDixon steady state MR angiography.

Monika Huhndorf, Patrick Langguth, Hatim Seoudy, Olav Jansen, Anselm Uebing, Jan Hinnerk Hansen, Inga Voges

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Article in BMC medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Monika Huhndorf *Department of Radiology and Neuroradiology, University Hospital Schleswig- Holstein, Kiel, Germany.
Patrick Langguth *Department of Radiology and Neuroradiology, University Hospital Schleswig- Holstein, Kiel, Germany.
Hatim SeoudyDepartment of Internal Medicine III, Cardiology and Critical Care, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Olav JansenDepartment of Radiology and Neuroradiology, University Hospital Schleswig- Holstein, Kiel, Germany.
Anselm UebingDepartment of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Arnold-Heller-Straße 3, Haus C, 24105, Kiel, Germany.
Jan Hinnerk HansenDepartment of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Arnold-Heller-Straße 3, Haus C, 24105, Kiel, Germany.
Inga VogesDepartment of Congenital Heart Disease and Pediatric Cardiology, University Hospital Schleswig-Holstein, Arnold-Heller-Straße 3, Haus C, 24105, Kiel, Germany. Inga.Voges@uksh.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSingle ventricle (SV) Fontan patients are at risk for the development of pathological cervicothoracic lymphatic drainage pathways that are involved in the development of serious conditions such as plastic bronchitis or chylothorax. Visualization and categorization of cervicothoracic lymphatic drainage pathways might therefore help to stratify prognosis and to individualize therapy and follow-up for Fontan patients. This study aimed to show that the 3-dimensional (3D) modified Dixon (mDixon) steady state magnetic resonance (MR) angiography, commonly used to image cardiovascular anatomy, can visualize cervicothoracic lymphatic drainage pathways in high resolution in Fontan patients.

methods3D mDixon steady state MR angiography of 88 pediatric and young adult patients with a Fontan circulation were retrospectively analysed. The pattern of cervicothoracic lymphatic pathways and image quality according to diagnostic value were assessed. Furthermore, ventricular volumes, mass and ejection fraction from cine imaging were measured.

resultsImage quality was assessed as very good or good in > 90% of the cases. Six patients had a lymphatic complication of which five (83.3%) had a higher cervicothoracic lymphatic pathway type (type 3 or 4).

conclusions3D mDixon steady state MR angiography is an established method to assess cardiovascular anatomy and function in Fontan patients. The method also allows to visualize and evaluate the cervicothoracic lymphatic anatomy with high image quality. 3D mDixon steady state MR angiography is therefore particularly useful to comprehensively assess Fontan patients, a patient group prone not only to cardiac but also lymphatic failure.

Indexed as

Fontan ProcedureHeart Defects, CongenitalHeart VentriclesImaging, Three-DimensionalLymphatic VesselsMagnetic Resonance AngiographyAdolescentAdultChildChild, PreschoolFemaleHumansInfantMaleNeckRetrospective Studies3D mDixon steady state magnetic resonanc angiographyFontan circulationLymphatic vesselsSingle ventricle

Identifiers

PMID40597770
PMCPMC12211272

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