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Fig. 8 | BMC Medical Imaging

Fig. 8

From: Dual-phase whole-heart imaging using image navigation in congenital heart disease

Fig. 8

Representative 3D WH bSSFP images from two patients obtained with iNAV. This figure shows the range of image quality that still allowed complete morphological diagnosis (ie. all structures identified without severe blurring [18]) 1. Collection of pictures from one patient with lower quality. Patient presented with chest pain and bicuspid aortic on echocardiogram with a suspected abnormal left coronary artery origin. Complete morphological diagnosis was possible; however, this collection is a representative of patients with slightly lower quality. 1A. SVC and IVC enter into the RA normally. 1B. SVC entering RA normally, RA to RV connection with RVOT visualized. 1C. Normal branch pulmonary arteries. 1D. Right upper pulmonary vein (*) entering into the LA. 1E. Right lower pulmonary vein (*) entering the LA. 1F. Left upper pulmonary vein (*) entering the LA. 1G. Left lower pulmonary vein (*) entering the LA. 1H. LA to LV connection with LVOT visualized. 1I. Ascending aorta, arch, head and neck vessels and descending aorta. The left carotid artery arises from the trunk of the innominate artery. 2. Higher quality pictures from another patient with hypertrophic cardiomyopathy. Complete morphological diagnosis was also possible in this patient. 2A. SVC and IVC enter into the RA normally. 2B. SVC entering RA normally, RA to RV connection with RVOT visualized. 2C. Normal branch pulmonary arteries. 2D. Right upper pulmonary vein (*) entering the LA. 2E. Right lower pulmonary vein (*) entering the LA. 2F. Left upper pulmonary vein (*) entering the LA. 2G. Left lower pulmonary vein (*) entering the LA. 2H. LA to LV connection with LVOT visualized. 2I. Ascending aorta, aortic arch, head and neck vessels and descending aorta. The left carotid artery and innominate artery arise from a common trunk from the arch. There is also a vertebral artery arising directly from the arch. iNAV = image navigator; SVC = superior vena cava (#); IVC = inferior vena cava (^); RA = right atrium; RV = right ventricle; RVOT = right ventricular outflow tract; MPA = main pulmonary artery; RPA = right pulmonary artery; LPA = left pulmonary artery; pulmonary veins labeled with asterisk (*); LA = left atrium; LV = left ventricle; LVOT = left ventricular outflow tract

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