Parametric Mapping in Paediatric Magnetic Resonance Imaging

  • STATUS
    Recruiting
  • End date
    Dec 1, 2022
  • participants needed
    250
  • sponsor
    Hong Kong Children's Hospital
Updated on 26 February 2022
heart disease
MRI
cardiac disorder
Accepts healthy volunteers

Summary

Magnetic resonance imaging (MRI) is increasingly an important tool for diagnosis and management of cardiac diseases in children.

One of the uses of MRI is tissue characterisation, in which the signal characteristics of the cardiac muscle (myocardium) can be determined with special techniques, known as parametric mapping.

There is increasing evidence that parametric mapping may be able to identify regions of scarring in the myocardium, or detection of oedema/inflammation in the setting. This in turn can help predict disease course and add value to the management of patients.

There is also evidence that other structures that are visualised in parametric mapping aside from the heart (e.g. liver and spleen) can also help improve diagnostic accuracy and guide management.

Currently the majority of studies describing the use of parametric mapping is focused on adults, with limited data on its use in children.

The parametric mapping values can also differ amongst different machines, so calibration with normal subjects are also required.

Description

Magnetic resonance Imaging (MRI) can provide tissue characterisation without radiation and need for invasive biopsy.

Parametric mapping techniques (T1 mapping, extracellular volume fraction, T2 mapping, T2* mapping) are methods of quantitative analysis of tissue properties, and are currently commercially available.

T1 mapping, extracellular volume fraction (ECV) and T2* mapping provides knowledge about the tissue properties of the myocardium, interstitium and adjacent structures,and can provide information for diagnosis of fibrosis, inflammatory and infiltrative diseases.

T2 mapping is useful for assessing oedema, which may be useful in monitoring disease activity such as myocarditis.

Parametric mapping has proven clinical utility in iron deposition, amyloid disease, Anderson-Fabry disease and myocarditis.

In addition to assessment of cardiac muscle, tissue characterisation can also be performed in adjacent organs that are included in the field of view of parametric mapping (e.g. liver and spleen).

Parametric mapping may provide important diagnostic information for decision making, patient monitoring and management planning.

The investigators aim to

  1. recruit healthy volunteers as controls to establish normal local reference ranges for parametric mapping values
  2. recruit patients undergoing clinically indicated cardiac MRI to perform parametric mapping, and compare the parametric mapping values between normal controls and patients.

Details
Condition Cardiac Disease, Pediatric Disease, Cardiomyopathies, Congenital Disorders
Treatment MRI parametric mapping
Clinical Study IdentifierNCT04068987
SponsorHong Kong Children's Hospital
Last Modified on26 February 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Healthy volunteers
Paediatric patients <=18 years of age with suspected or confirmed cardiac disease undergoing clinically indicated MRI

Exclusion Criteria

Unstable or uncooperative patients that cannot tolerate MRI
Patients with contraindications for MRI (e.g. patients with implanted devices that are not MRI compatible)
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