Prosedur Pemeriksaan Cardiovascular Magnetic Resonance (CMR) 4D Flow pada Klinis Tetralogy Of Fallot (ToF): Studi Kualitatif Keunggulan dan Implementasinya di Indonesia

Danil Hulmansyah; T.Mohd. Yoshandi; Shelly Angella; Hagesko Jowanda

doi:10.55451/jri.v9i1.486

Danil Hulmansyah universitas awal bros
T.Mohd. Yoshandi Prodi DIII Teknik Radiologi, Fakultas Ilmu Kesehatan, Universitas Awal Bros
Shelly Angella Prodi DIII Teknik Radiologi, Fakultas Ilmu Kesehatan, Universitas Awal Bros
Hagesko Jowanda Instalasi Radiologi, RS Awal Bros Pekanbaru

DOI: https://doi.org/10.55451/jri.v9i1.486

Keywords: Cardiac, CMR, 4D Flow, MRI

Abstract

Background: Cardiovascular Magnetic Resonance (CMR) is an imaging technique used to view blood flow in the heart and is the gold standard for measuring it. However, in its development, the CMR technique that uses 4D imaging has become a novel technique that is not only capable of visualising blood flow in 4 dimensions, but also of observing parameters such as mean/peak velocity and cardiac kinetic energy. This technique is usually used to observe several clinical conditions such as Tetralogy of Fallot (TOF).
Method: The study was conducted using qualitative methods with data collected through interviews, literature studies, and participatory observation. Respondents in this study were experienced radiographers directly involved in CMR examinations with clinical TOF using 4D flow techniques, such as radiologists and radiographers.
Results: Examination preparation included filling out consent forms, changing clothes, and removing metal objects. The radiographer attached VCG electrodes to the patient and installed a device to measure breathing. Sequences used ranged from BFFE survey, BB_SSh_Morphology, to various heart functions such as Function_NEAR2CH and others. The Q FLOW sequence for the aorta, pulmonary artery, and heart valves such as the mitral and tricuspid valves, followed by further 4D Q flow examinations. You must include the results or outcomes of the work you have done so far.
Conclusion: 4D Flow Cardiac Magnetic Resonance (4DFCMR) offers significant advantages in the diagnosis and management of Tetralogy of Fallot (TOF) compared to other imaging modalities. It provides dynamic three-dimensional visualisation and precise quantitative data, enabling more accurate assessment of the severity of pulmonary stenosis and ventricular septal defects, as well as effective post-operative monitoring. In Indonesia, this technology has great potential to improve the quality of care for TOF patients and contribute to understanding the unique characteristics of TOF in the local population.