Affiliation:
1. Department of Magnetic Resonance Lanzhou University Second Hospital Lanzhou China
2. Gansu Province Clinical Research Center for Functional and Molecular Imaging Lanzhou China
3. Philips Healthcare Xi'an China
Abstract
BackgroundUltrasonography (US), as a routine examination for evaluating coronary artery lesions (CAL) in children with Kawasaki disease (KD), has strong subjectivity and limitations. Non‐contrast enhanced coronary magnetic resonance angiography (NCE‐CMRA) is sensitive and reliable in displaying the segments of coronary arteries (CA).PurposeTo evaluate the CA using NCE‐CMRA, to compare NCE‐CMRA with US, and to assess the correlation between KD‐related inflammatory factors and the occurrence of CAL.Study TypeRetrospective.Population61 children with KD who had undergone NCE‐CMRA. Ultimately, 52 cases were included (32 males and 20 females), with an average of 5.9 ± 0.3 years old.Field Strength/Sequence3‐T, 3D balanced turbo field echo sequence.AssessmentNCE‐CMRA and US coronary visualization rates were compared in 41 children who were imaged with both techniques. Inflammatory factors were compared between CAL and normal coronary artery (NCA) subgroups. In the CAL group, correlations of these inflammatory factors with CAL parameters were investigated.Statistical TestsComparison between groups was performed by the two independent samples t‐test; the comparison of enumeration data between groups was performed by chi‐square test. Receiver operating characteristic (ROC) curve analysis was performed to determine the sensitivity of inflammatory factors for detecting CAL. The correlation between CAL and inflammatory indexes was analyzed by multiple linear regression. A P value <0.05 was considered statistically significant.ResultsNCE‐CMRA visualized significantly more segments than US (76% vs. 46%). There were significant differences in PLT, CRP, ESR, and D‐dimer between the CAL and NCA groups. ROC curve analysis showed that the sensitivities of these four indicators in diagnosing CAL were 39%, 44%, 72%, and 61%, respectively, at cut‐off points of 562.5 × 109/L, 48.93 mg/L, 45.5 mm/h, and 0.5 mg/L, respectively.Data ConclusionThe combination of NCE‐CMRA and inflammatory factors is helpful for the early diagnosis and disease severity of CAL in children with KD.Level of Evidence3Technical EfficacyStage 2