Cardiac Imaging Planes

Anatomical
Information
Congenital
Heart
Disease
Myocardial Mass
Cardiac Tumors
Pericardial Disease
Aortic Disease
Triple IR

FastCine TE Out of Phas

Double IR

Cardiac Planes Rev. 1 MC

Feb 2010

2 of 45
HD/HDx 3.0T
JAA
8/07

Cardiac Imaging Planes

2 - Chamber Short
Axis Short Axis
2 - Chamber Long
Axis
2-Chamber
3 - Chamber Long
Axis LVOT
4 - Chamber Long
Axis
4-Chamber
Cardiac Planes Rev. 1 MC
Feb 2010

3 of 45
HD/HDx 3.0T
JAA
8/07

Cardiac Imaging Planes

There are various ways to acquire
each of the Cardiac Views. We will
review the most commonly used.
Depending on the orientation of the
Heart on your individual patient, you
may have to use more than one
method.
Congenital Anomaly cases are more
difficult to image.

Cardiac Planes Rev. 1 MC

Feb 2010

4 of 45
HD/HDx 3.0T
JAA
8/07

Localization
Method #1 Sagittal Long Axis Short Axis
Passes through Apex and Mitral Valve
Depending on the patients anatomy this plane may or may not
be a 4-chamber view.
Provides a scout for short axis acquisition.

Long Axis (Gated FIESTA CINE

BH)

Sagittal Scout (Ungated FIESTA BH)

Cardiac Planes Rev. 1 MC
Feb 2010

5 of 45
HD/HDx 3.0T
JAA
8/07

Radially prescribed from a Short Axis view

Localization

4Chamber

2-Chamber
(VLA)
Cardiac Planes Rev. 1 MC
Feb 2010

3-Chamber
(LVOT)

6 of 45
HD/HDx 3.0T
JAA
8/07

Four Chamber Long-Axis

Demonstrates

Both Atria and Both Ventricles on same

plane
Intra-Atrial Septal Wall
Intraventricular Septal Wall
LV Myocardial Ring
Papillary Muscles
Apex
Cardiac Planes Rev. 1 MC
Feb 2010

7 of 45
HD/HDx 3.0T
JAA
8/07

4 CH Long Axis
Setup

Mitral Valve Plane

Apex

Cardiac Planes Rev. 1 MC

Feb 2010

8 of 45
HD/HDx 3.0T
JAA
8/07

4 CH Long Axis
Setup
another way

Cardiac Planes Rev. 1 MC

Feb 2010

9 of 45
HD/HDx 3.0T
JAA
8/07

Heart
Regional
myocardial
function of both LV
and RV
Detection of Mitral
and Tricuspid
Valve regurgitation
Essential plane for
short axis
localization
2, 3, 4 chamber
view

Base

Cardiac Planes Rev. 1 MC

Feb 2010

Apex

10 of 45
HD/HDx 3.0T
JAA
8/07

4- Chamber Long
Axis
Tricuspid
Valve

Right Ventricle

Right Atrium

Left Atrium
Left Ventricle
Mitral Valve

Cardiac Planes Rev. 1 MC

Feb 2010

11 of 45
HD/HDx 3.0T
JAA
8/07

4- Chamber Long
Axis

Diastole

Systole
Cardiac Planes Rev. 1 MC
Feb 2010

12 of 45
HD/HDx 3.0T
JAA
8/07

Two Chamber Long-Axis

Demonstrates
For Left side of Heart
Left Atrium and Left Ventricle on same plane
Mitral Valve
Apex

For Right side of Heart

Right Atrium and Right Ventricle on same
plane
Tricuspid Valve
Apex
Cardiac Planes Rev. 1 MC
Feb 2010

13 of 45
HD/HDx 3.0T
JAA
8/07

Two Chamber Long-Axis

Cardiac Planes Rev. 1 MC

Feb 2010

14 of 45
HD/HDx 3.0T
JAA
8/07

Two Chamber Long-Axis

Mitral
Valve

Left
Atrium

Left
Ventricle

Cardiac Planes Rev. 1 MC

Feb 2010

15 of 45
HD/HDx 3.0T
JAA
8/07

2- Chamber Long Axis

Systole

Diastole
Cardiac Planes Rev. 1 MC
Feb 2010

16 of 45
HD/HDx 3.0T
JAA
8/07

Two Chamber Short-Axis

Demonstrates
Both Atrial Chambers on same plane
Both Ventricular Chambers on same
plane
Intra-Atrial Septal Wall
LV Myocardial Ring
Intraventricular Septal Wall
Papillary Muscles in Cross-section
Cardiac Planes Rev. 1 MC
Feb 2010

17 of 45
HD/HDx 3.0T
JAA
8/07

Short-Axis
Plane

Cardiac Planes Rev. 1 MC

Feb 2010

18 of 45
HD/HDx 3.0T
JAA
8/07

Short-Axis
Graphic
Prescriptio
n
From Base to Apex

Cardiac Planes Rev. 1 MC

Feb 2010

19 of 45
HD/HDx 3.0T
JAA
8/07

Heart
Regional LV wall
motion
assessment
Quantification of
LV and RV
volumes,
ejection
fraction, mass,
and wall
thickness

Right
Ventricl
e

Left
Ventricl
e

Papillar
y
Muscles

Cardiac Planes Rev. 1 MC

Feb 2010

20 of 45
HD/HDx 3.0T
JAA
8/07

Short Axis Slices

Base

Apex
Cardiac Planes Rev. 1 MC
Feb 2010

21 of 45
HD/HDx 3.0T
JAA
8/07

Short Axis Slices

Systole

Diastole
Cardiac Planes Rev. 1 MC
Feb 2010

22 of 45
HD/HDx 3.0T
JAA
8/07

Double IR

Triple IR

Cardiac Planes Rev. 1 MC

Feb 2010

23 of 45
HD/HDx 3.0T
JAA
8/07

Ascending Aorta View

(coronal)
Demonstrates LV, Ascending
Aorta, Aortic Valve, RV, Main
Pulmonary
Assesment of Aortic Stenosis &
Insufficiency
Assesment of aortic aneurism
and/or dissection

Cardiac Planes Rev. 1 MC

Feb 2010

24 of 45
HD/HDx 3.0T
JAA
8/07

Ascending Aorta View

(coronal)

Ax Double IR

Sag T1
Cardiac Planes Rev. 1 MC
Feb 2010

25 of 45
HD/HDx 3.0T
JAA
8/07

Ascending Aorta View

(coronal)
Aortic Valve
Closed

Diastole

Aortic Valve
Open

Systole
Cardiac Planes Rev. 1 MC
Feb 2010

26 of 45
HD/HDx 3.0T
JAA
8/07

Three Chamber Long-Axis

Demonstrates
For Left side of Heart
Left Atrium, Mitral Valve, Left Ventricle,
Aortic Valve, and Aortic Root on same plane
Apex

For Right side of Heart

Right Atrium, Tricuspid Valve, Right
Ventricle, Pulmonic Valve, and proximal
Pulmonary Trunk on same plane
Apex
Cardiac Planes Rev. 1 MC
Feb 2010

27 of 45
HD/HDx 3.0T
JAA
8/07

LVOT Plane

Cardiac Planes Rev. 1 MC

Feb 2010

28 of 45
HD/HDx 3.0T
JAA
8/07

LVOT Plane

another
way

Cardiac Planes Rev. 1 MC

Feb 2010

29 of 45
HD/HDx 3.0T
JAA
8/07

Left Ventricular Outflow

Tract
Rt Ventricle

3 CH or

Aortic Valve

ParaSternal
View

Lt Ventricle

Lt Atrium

Cardiac Planes Rev. 1 MC

Feb 2010

Mitral Valve

30 of 45
HD/HDx 3.0T
JAA
8/07

Left Ventricular Outflow

Tract

Systole

Diastole
Cardiac Planes Rev. 1 MC
Feb 2010

31 of 45
HD/HDx 3.0T
JAA
8/07

Right Ventricular Outflow

Tract
The Outflow tract between the Rt
Ventricle and the Main Pulmonary Artery
Assesment of Pulmonary Valve
Used for localization for Pulmonic flow

Cardiac Planes Rev. 1 MC

Feb 2010

32 of 45
HD/HDx 3.0T
JAA
8/07

Right Ventricular Outflow

Tract

Double IR Ax at
Main Pulmonary
level

Localizer Cor view

at Rt outflow tract
level
Cardiac Planes Rev. 1 MC
Feb 2010

33 of 45
HD/HDx 3.0T
JAA
8/07

RVOT
Main Pulmonary

Pulmonary Valve

Aortic Valve

Rt Ventricle
Cardiac Planes Rev. 1 MC
Feb 2010

34 of 45
HD/HDx 3.0T
JAA
8/07

Aortic Valve View

To evaluate function &
morphology of Aortic Valve
Assesment of Valvular
Insufficiency or Stenosis
Leaflets
Planimetry

Cardiac Planes Rev. 1 MC

Feb 2010

35 of 45
HD/HDx 3.0T
JAA
8/07

Aortic Valve View

Acquire at least
5 slices. Cover
entire Aortic
root

Cardiac Planes Rev. 1 MC

Feb 2010

36 of 45
HD/HDx 3.0T
JAA
8/07

Aortic Valve View

Closed
during
Systol
e

Cardiac Planes Rev. 1 MC

Feb 2010

Open
during
Diastol
e

37 of 45
HD/HDx 3.0T
JAA
8/07

LA :

tv

RV : Right Ventricle
RA : Right Atrium
Ao : Aorta

AXIAL

LV :

Cardiovascular
GE Healthcare
NORMAL CARDIOVASCULAR
Left Ventricle
ANATOMY
Left Atrium
tv

RV

LV

RA
L
A

RV

RV

LV

RA
mv

LA

rvo
av t

RA
mv

SVC

Ao PA
lpa

rpa

LA

Ao

MR

Ao

Ao

PA : Pulmonary Artery
Ipa : Left Pulmonary Artery
SVC: Superior Vena Cava
IVC: Inferior Vena Cava
pv : Pulmonary Vein

SAGITTAL

rpa : Right Pulmonary Artery

mv : Mitrial Valve
tv :

rpa

rpa

LA

Pv

av LA

rvot

Ao

PA

LV

LV

RV

RA

PA

Ao

rpv

rpv : Right Pulmonary Vein

av : Aortic Valve

Ao

SVC

IVC

Tricuspid Valve

rvot: Right Ventricular

Outflow tract

CORONAL

Pv : Pulmonary Valve

Ao

LV

rpa lpa

lpa

PA

LA

av

RA

RV

Ao

Ao

SVC

LV
Cardiac Planes Rev. 1 MC
Feb 2010

RA

LV

IVC

38 LV
of 45
HD/HDx 3.0T
JAA
8/07

GE Healthcare

Cardiovascular MR

IMAGING PLANES FOR CARDIOVASCULAR MR EXAMS

BASIC
PLANES

Axial Transverse

2CV Two Chamber View

4CH Approximate Four

SA Short Axis

Chamber

Axial for RVOT

Cardiac Planes Rev. 1 MC

4CH
Four Chamber
Feb 2010

SA Short Axis

SA

39 of 45
HD/HDx 3.0T
JAA
Basal Short Axis
8/07

Outflow
Tracts +
Chambers
RVOT Right Ventricular
Outflow Tract

R2CV Right Two

Chamber View

pv

pv

tv

Valves

L2CV Left Two

View
mv

LVOT Left Ventricular

Outflow Tract

Chamber
mv

closed

mv

av

open

open
open

Pulmonary Valve

Tricuspid Valve

closed

Mitral Valve

Aortic Valve

Aorta

Sagittal

Cardiac Planes Rev. 1 MC

Feb 2010

40 of 45
HD/HDx 3.0T
JAA
8/07

Aortic Arch

including proximal left

circumflex coronary and
the proximal left anterior
descending coronary
artery

Identify the atrio-ventricular

groove of the right coronary
artery (RCA). Prescribe a
stack of oblique coronal slices
through the right vetricle,
perpendicular to the A-V
groove

RCA

You should now be able to

identify the proximal
portion of the A-V groove
with the RCA appearing in
cross-section. Prescribe a
final plan about parallel to
the line between the distal
and proximal RCA as seen
in cross-section

You should have the

RCA from the origin to
the posterior Descending
Artery branch

LM

LEFT
CORONARY
ARTERY

CORONAL

On a sagittal localizer
prescribe a series of
axial scans covering
the root of the vessels
to the apex

AV GROOVE

AXIAL

RIGHT
CORONARY
ARTERY

SAGITTAL

Cardiovascular MR
GE Healthcare
IMAGING PLANES FOR CORONARY ARTERIES

On a true coronal localizer prescribe a set of slices

following a line from the root of the left main
Planessuperior
Rev. 1 MC
coronary artery and along theCardiac
left anterior
Feb
2010
surface of the heart

This plane should show you the

bifurcation fot the left main
coronary artery to the left
anterior descending and the
circumflex arteries
41 of 45
HD/HDx 3.0T
JAA
8/07

Thank You
Gregory Joseph