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Abstract Congenital heart disease is one of the most difficult areas of diagnostic radiology because of the small patient body size and fast resting heart rate. Accurate, 3D evaluation of the intra cardiac and extra cardiac vascular anatomy is critical for the clinical management and surgical planning of conotruncal anomalies. Echocardiography is the first-line modality of cardiac imaging. It is available, non-invasive and provides immediate high-resolution anatomical and physiological information. However, Echo is limited in assessment of extracardiac defects. Cardiac catheterization has traditionally been the procedure utilized to complement echo, providing hemodynamic information and enabling visualization of extracardiac great vessels. However, its role in pediatric cardiology is declining due to the invasive nature of catheterization and the exposure to radiation. In many centers, cardiac catheterization is now reserved for patients in whom hemodynamic data is essential and/ or in whom interventional procedures are necessary. Recently, the advancements in spatial and temporal resolution of multidetector CT (MDCT) have evolved so that congenital heart disease can be precisely diagnosed. The current study was designed to evaluate the role of MDCT in the assessment of conotruncal anomalies, it continued from July 2015 to October 2017 and enrolled 50 patients (29 males and 21 females) with an age range between 3 days - 17 years (mean age 14.8±37.5 months). |