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Within this framework, subspecialty\u2010trained radiologists provide crucial imaging expertise, supporting cardiologists, surgeons, and interventional cardiologists in diagnoses, treatment planning, and follow\u2010up evaluations. Advanced imaging tools and a nuanced understanding of surgical and interventional procedures enable radiologists to provide valuable insights to clinicians. In this review, we discuss the structure of ACHD MDT meeting at a quaternary center, briefly review the general principles of interventions in ACHD and the subsequent complications encountered in adulthood, formulate an approach to imaging and reporting such complex repaired cases, and review the key information to be mentioned in the report for further surgery\/intervention. In this review, we use the format of eight key take\u2010home lessons from an MDT management practice in ACHD.<\/jats:p>","DOI":"10.1111\/echo.70082","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T08:49:02Z","timestamp":1737708542000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Imaging Lessons From Multidisciplinary Team Meetings at a Quaternary Referral Center: A Case\u2010Based Review of Radiology Findings in Complex Adult Congenital Heart Disease"],"prefix":"10.1111","volume":"42","author":[{"given":"Anjuna","family":"Reghunath","sequence":"first","affiliation":[{"name":"Radiology Department Liverpool Heart and Chest Hospital NHS Foundation Trust  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Kharabish","sequence":"additional","affiliation":[{"name":"Radiology Department Liverpool Heart and Chest Hospital NHS Foundation Trust  Liverpool UK"},{"name":"Radiology Department Cairo University Hospitals  Cairo Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4004-4150","authenticated-orcid":false,"given":"Monika","family":"Radike","sequence":"additional","affiliation":[{"name":"Radiology Department Liverpool Heart and Chest Hospital NHS Foundation Trust  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Science at the University of Liverpool, Liverpool John Moores University and Liverpool Heart &amp; Chest Hospital  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(19)30402-X"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdr2.2117"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.019307"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13244-022-01201-y"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa554"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000000603"},{"volume-title":"Adult Congenital Heart Disease Standards: Level 1 \u2013 Specialist ACHD Surgical Centres","year":"2016","author":"Prudhoe A.","key":"e_1_2_6_8_1"},{"key":"e_1_2_6_9_1","unstructured":"The Royal College of Radiologists. \u201cMultidisciplinary Team Meetings \u2013 Standards for Clinical Radiologists \u201dThe Royal College of Radiologists. 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