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Cardiovascular Imaging by Yi-Hwa Liu

By Yi-Hwa Liu

A host of imaging options can be found to scientific cardiologists, together with nuclear imaging, echocardiography, automated tomography, and magnetic-resonance imaging. Chamber dimension, ventricular functionality, valvular functionality, coronary anatomy, and myocardial perfusion are between a big selection of cardiac features which can all be assessed noninvasively.

Cardiovascular Imaging

systematically stories each one of those significant thoughts and gives scientific facts from well-designed examine experiences. Following a short evaluation of non-invasive cardiac imaging and the tension modalities used to observe coronary ailment, case-based chapters are dedicated to all of the a variety of imaging ideas. the ultimate bankruptcy presents a glimpse of destiny probabilities, really with admire to molecular imaging. The textual content is illustrated all through with amply-sized photographs.

Demonstrating the values and barriers of the imaging options, the ebook permits practitioners to figure out which try out, during which sufferer inhabitants, and for which goal could be the ultimate to use.

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Example text

Were the first to demonstrate in a systematic way the significance of early defects using four-detector CT in patients. Compared with biplane ventriculography, MDCT accurately identified the presence of an infarct in 90% of cases (Nikolaou et al. 2004). In addition, a recent study using a porcine model of LAD occlusion showed that MDCT could be used to detect acute myocardial infarction (Hoffmann et al. 2004a). This study showed that the size of an early perfusion defect correlated well with the extent of myocardial infarction shown by postmortem triphenyltetrazolium chloride (TTC) staining.

Large coronary fistulae. Figures 26–28 illustrate some coronary anomalies. Cardiac venous anatomy Advancements in electrophysiology are demanding more accurate imaging of pulmonary venous and coronary venous anatomy. Pulmonary vein isolation procedures for the ablation of atrial fibrillation can substantially benefit from MDCT imaging in pre- and post-procedure. In pre-procedure, the left atrium can be examined for the anatomy of the pulmonary veins and more importantly determine the presence of any supernumerary veins (Jongbloed et al.

Figures 24 and 25 illustrate coronary artery bypass graft imaging by MDCT. Congenital coronary artery anomalies Coronary anomalies are uncommon, but not rare, and affect about 1% of the population with 87% presenting as anomalies of origination and distribution and the remainder presenting as fistulae (Yamanaka & Hobbs 1990). While they can often be diagnosed with conventional coronary angiography, their threedimensional course is best appreciated using MDCT. 25 2 1 3 24 Multiplanar reconstruction depicting the course of the left internal mammary artery (1) as it originates from the left subclavian artery (2) and anastomoses with the LAD (3).

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