By Yi-Hwa Liu
A host of imaging options can be found to medical 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 wide range of cardiac features that could all be assessed noninvasively.
systematically studies each one of those significant recommendations and gives medical information from well-designed examine reports. Following a short assessment of non-invasive cardiac imaging and the tension modalities used to realize coronary disorder, case-based chapters are dedicated to all the a number of imaging options. the ultimate bankruptcy offers a glimpse of destiny percentages, really with admire to molecular imaging. The textual content is illustrated all through with amply-sized pictures.
Demonstrating the values and obstacles of the imaging strategies, the booklet permits practitioners to figure out which try, within which sufferer inhabitants, and for which goal stands out as the fabulous to use.
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A B 20 A B 20 Multiplanar reconstruction demonstrating a LAD stenosis in the long axis (A) and short axis (B) caused by a calcified atherosclerotic plaque (arrows). The vessel lumen (arrowheads) is >50% stenosed. 21 Multiplanar reconstruction of the proximal RCA in a patient with a history of multiple stents. Note the stenosed portion of the RCA between the first and second stents (arrow). Inset shows the RCA in short axis demonstrating a noncalcified stenosis. 8), although MDCT systematically underestimated plaque volume in this study (Achenbach et al.
Management The patient underwent a successful atrial fibrillation ablation with adequate electrical isolation of the pulmonary veins from the rest of the left atrium without complications. 37 1 1 3 2 3 A 2 B 37 Pulmonary veins. Panel A demonstrates the pulmonary vein in the axial view with the right upper (1), right lower (2), and left common (3) pulmonary veins. Panel B demonstrates these same veins in a 3D volume rendered view. 42 Cardiac Computed Tomography and Angiography Case 4: Focal Calcification and Thickening of the Pericardium Clinical history The patient was a 56-year-old male with a history of CAD, permanent pacemaker, and a mechanical mitral valve replacement; he presented with a complaint of worsening dyspnea on exertion, lower extremity edema, and increasing abdominal girth for approximately 3 years.
The two technetium-based agents in use in the US are 99mTc-labeled sestamibi and 99mTc-labeled tetrofosmin. Both agents are initially distributed in the myocardium in proportion to myocardial blood flow. The extraction fraction of both agents is less than that of 201Tl, and sestamibi has a slightly higher extraction fraction as compared to tetrofosmin. However, the clearance of 99mTc-tetrofosmin from the lungs and liver is faster than 99mTc-sestamibi, which may improve the quality of early cardiac images.