Cardiac CT Made Easy: An Introduction to Cardiovascular by Arthur E. Stillman, Richard D. White, Paul Schoenhagen MD

By Arthur E. Stillman, Richard D. White, Paul Schoenhagen MD FAHA, Carl J. Schultz MD, Sandra S. Halliburton

Based on advances in scanner and software program expertise, cardiovascular imaging with multidetector computed tomography (MDCT) is constructing into a major scientific diagnostic device for cardiac disease.

Combining the in-depth insurance of a textual content with the diagnostic application of a handbook, this marvelous advisor offers an easy creation to the foundations of MDCT for cardiovascular functions from the viewpoint of the CT technologist in addition to the clinician.

Detailed and crucial analyzing, Cardiac CT Made Easy:

  • contains numerous chosen photographs
  • focuses on scientific manifestations of ailment, diagnostic standards and concepts for administration
  • reviews significant anti-arrhythmic medicinal drugs and new brokers getting into use
  • discusses medical functions compared to different imaging modalities, hence clarifying the strengths and the restrictions of CT within the evaluation of particular medical problems
  • explores present common purposes comparable to imaging of the aorta, in addition to rising parts together with coronary artery imaging.

Practical and completely modern, this can be an enormous ebook for cardiovascular clinicians and technologists utilizing CT imaging know-how, cardiac experts and nurses, and imaging physicists. 

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Additional info for Cardiac CT Made Easy: An Introduction to Cardiovascular Multidetector Computed Tomography

Example text

Qxp 11/8/2006 8:49 PM Page 45 CLINICAL CARDIOVASCULAR APPLICATIONS 45 Case 14: Figures 63 and 64: coronary assessment in patient with contraindication for cardiac catheterization, aortic dissection A patient presented with a type A aortic dissection and a recent stroke. Because of the type A dissection, conventional cardiac catheterization was deemed high-risk and a CT angiogram was performed. Figure 63 shows the dissection flap in the aortic root. The coronary arteries originate from the true lumen.

In Figure 66, the post-interventional angiogram and corresponding CT images are shown. The overlapping stents are seen (right lower panel). However, precise assessment of luminal dimensions inside the stents is limited with CT secondary to the blooming artifact of the stent struts. qxp 11/8/2006 8:49 PM Page 47 CLINICAL CARDIOVASCULAR APPLICATIONS 47 Figure 67 Coronary stent, diagonal branch Pre-interventional angiographic and CT images of a patient with in-stent restenosis of a previous stent deployed in the first diagonal branch of the LAD (arrows).

In fact, it is now well known that most acute coronary events are initiated by rupture or erosion of mildly stenotic but vulnerable (high-risk) lesions53,56,57. Modern atherosclerosis imaging therefore evaluates overall plaque burden and plaque characteristics as predictors of future cardiovascular risk. Non-enhanced CT imaging (CT calcium scoring) allows the assessment of calcified plaque only, while contrast-enhanced CTA allows differentiation of calcified and non-calcified plaque. Calcium scoring The identification of coronary arterial calcification is a reliable sign of chronic atherosclerotic changes.

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