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| coronary artery anatomy ct: Cardiovascular Computed Tomography James Stirrup, Russell Bull, Michelle Williams, Ed Nicol, 2020 A practical guide to performing and analysing cardiovascular scans, this handbook is fully updated in this second edition. Containing a wealth of example scan images and detailed guidance on techniques and interpretations, this book is an invaluable workstation resource. |
| coronary artery anatomy ct: Coronary Radiology Matthijs Oudkerk, 2004-06-07 This is the first monograph to focus exclusively on coronary radiology. It is particularly timely, given that the emergence of computed tomography and magnetic resonance imaging, coupled with improvements in both hard- and software, has made reproducible non-invasive coronary imaging a practical reality. A wide range of topics is addressed, including: quantitative angiography, intravascular and quantitative ultrasound, multislice and electron beam computed tomography, magnetic resonance coronary angiography and use of the coronary calcium score as an independent risk factor. All of the latest developments, such as non-invasive intracoronary thrombus imaging, are covered. Particular care has been taken to consider the common questions confronted in asymptomatic patients. The text is supported by high-quality color images of the coronary and cardiac anatomy. |
| coronary artery anatomy ct: Coronary CT Angiography Marc Dewey, 2008-10-14 Coronary CT angiography has attained increasing scientific attention at academic institutions and has become a highly accurate diagnostic modality. Extending this knowledge into a practice setting is the purpose of Coronary CT Angiography. This book will assist you in integrating cardiac CT into your daily practice, while also giving an overview of the current technical status and applications. The specific features of scanners from all four main vendors are also presented providing an objective overview of noninvasive coronary angiography using CT. |
| coronary artery anatomy ct: Diseases of the Chest, Breast, Heart and Vessels 2019-2022 Juerg Hodler, Rahel A. Kubik-Huch, Gustav K. von Schulthess, 2019-02-19 This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of hot topics. The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology. |
| coronary artery anatomy ct: Essential Radiology Review Adam E. M. Eltorai, Charles H. Hyman, Terrance T. Healey, 2019-12-18 The book is an on-the-spot reference for residents and medical students seeking diagnostic radiology fast facts. Its question-and-answer format makes it a perfect quick-reference for personal review and studying for board examinations and re-certification. Readers can read the text from cover to cover to gain a general foundation of knowledge that can be built upon through practice or can use choice chapters to review a specific subspecialty before starting a new rotation or joining a new service. With hundreds of high-yield questions and answer items, this resource addresses both general and subspecialty topics and provides accurate, on-the-spot answers. Sections are organized by subspecialty and body area, including chest, abdomen, and trauma, and chapters cover the anatomy, pathophysiology, differential diagnosis, hallmark signs, and image features of major diseases and conditions. Key example images and illustrations enhance the text throughout and provide an ideal, pocket-sized resource for residents and medical students. |
| coronary artery anatomy ct: Practical Textbook of Cardiac CT and MRI Tae-Hwan Lim, 2015-02-09 This up-to-date textbook comprehensively reviews all aspects of cardiac CT and MRI and demonstrates the value of these techniques in clinical practice. A wide range of applications are considered, including imaging of atherosclerotic and non-atherosclerotic coronary artery disease, coronary revascularization, ischemic heart disease, non-ischemic cardiomyopathy, valvular heart disease, cardiac tumors, and pericardial disease. The numerous high-quality images illustrate how to interpret cardiac CT and MRI correctly for the purposes of diagnosis, treatment planning, and follow-up. Helpful summarizing sections in every chapter will facilitate rapid retrieval of information. This book will be of great value to radiologists and cardiologists seeking a reliable guide to the optimal use of cardiac CT and MRI in real clinical situations. An additional feature is the provision of QR codes allowing internet access to references, further figures, and motion pictures. The reader will be able to enjoy this book using a smartphone or tablet PC. |
| coronary artery anatomy ct: CT of the Heart U. Joseph Schoepf, 2019-04-01 This book is a comprehensive and richly-illustrated guide to cardiac CT, its current state, applications, and future directions. While the first edition of this text focused on what was then a novel instrument looking for application, this edition comes at a time where a wealth of guideline-driven, robust, and beneficial clinical applications have evolved that are enabled by an enormous and ever growing field of technology. Accordingly, the focus of the text has shifted from a technology-centric to a more patient-centric appraisal. While the specifications and capabilities of the CT system itself remain front and center as the basis for diagnostic success, much of the benefit derived from cardiac CT today comes from avant-garde technologies enabling enhanced visualization, quantitative imaging, and functional assessment, along with exciting deep learning, and artificial intelligence applications. Cardiac CT is no longer a mere tool for non-invasive coronary artery stenosis detection in the chest pain diagnostic algorithms; cardiac CT has proven its value for uses as diverse as personalized cardiovascular risk stratification, prediction, and management, diagnosing lesion-specific ischemia, guiding minimally invasive structural heart disease therapy, and planning cardiovascular surgery, among many others. This second edition is an authoritative guide and reference for both novices and experts in the medical imaging sciences who have an interest in cardiac CT. |
| coronary artery anatomy ct: EDiR - The Essential Guide Judith Babar, Oğuz Dicle, Hildo J. Lamb, Laura Oleaga, Fermín Sáez, 2019-08-26 This EDiR guide has a practical rather than a theoretical focus, and is intended as a reference tool for potential EDiR candidates who would like to gain a better understanding of the EDiR examination. A pool of experts has made every possible effort to create a single source that contains everything needed to successfully pass the EDiR examination. Times have changed, and there is certainly a new generation of radiologists who will find this cutting-edge tool a “must-have” to familiarize themselves with the examination quickly and easily. The book is divided into the following main sections: one chapter for each subspecialty; one chapter on Safety, Management and Imaging Procedures; another on Principles of Imaging Techniques and Processing; and lastly, one on Management. This structure follows the same pattern as the EDiR examination, which is based on the European Training Curriculum (ETC) for Radiology released by the European Society of Radiology (ESR). Each subspecialty is covered using the same basic structure: Multiple Response Questions (MRQs), Short Cases (SCs) and CORE Cases from one of the most recent EDiR examinations. Students will thus be able to see all the questions from a recent examination and learn from the answers and comments provided by our pool of experts. Clinical cases as electronic supplementary material complete the book, and links to EDiR preparation sessions are also included, allowing students to improve their knowledge of specific areas. |
| coronary artery anatomy ct: Clinical Cardiac CT Ethan J. Halpern, 2008 Accompanying DVD-ROM contains ... high-quality three-dimensional displays of cardiac anatomy and more than 100 cine displays of cardiac function in real clinical applications.--P. [4] of cover. Fuller description of DVD-ROM contents on pp. ix-xi. |
| coronary artery anatomy ct: Coronary Artery Anomalies Paolo Angelini, 1999 An atlas on coronary artery anomalies, this text provides a guide to the complex morphology that is essential to the understanding of coronary artery disease. The book features a variety of cases - with illustrative angiograms and diagrams - that demonstrates all possible anomalies and clarify what is abnormal. Each case includes clinical information, angiographic findings, other diagnostic material and a discussion. |
| coronary artery anatomy ct: Clinical Cardiac CT Ethan J. Halpern, 2011-01-19 Keep pace with the latest advances in CT imaging of the heart with this cutting-edge Second Edition. With a special emphasis on the complementary nature of anatomic and functional cardiac data, Clinical Cardiac CT: Anatomy and Function -- now in a lavishly illustrated Second Edition -- ensures physicians develop the skills they need to interpret cardiac CT images with confidence. This volume begins with a brief introduction to the essentials of CT technique, normal cardiac anatomy, and anatomic anomalies. The expert authors then discuss the clinical application of cardiac CT for risk stratification, how to evaluate coronary artery disease, and the preoperative planning for and postoperative assessment of percutaneous cardiac procedures, including coronary stents and bypass grafts. Features: Entirely new chapters address evaluation of the thoracic aorta, congenital heart disease in the adult, triple rule-out CT angiography, and the latest innovations in cardiac CT 1,157 high-resolution CT images -- including over 500 images that are new to this edition -- demonstrate the full range of normal cardiac variations and pathologic findings An accompanying DVD contains 3-D displays of anatomic relationships and cine clips of more than 200 cases that demonstrate cardiac function and valve evaluation New information on frontier techniques, including myocardial perfusion and targeted contrast agents This highly visual reference is a must-have for anyone involved in performing or interpreting cardiac CT images. It is an essential resource for radiologists, cardiologists, or cardiothoracic surgeons, as well as for residents or fellows preparing for Boards or a cardiac imaging rotation. |
| coronary artery anatomy ct: Regulation of Coronary Blood Flow Michitoshi Inoue, Masatsugu Hori, Shoichi Imai, Robert M. Berne, 2013-11-09 Research centering on blood flow in the heart continues to hold an important position, especially since a better understanding of the subject may help reduce the incidence of coronary arterial disease and heart attacks. This book summarizes recent advances in the field; it is the product of fruitful cooperation among international scientists who met in Japan in May, 1990 to discuss the regulation of coronary blood flow. |
| coronary artery anatomy ct: CT and MR Angiography Geoffrey D. Rubin, Neil M. Rofsky, 2012-10-09 Written by world-renowned experts in both CT angiography and MR angiography, this landmark work is the first comprehensive text on vascular imaging using CT and MR. It provides a balanced view of the capabilities of these modalities and practical guidelines for obtaining and interpreting images. More than 2,200 illustrations complement the text. Chapters co-authored by CT and MR authorities cover imaging of all coronary and non-coronary arteries and veins. Each chapter details indications, imaging strategies, normal and variant anatomy, diseases, surgical management, and pitfalls. The authors compare the utility of CT and MR in specific clinical situations and discuss the role of conventional angiography and ultrasound where appropriate. |
| coronary artery anatomy ct: Coronary Artery CTA Claudio Smuclovisky, 2018-02-23 The second edition of this important work provides a broad range of cardiac CT angiography (CCTA) cases covering normal anatomy, congenital coronary anomalies, coronary artery disease, percutaneous coronary intervention, postsurgical coronary revascularization, and extra-coronary abnormalities. It is designed to help practicing radiologists, cardiologists, and cardiothoracic surgeons understand the current issues involved with clinical, interventional, and surgical management of coronary artery CTA. Each case consists of detailed CCTA images, a brief history, diagnosis, discussion, and pearls and pitfalls. This updated and expanded edition includes new chapters on principles of cardiac CT, patient preparation, cardiomyopathies, pediatric cardiac CT, cardiac CT in the emergency department, CT-FFR, and reporting cardiac CT. |
| coronary artery anatomy ct: Atlas of Cardiovascular Emergencies Cedric Lefebvre, 2015-04-10 Accurately interpret cardiovascular images for fast, effective emergency management This unique combination atlas and text is a concise guide to acute care cardiovascular image interpretation for the diagnosis and management of emergency conditions. Each condition or disorder is described in a consistently designed, well-illustrated section. Concise, bulleted text details clinical highlights, emergency department treatment and disposition, and clinical pearls and pitfalls. Created for use at the point of care, Atlas of Cardiovascular Emergencies is enhanced by more than 400 images, many in full color. Atlas of Cardiovascular Emergencies is logically divided into nine chapters: Anatomy Electrocardiography: Normal Heart, Ischemic and Chronic Vascular Disease Principles of Cardiovascular Imaging Devices Arrhythmias Vascular Disease Cardiomyopathies Pediatric Cardiology Procedures |
| coronary artery anatomy ct: The Clinical Anatomy of Coronary Arteries Michael Lüdinghausen, 2003 This work is not an anatomical atlas nor textbook (like that of McAlpine and Anderson) nor an angiographical atlas (like that of Vlodaver et al.); it is a short and comprehensive survey of the many variations of the intrinsic cardiac vessels. The reader's attention is focused on the numerous structural details and peculiarities of the human coronary arteries. The many unique features have been revealed by meticulous dissection and present an excellent documentation. All in all, this study represents an up-to-date review of morphology of the coronary arteries. |
| coronary artery anatomy ct: Anatomy of the Coronary Arteries Thomas N. James, 1961 |
| coronary artery anatomy ct: Cardiac CT, PET and MR Vasken Dilsizian, Gerald M. Pohost, 2011-09-14 This careful revision keeps pace with developments in the field, with new chapters on PET Metabolism, CT and MRI in the Emergency Department, Image-Guided Electrophysiology Mapping and Ablation, and Identification of Vulnerable Atherosclerotic Plaque by Radionuclide and CT techniques, plus the introduction of new contributors Udo Hoffman and Stephan Achenbach. Praised in its previous edition as a concise source of essential information, this new edition presents the most recent information in an accessible format and serves as an excellent reference source for all cardiologists, radiologists and nuclear medicine physicians. |
| coronary artery anatomy ct: The Complete Guide To Cardiac CT (PB) Simeon Abramson, 2011-12-07 Acquire a thorough understanding of cardiac imaging! A Doody’s Core Title for 2019! I believe radiologists, cardiologists, and clinicians, as well as trainees, will find The Complete Guide to Cardiac CT to be an indispensable tool for learning the subject matter....It is practical in approach, but is solidly grounded in evidence-based medicine with a comprehensive review of the literature and timely references. The textbook provides an ideal resource for the cardiac imager and serves as an exceptional reference tool for understanding the anatomy and disease processes of the heart and coronary circulatory systems.--Theresa C. McLoud, MD, Dept. of Radiology, Massachusetts General Hospital, and Professor of Radiology, Harvard Medical School (from the foreword) Based on the popular review courses of educator and radiologist Dr. Simeon Abramson, The Complete Guide to Cardiac CT is a timely, hands-on learning tool—one that will help you master every important aspect of cardiac CT, from acquisition to interpretation. This unique guide translates complex concepts and topics into understandable, relevant subject matter and includes contributions from international leaders in cardiac CT. Designed for the practical, day-to-day application of cardiac CT, the text also serves as a comprehensive visual resource more than 1000 laser-precise images and illustrations, all of which reflect the latest clinical acumen and cardiac imaging technology. FEATURES Focuses on the recognition, identification, and comprehension of heart and coronary circulatory pathology Valuable to clinicians at any experience level Logical 4-part organization consists of: Technology section that encompasses coronary CT angiography technique, radiation concepts, and successful application of radiation dose reduction tools—-plus a detailed review of strategies for overcoming suboptimal examinations, complete with case examples. Coronary Arteries section that thoroughly examines plaque detection and characterization, stenosis assessment, stents and bypass grafts, and assessment of coronary artery anomalies. Beyond the Coronary Arteries details cardiac CT anatomy; myocardial, pericardial and valvular pathology; electrophysiology applications; and congenital heart disease in both pediatric and adult populations. Controversial topics focuses on the utilization of cardiac CT in the acute setting, institution of the triple rule-out protocol, and anatomic versus physiologic imaging with Rubidium PET/CT/ Helpful pedagogy includes numerous tables, diagrams, figures, and illustrations |
| coronary artery anatomy ct: Atlas of Cardiovascular Computed Tomography Matthew J. Budoff, Stephan S. Achenbach, Harvey S. Hecht, Jagat Narula, 2018-05-23 This atlas is a comprehensive visual reference for the use of cardiovascular computed tomography (CT) containing photomicrographs, anatomic illustrations, tables, and charts paired with extensive legends and explanations that are supplemented by extensive research, peer-reviewed articles, and textbooks. In addition to providing historical perspective and current direction for CT, this new edition of Atlas of Cardiovascular Computed Tomography 2e focuses on research involving coronary artery diseases and anomalies, congestive heart failure, atherosclerotic plaques and asymptomatic disease, as well as imaging techniques, including preparation, acquisition, and processing, involving the great vessels and carotids, the peripheral vasculature, and coronary and pulmonary veins. The increasing role of CT in the emergency room and in private cardiology practice is also reviewed thoroughly, making this an essential read for all involved in cardiac imaging, cardiology and emergency medicine. |
| coronary artery anatomy ct: Cardiac Computed Tomography Milind Y. Desai, Paul Schoenhagen, 2011-12-21 Technologic advances in imaging now allow cardiologists to diagnose, noninvasively, a wide range of cardiac disorders, from subclinical atherosclerosis to obstructive coronary artery disease. This 500+ Question & Answer review book serves as the board prep product for all cardiologists/fellows/radiologists interested in certifying in this rapidly expanding area. All aspects of cardiovascular CT principles and physics, methodologies, and clinical practice are covered. Features Include: • Cost-effective board preparation; • MCQs that mimic the CCT boards; • Review questions in CT physics, study acquisition, and interpretation; • Online access to video clips and over 500 Q&As. |
| coronary artery anatomy ct: CT Evaluation of Coronary Artery Disease Paolo Pavone, Massimo Fioranelli, David A. Dowe, 2008-12-08 Cardiovascular diseases are the leading cause of death in Western countries. In non-fatal cases, they are associated with a decreased quality of life as well as a substantial economic burden to society. Most sudden cardiac events are related to the complications of a non-stenosing marginal plaque. For this reason, the ability to properly identify the atherosclerotic plaque with a rapid, non-invasive technique is of utmost clinical interest in therapeutic planning. Coronary CT angiography produces high-quality images of the coronary arteries, in addition to defining their location and the extent of the atherosclerotic involvement. Proper knowledge of the equipment, adequate preparation of the patient, and accurate evaluation of the images are essential to obtaining a consistent clinical diagnosis in every case. With its clear and concise presentation of CT imaging of the coronary arteries, this volume provides general practitioners and cardiologists with a basic understanding of the technique. For radiologists with no direct experience in cardiac imaging, the book serves as an important source of information on coronary pathophysiology and anatomy. |
| coronary artery anatomy ct: Cardiac CT Imaging Matthew J. Budoff, Jerold S. Shinbane, 2010-06-16 CT is an accurate technique for assessing cardiac structure and function, but advances in computing power and scanning technology have resulted in increased popularity. It is useful in evaluating the myocardium, coronary arteries, pulmonary veins, thoracic aorta, pericardium, and cardiac masses; because of this and the speed at which scans can be performed, CT is even more attractive as a cost-effective and integral part of patient evaluation. This book collates all the current knowledge of cardiac CT and presents it in a clinically relevant and practical format appropriate for both cardiologists and radiologists. The images have been supplied by an experienced set of contributing authors and represent the full spectrum of cardiac CT. As increasing numbers have access to cardiac CT scanners, this book provides all the relevant information on this modality. This is an extensive update of the previous edition bringing the reader up-to-date with the immense amount of updated content in the discipline. |
| coronary artery anatomy ct: The ESC Textbook of Cardiovascular Medicine A. John Camm, 2019 |
| coronary artery anatomy ct: Revisiting Cardiac Anatomy Farhood Saremi, 2011-07-12 This new atlas represents a fresh fresh approach to cardiac anatomy, providing images of unparalleled quality, along with explanatory text, to show in vivo heart anatomy and explain the clinically relevant underlying anatomic concepts. In spite of amazing proliferation of information on the Internet and multiple websites filled with up-to-date information, there is no similarly detailed and systematic compilation of morphological imaging with CT. Organized for both systematic learning and to serve as a quick, yet detailed reference for specific clinical questions, this book is an invaluable resource for medical students and residents, cardiologists, and especially surgeons, interventionalists and electrophysiologists, who depend on ever more detailed imaging support in order to successfully perform increasingly complex coronary and noncoronary structural interventions and other procedures. |
| coronary artery anatomy ct: Cardiac CT Angiography Manual Robert Pelberg, 2015-05-22 This second edition is adheres to the guiding principles of the first edition while serving as a useful and up to date manual on the theory, performance and application of CCTA. Since the publication of the first edition of this work, cardiac CT angiography (CCTA) has come a long way. It is now a main stream, well established cardiac diagnostic imaging modality with wide spread acceptance and application. |
| coronary artery anatomy ct: Applied Radiological Anatomy Paul Butler, Adam Mitchell, Jeremiah C. Healy, 2012-07-05 This expanded new, full colour edition of the classic Applied Radiological Anatomy is an exhaustive yet practical imaging resource of every organ system using all diagnostic modalities. Every illustration has been replaced, providing the most accurate and up-to-date radiographic scans available. Features of the second edition: • Completely new radiographic images throughout, giving the best possible anatomic examples currently available • Both normal anatomy and normal variants shown • Numerous colour line illustrations of key anatomy to aid interpretation of scans • Concise text and numerous bullet-lists enhance the images and enable quick assimilation of key anatomic features • Every imaging modality included Edited and written by a team of radiologists with a wealth of diagnostic experience and teaching expertise, and lavishly illustrated with over 1,000 completely new, state-of-the-art images, Applied Radiological Anatomy, second edition, is an essential purchase for radiologists at any stage of their career. |
| coronary artery anatomy ct: Cardiovascular Disability Institute of Medicine, Board on the Health of Select Populations, Committee on Social Security Cardiovascular Disability Criteria, 2010-12-04 The Social Security Administration (SSA) uses a screening tool called the Listing of Impairments to identify claimants who are so severely impaired that they cannot work at all and thus immediately qualify for benefits. In this report, the IOM makes several recommendations for improving SSA's capacity to determine disability benefits more quickly and efficiently using the Listings. |
| coronary artery anatomy ct: Three-dimensional Echocardiography Navin Chandar Nanda, Roberto M. Lang, 2007 |
| coronary artery anatomy ct: Clinical Atlas of Cardiac and Aortic CT and MRI Patricia M. Carrascosa, Carlos M. Capuñay, Alejandro Deviggiano, Gaston A. Rodriguez-Granillo, 2019-03-11 This atlas comprehensively describes the application of computed tomography (CT) and magnetic resonance (MR) imaging in real-world scenarios using 192 illustrative clinical cases. These imaging techniques are revolutionizing the diagnostic and therapeutic approach for cardiovascular patients and are progressively becoming viable sub-specialties among radiologists and cardiologists. Clinical Atlas of Cardiac and Aortic CT and MRI features clinically relevant case-based examples of how CT and MR imaging techniques can be applied to identify the pathological features of a range of acquired and congenital heart diseases. Using more than 1000 high-quality figures of distinctive CT and MR imaging features of most cardiovascular diseases, both acquired and congenital, it therefore provides a valuable resource for both specialist and non-specialist radiology/cardiology practitioners seeking to develop a deep understanding of how to recognize the features of a variety of heart diseases using CT and MR imaging techniques. |
| coronary artery anatomy ct: Anatomy of the Heart by Multislice Computed Tomography Francesco Faletra, Natesa Pandian, Siew Yen Ho, 2009-01-26 New MSCT machines produce a volume data set with the highestisotropic spatial resolution ever seen, offering superb 3D imagesof the entire heart and vessels. The texts currently available on cardiac CT imaging mainly focuson visualizing pathological aspects of coronary arteries. Anatomyof the Heart by Multislice Computed Tomography is the first text tobridge the gap between classical anatomy textbooks and CTtextbooks, presenting a side-by-side comparison of‘electronic’ dissection made by CT scanning andtraditionally hand-made anatomical dissection. Focusing on the fundamentals as well as the details of cardiacanatomy in a clinical setting using MSCT, this is an invaluablereference for cardiac imaging trainees, cardiologists,radiologists, interventionists and electrophysiologists, providinga better understanding of the cardiac structures, coronary arteriesand veins anatomy and their 3-dimensional spatialrelationships. |
| coronary artery anatomy ct: Pathology of Heart Disease in the Fetus, Infant and Child Michael T. Ashworth, 2019-08-22 Clearly presents the pathology of heart disease from fetus to adolescence, integrating histology and macroscopy with effects of treatment. |
| coronary artery anatomy ct: Emergency Radiology Mayil S. Krishnam, John Curtis, 2010 A quick reference pocketbook on a huge range of emergencies for all clinicians working in emergency or acute care settings. |
| coronary artery anatomy ct: Clinically Oriented Anatomy Keith L. Moore, Arthur F. Dalley, A. M. R. Agur, 2013-02-13 Clinically Oriented Anatomy provides first-year medical students with the clinically oriented anatomical information as it relates to the practice of medicine, dentistry, and physical therapy. The 7th edition features a fully revised art program to ensure consistency and cohesiveness of imaging style--Provided by publisher. |
| coronary artery anatomy ct: Computed Tomography of the Coronary Arteries Mårten Sandstedt, 2020-10-20 Computed tomography (CT) is an increasingly used modality for investigations of patients with suspected coronary artery disease (CAD). Technical advances could improve diagnostic accuracy and lead to clinical workflow improvements. Also, more prognostic information can optimize clinical follow-up strategies and treatments. The general aim of this thesis was to explore the use of CT for CAD investigations. Three studies aimed to examine new technologies, including the evaluation of an on-site, computed tomography-based fractional flow reserve (CT-FFR) software (study I), the evaluation of an AI-based, calcium scoring computed tomography (CSCT) software (study III), and the evaluation of an photon-counting detector (PCD)-CT (study IV). One study aimed to evaluate the long-term prognostic value of coronary computed tomography angiography (CCTA) in symptomatic patients with no history of CAD (study II). The software evaluation studies (study I and III) and the prognostic study (study II) utilized CT data from clinical patients, while the PCD-CT evaluation study (study IV) used CT data from cadaveric specimens. The performances of both software programs were compared with standard references, being represented by fractional flow reserve (FFR) measurements (study I), and coronary artery calcification (CAC) scores from a semi-automatic software (study III), respectively. The PCD-CT performance on CAC quantification was compared with corresponding results from an energy integrating detector (EID)-CT, using micro-CT as the standard reference (study IV). The prognostic study merged registries to identify major adverse cardiac events (MACE), having a follow-up time of up to 7.5 years (study II). The CT-FFR and CSCT software correlation and agreement to corresponding standard references were good and excellent, respectively. Also, both software programs had time-saving potential (study I and III). The CAC quantification was more accurate using PCD-CT than EID-CT (study IV). The prognosis was excellent in patients with normal coronary arteries, and progressively impaired in non-obstructive and obstructive CAD (study II). The results in this thesis convey developmental, technical CT technology advances for CAD investigations. In addition, prognostic follow-up data is communicated. The results may benefit patients by an increased accuracy in the CT evaluation of CAD and can contribute to improve clinical follow-up strategies. Furthermore, the results suggest possibilities to improve the workflow in clinical radiology, which potentially could impact health care costs. Datortomografi (DT) är en kliniskt använd modalitet för utredning av misstänkt kranskärlsjukdom. För att förbättra framtida diagnostik, klinisk effektivitet och uppföljningsstrategier är det av stor vikt med teknisk vidareutveckling, och att erhålla relevant prognostisk information. Syftet med denna avhandling var att studera användandet av DT vid misstänkt kranskärlssjukdom. Tre studier syftade till att utvärdera nya tekniker, vilket innefattade utvärderingar av två nya mjukvaror samt en utvärdering av fotonräknar-DT (FR-DT). En studie syftade till att utvärdera det prognostiska värdet av DT kranskärl. Det första delarbetet utvärderade en mjukvara, som använde data från DT kranskärl för att beräkna tryckfall över misstänkta kranskärlsstenoser. Tiden för att erhålla tryckfallsmätningarna registrerades också. Resultaten av tryckfallsmätningarna jämfördes med en standardreferens, vilken utgjordes av invasiva, kateterburna tryckfallsregistreringar. Det andra delarbetet undersökte prognosen för patienter med olika fynd vid DT kranskärl. Genom registersamkörning erhölls data om kranskärlsrelaterad sjukdom med uppföljningstid på upp till 7.5 år. Det tredje delarbetet utvärderade en AI-mjukvara som utförde automatiska mätningar av kranskärlskalk, baserat på kliniskt utförda DT-undersökningar för detta ändamål (calcium scoring). Tiden för att erhålla mätningarna registrerades också. Resultaten jämfördes med en standardreferens, vilken utgjordes av en konventionell, semi-automatisk metod. Det fjärde delarbetet utvärderade förmågan att kvantifiera kranskärlskalk från avlidna med FRDT. Bilder från både FR-DT och DT användes för kvantifiering av kalkvolym och jämfördes med en standardreferens, vilken utgjordes av micro-DT. Korrelationen och överenstämmelsen mellan mjukvarorna och standardreferenserna var god för tryckfallberäkningarna över kranskärlsförträngningar, och mycket god för AI-baserad mätning av kranskärlskalk. Båda mjukvarorna hade tidsbesparande potential. För patienter med normala kranskärl var prognosen utmärkt, men den försämrades med ökad grad av kranskärlssjukdom. Användande av FR-DT bidrog till en bättre noggrannhet än DT vid kvantifiering av kranskärlskalk. Avhandlingen förmedlar värdet av teknisk utveckling vid utredning med DT för misstänkt kranskärlssjukdom. Dessutom presenteras nya, prognostiska data. Resultaten kan gynna patienten genom skärpt diagnostik och mer effektiva utredningar, vilket kan ge framtida ekonomiska effekter. Därtill kan de prognostiska resultaten bidra till förbättrade, kliniska uppföljningsstrategier. |
| coronary artery anatomy ct: Echocardiography in Pediatric and Congenital Heart Disease Wyman W. Lai, Luc L. Mertens, Tal Geva, Meryl S. Cohen, 2012-01-03 Echocardiography is essential in the practice of pediatric cardiology. A clinical pediatric cardiologist is expected to be adept at the non-invasive diagnosis of congenital heart disease and those who plan to specialize in echocardiography will need to have knowledge of advanced techniques. Echocardiography in Pediatric and Congenital Heart Disease addresses the needs of trainees and practitioners in this field, filling a void caused by the lack of material in this fast-growing area. This new title comprehensively covers the echocardiographic assessment of congenital heart disease, from the fetus to the adult, plus acquired heart disease in children. Topics covered include: ultrasound physics laboratory set-up a protocol for a standard pediatric echocardiogram quantitative methods of echocardiographic evaluation, including assessment of diastolic function in depth coverage of congenital cardiovascular malformations acquired pediatric heart disease topics of special interest, such as 3D echocardiography, transesophageal echocardiography, and fetal echocardiography The approach of this book is a major advancement for educational materials in the field of pediatric cardiology, and greatly enhances the experience for the reader. An accompanying DVD with moving images of the subjects covered in the textbook will further enhance the learning experience. |
| coronary artery anatomy ct: Computed Tomography of the Coronary Arteries Pim J. de Feyter, G. P. Gabriel Krestin, 2008-09-04 Updated to reflect the notable advances in cardiac computed tomography (CT) imaging, the Second Edition of the best-selling Computed Tomography of the Coronary Arteries provides cardiologists and radiologists with a practical text that explains the basic principles and applications of CT. Written by renowned international experts in the field, this |
| coronary artery anatomy ct: The Venous Drainage of the Human Myocardium Michael Lüdinghausen, 2012-12-06 The objective of this study is to present comprehensive morphological data, almost all of it is new, concerning the venous drainage of the myocardium via the coronary sinus and its related veins. This information is of great significance, not least for the sucessful coronary sinus catheterization and reperfusion of most, or single, cardiac veins.The author presents the three principal cardiac venous systems, the greater (major) cardiac venous, the smaller (minor) cardiac venous system, and the compound venous system. The work concludes with an evaluation of the many anatomical peculiarities and and hindrances with regard to the catheterization of the coronary sinus and the reperfusion of (selected) cardiac veins. |
| coronary artery anatomy ct: Coronary Pressure N.H. Pijls, B. de Bruyne, 2013-06-29 Cardiologists must answer three important questions when evaluating and treating patients with a coronary artery stenosis. As a physiologist: What is the effect of this stenosis on coronary blood flow and myocardial function?; as a clinician: Is this lesion responsible for the patient's symptoms?; and finally as an interventionalist: Will revascularization of this artery improve the patient? Fundamentally, the answer to these questions can be given to a large extent by measuring coronary pressure. That is the rationale of writing this book. 1. 1 Historical overview. Andreas Gruentzig and most interventional cardiologists in the early days of PTCA, had the intuitive feeling that pressure measurements could help to establish the severity of a coronary stenosis and to monitor the progress and result of a coronary intervention. At that time, measuring coronary pressure by the balloon catheter was part of a standard procedure. A residual transstenotic gradient of less than 15 mmHg was generally considered as a good result. Later, however, it turned out that measuring these (resting) gradients with balloon catheters was inaccurate an only had a limited prognostic value. Moreover, because there was no consistent theory to correlate pressure measurements to blood flow, the interest in measuring coronary pressures faded and disappeared almost completely with the introduction of new balloon catheters not intended for pressure measurement. |
| coronary artery anatomy ct: Multi-slice CT in Cardiac Imaging Bernd M. Ohnesorge, Thomas G. Flohr, Christoph R. Becker, Maximilian F Reiser, 2013-03-09 Cardiac diseases and in particular coronary artery disease are the leading cause of death and morbidity in the industrialized countries. The development of reliable cardiac imaging techniques is considered a key issue in improving patient care. This book presents and discusses the technical concepts, the potential spectrum of applications and the future perspectives of multi-slice CT in cardiac imaging. The discussion is based on the experience of internationally leading clinical institutions. It shows that this new modality has the potential to become an important and robust tool for non-invasive and early diagnosis of cardiac diseases. |
21 Anatomy of the Coronary Arteries and Veins in CT Imaging
Invasive selective coronary angiograms use projections performed in various orientations so that the cardiologist can perceive the 3D anatomy of the coronary arteries. This is quite different for …
Basic Coronary Angiography - Keck School of Medicine of USC
Cine frame from the first selective coronary arteriogram. taken by F. Mason Sones, MD, on October 30, 1958. Down right AV groove toward crux of the heart, gives off PDA (85%) from …
Normal and Variant Coronary Arterial and Venous Anatomy …
Knowledge of the anatomy of the coronary arteries and subjacent car- diac veins as displayed with maximum intens ity and volume-rendered pr ojections is important for correct image …
Clinical Anatomy of the Coronary Circulation - MDCT.net
In the anatomic evaluation of the coronary arteries by multi-slice computed tomography (MSCT), the classification of the American Heart Association, which divides these vessels into 15–16 …
A Pictorial Review of Coronary Artery Anatomy on Spiral CT
Coronary artery calcification scoring requires a thorough understanding of the anatomy of the cor-onary arteries that are evaluated in the study.
Cardiac Computed Tomography - European Society of …
6.4 Indications for and utility of coronary CTA in coronary artery disease 1/ Stable coronary artery disease (suspicion of) 2/ Acute chest pain Practical issues of cardiac CT in the ED Triple rule …
Journal of Cardiovascular Computed Tomography
Understanding this anomaly requires review of coronary em-bryology. The coronary arteries buds arise from the proximal portion of the bulbus cordis prior to its division into the aorta and …
CARDIAC STUDY GUIDE - The American Board of Radiology
o Coronary artery anatomy on cardiac MRI and CT (including right, left main, left anterior descending, left circumflex, obtuse marginals, diagonals, acute marginals, septal perforators, …
Anatomy and physiology in coronary artery disease imaging
Paradigm shift for the assessment of coronary artery disease. An algorithm showing the paradigm shift for the assessment of coronary artery disease in clinical practice.
Cardiac CT: Indications and Limitations* - Journal of Nuclear …
Cardiac CT (CCT) is rapidly evolving as a noninvasive imaging modality. Newer technologic developments in CCT allow the comprehensive assessment of cardiovascular anatomy, includ …
Coronary artery anatomy and variants - Springer
Variants and congenital anomalies of the coronary arteries are usually asymptomatic, but may present with severe chest pain or cardiac arrest. The introduction of multidetector CT coronary …
Anatomy and Terminology for the Interpretation and …
Knowledge of cardiac CT technique, cardiac anatomy, and standard anatomic and physiologic terminology can assist the reader in creating a consistent and comprehensive cardiac CT report.
To Study Coronary Artery Stenosis on CT in Comparison with …
coronary angiograms were compared with conventional angiograms for degree of stenosis in each coronary artery. Additional information of artery dominance, type of plaques, bridging and …
Cardiovascular computed tomography imaging for coronary …
Cardiac imaging is central to the diagnosis and risk stratification of coronary artery disease, beyond symptoms and clinical risk factors, by providing objective evidence of myocardial …
Coronary artery calcification identification and labeling in low …
The artery labeling is achieved by segmenting all CAC candidates in the heart region and applying geometric constraints on the candidates using locally pre-identified anatomy regions. This …
Cardiac Imaging: Part 2, Normal, Variant, and Anomalous
Noninvasive imaging of the heart and coronary vasculature using CT and MRI is a new and exciting opportunity for radiologists. The purpose of this pictorial essay is to review normal and …
YOUR GUIDE TO CT Coronary Angiography - Hunter Imaging
CTCA is able to assess the degree of narrowing in the coronary arteries and is able to detect both soft and calcified plaque. The anatomy of the entire heart and the adjacent aorta is also …
Coronary venous anatomy and anomalies
With protocol optimization, including appropriate contrast bolus timing, coronary veins can be depicted with excellent detail on CT. Knowledge of variant coronary venous anatomy can …
SCCT guidelines for the interpretation and reporting of …
Reliable interpretation of coronary angiography by com-puted tomography requires a sophisticated understanding of (1) normal coronary and cardiac anatomy; (2) the patho …
Electron Beam CT of the Coronary Arteries - AJR
Left main coronary artery bifurcation in 56-year-old asymptomatic woman. Electron beam CT image shows left main coronary artery (LMCA) dividing into left anterior descending artery …
21 Anatomy of the Coronary Arteries and Veins in CT …
Invasive selective coronary angiograms use projections performed in various orientations so that the cardiologist can perceive the 3D anatomy of the coronary arteries. This is quite different for …
Basic Coronary Angiography - Keck School of Medicine of USC
Cine frame from the first selective coronary arteriogram. taken by F. Mason Sones, MD, on October 30, 1958. Down right AV groove toward crux of the heart, gives off PDA (85%) from …
Normal and Variant Coronary Arterial and Venous Anatomy …
Knowledge of the anatomy of the coronary arteries and subjacent car- diac veins as displayed with maximum intens ity and volume-rendered pr ojections is important for correct image …
Clinical Anatomy of the Coronary Circulation - MDCT.net
In the anatomic evaluation of the coronary arteries by multi-slice computed tomography (MSCT), the classification of the American Heart Association, which divides these vessels into 15–16 …
A Pictorial Review of Coronary Artery Anatomy on Spiral CT
Coronary artery calcification scoring requires a thorough understanding of the anatomy of the cor-onary arteries that are evaluated in the study.
Cardiac Computed Tomography - European Society of …
6.4 Indications for and utility of coronary CTA in coronary artery disease 1/ Stable coronary artery disease (suspicion of) 2/ Acute chest pain Practical issues of cardiac CT in the ED Triple rule …
Journal of Cardiovascular Computed Tomography
Understanding this anomaly requires review of coronary em-bryology. The coronary arteries buds arise from the proximal portion of the bulbus cordis prior to its division into the aorta and …
CARDIAC STUDY GUIDE - The American Board of Radiology
o Coronary artery anatomy on cardiac MRI and CT (including right, left main, left anterior descending, left circumflex, obtuse marginals, diagonals, acute marginals, septal perforators, …
Anatomy and physiology in coronary artery disease imaging
Paradigm shift for the assessment of coronary artery disease. An algorithm showing the paradigm shift for the assessment of coronary artery disease in clinical practice.
Cardiac CT: Indications and Limitations* - Journal of Nuclear …
Cardiac CT (CCT) is rapidly evolving as a noninvasive imaging modality. Newer technologic developments in CCT allow the comprehensive assessment of cardiovascular anatomy, includ …
Coronary artery anatomy and variants - Springer
Variants and congenital anomalies of the coronary arteries are usually asymptomatic, but may present with severe chest pain or cardiac arrest. The introduction of multidetector CT coronary …
Anatomy and Terminology for the Interpretation and …
Knowledge of cardiac CT technique, cardiac anatomy, and standard anatomic and physiologic terminology can assist the reader in creating a consistent and comprehensive cardiac CT report.
To Study Coronary Artery Stenosis on CT in Comparison with …
coronary angiograms were compared with conventional angiograms for degree of stenosis in each coronary artery. Additional information of artery dominance, type of plaques, bridging and …
Cardiovascular computed tomography imaging for coronary …
Cardiac imaging is central to the diagnosis and risk stratification of coronary artery disease, beyond symptoms and clinical risk factors, by providing objective evidence of myocardial …
Coronary artery calcification identification and labeling in …
The artery labeling is achieved by segmenting all CAC candidates in the heart region and applying geometric constraints on the candidates using locally pre-identified anatomy regions. This …
Cardiac Imaging: Part 2, Normal, Variant, and Anomalous
Noninvasive imaging of the heart and coronary vasculature using CT and MRI is a new and exciting opportunity for radiologists. The purpose of this pictorial essay is to review normal and …
YOUR GUIDE TO CT Coronary Angiography - Hunter Imaging
CTCA is able to assess the degree of narrowing in the coronary arteries and is able to detect both soft and calcified plaque. The anatomy of the entire heart and the adjacent aorta is also …
Coronary venous anatomy and anomalies
With protocol optimization, including appropriate contrast bolus timing, coronary veins can be depicted with excellent detail on CT. Knowledge of variant coronary venous anatomy can …
SCCT guidelines for the interpretation and reporting of …
Reliable interpretation of coronary angiography by com-puted tomography requires a sophisticated understanding of (1) normal coronary and cardiac anatomy; (2) the patho …
Electron Beam CT of the Coronary Arteries - AJR
Left main coronary artery bifurcation in 56-year-old asymptomatic woman. Electron beam CT image shows left main coronary artery (LMCA) dividing into left anterior descending artery …
