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.
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.
Computed tomography (CT) is seen increasingly to play a pivotal role in cardiovascular imaging, although a relatively new imaging technique compared to traditional methods of angiography. The flexibility, availability and clinical robustness of CT allows a comprehensive assessment of the patient's vasculature that can be matched only by more risky invasive procedures. The concept applies to all vascular regions of the human body, but, in particular, cardiac CT angiography is viewed as the potential modality of choice for primary cardiovascular risk stratification. This book presents the reader with a thorough grounding in the basics of cardiac CT, with particular reference to coronary artery disease. It is primarily a practical guide, reviewing basic techniques, optimization, data handling and reporting. The atlas is grounded firmly in a clinical context, comprehensively illustrated throughout and using detailed case studies to demonstrate the role of cardiac CT in a wide variety of clinical settings. This atlas is an essential reference for the hospital radiology department and for the trainee.
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.
This atlas presents normal and pathologic findings observed on CT angiography with 3D reconstruction in a diverse range of clinical applications, including the imaging of cerebral, carotid, thoracic, coronary, abdominal and peripheral vessels. The superb illustrations display the excellent anatomic detail obtained with CT angiography and depict the precise location of affected structures and lesion severity. Careful comparisons between normal imaging features and pathologic appearances will assist the reader in image interpretation and treatment planning and the described cases include some very rare pathologies. In addition, the technical principles of the modality are clearly explained and guidance provided on imaging protocols. This atlas will be of value both to those in training and to more experienced practitioners within not only radiology but also cardiovascular surgery, neurosurgery, cardiology and neurology.
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.
Clinical studies show that cardiovascular intervention does not prevent heart attacks or prolong life in stable patients with coronary artery disease . . . so why are more than 1.5 million angioplasties and coronary bypass surgeries done annually in the United States alone? In The Great American Heart Hoax, esteemed cardiologist Michael Ozner, author of The Miami Mediterranean Diet, reveals groundbreaking truths about what actually helps prevent and reverse heart disease and what isn't worth the money or risk. Discover disturbing realities from a cardiologist about the billion-dollar cardiovascular intervention industry. While a minority of patients may benefit from surgery, Ozner uncovers that the majority can employ much simpler methods, such as diet, exercise and medical therapy, to achieve better results—without stents or surgery. Most important, The Great American Heart Hoax provides a 10-step program to improve your heart health and reduce your risk of heart disease.
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.
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.
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.