This book discusses the state-of-the-art developments in multi-slice CT for cardiac imaging as well as those that can be anticipated in the future. It is a comprehensive work covering all aspects of this technology from the technical fundamentals to clinical indications and protocol recommendations. This second edition draws on the most recent clinical experience obtained with 16- and 64-slice CT scanners by world-leading experts. The book also has chapters on area-detector CT and the brand new dual-source CT.
This book discusses the state-of-the-art developments in multi-slice CT for cardiac imaging as well as those that can be anticipated in the future. It is a comprehensive work covering all aspects of this technology from the technical fundamentals to clinical indications and protocol recommendations. This second edition draws on the most recent clinical experience obtained with 16- and 64-slice CT scanners by world-leading experts. The book also has chapters on area-detector CT and the brand new dual-source CT.
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.
This is the first textbook in DECT focussing especially on the cardiovascular field. DECT was developed many years ago but has recently spread its clinical utility. Many new applications have been developed over the last years and the cardiovascular system has benefited from these advances. New protocols will be used in the near future which will help to optimize results obtained until now with single energy CT, such as a more precise quantification of coronary artery stenosis using either different monochromatic levels or material decomposition, reduction of beam hardening artifacts in perfusion studies and optimizing endovenous contrast, among others.
This book provides an introduction to Dual Source Computed Tomography (DSCT) technology and to the basics of contrast media administration. This is followed by 25 in-depth clinical scan and contrast media injection protocols.
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.
Computed tomography of the heart has become a highly accurate diagnostic modality that is attracting increasing attention. This extensively illustrated book aims to assist the reader in integrating cardiac CT into daily clinical practice, while also reviewing its current technical status and applications. Clear guidance is provided on the performance and interpretation of imaging using the latest technology, which offers greater coverage, better spatial resolution, and faster imaging. The specific features of scanners from all four main vendors, including those that have only recently become available, are presented. Among the wide range of applications and issues to be discussed are coronary artery bypass grafts, stents, plaques, and anomalies, cardiac valves, congenital and acquired heart disease, and radiation exposure. Upcoming clinical uses of cardiac CT, such as plaque imaging and functional assessment, are also explored.
The standard procedure for defining the anatomic extent andseverity of coronary artery disease is catheter-based selectivecoronary angiography. While there are advantages to coronaryangiography, it is invasive with some risk of complications andrequires a brief period of hospitalization, making it relativelyexpensive. Cardiac CT, PET and MR is a completetechnique-oriented reference, offering real alternatives to the“standard procedure”. Non-invasive techniques of coronary artery lumen imaging, suchas multislice computed tomography (MSCT) and magnetic resonanceimaging (CMR) as well as complementary and at times more usefulphysiologic and/or metabolic imaging techniques provided bypositron emission tomography (PET) are clearly detailed throughoutthis book. Cardiac CT, PET and MR therefore provides an excellentreference for all cardiologists, radiologists, and nuclear medicinephysicians involved in the diagnosis and risk assessment ofpatients with known or suspected coronary artery disease. With the advent of these non-invasive techniques, the future ofinvasive coronary angiography will be reserved primarily fortherapeutic rather than diagnostic purposes. Accordingly, this bookprovides a unique and essential contribution to the developingfield for both physicians and students.
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.
Until recently, CT scanner performance was limited by a series of compromises. With single-detector scanners, one cannot select thin collimation and still maintain the required extent of volumetric coverage. Slow scans cause motion artifacts that impair image quality. The introduction of multidetector CT technology, however, has revolutionized the field. Currently multidetector, multislice CT scanners acquire up to four channels of data from interweaving spirals. The minimum gantry rotation period is as low as half of a second. This increased scan speed allows for thinner collimation and thus higher longitudinal or z-axis resolution in comparison with single-detector CT. The improved image quality with multidetector technology leads to new applications of CT, particularly in cardiac, vascular, and abdominal imaging. On-going clinical studies are evaluating the suitability of this new imaging tool for non-invasive screening and diagnosis of coronary artery disease. A particular advantage to the increased scan speed in vascular imaging is the ability to cut intra venous contrast dosage and still maintain peak enhancement CT throughout the entire acquisition. Thin-section, multiphasic acquisition during optimal arterial-phase and venous-phase enhan cement significantly improves the accuracy for small lesion and vessel detection, and enhances overall classification of abdominal neoplasms. On the other hand, the increasingly large volume data sets force to new ways of looking at, presenting, storing, and trans ferring images. Networking and two- and three dimensional data processing are the key words.
