BOOK
Computed Tomography Imaging in 2012, An Issue of Cardiology Clinics - E-Book
Jagat Narula | Stephan Achenbach | Takeshi Kondo
(2012)
Additional Information
Book Details
Abstract
Cardiac CT obtains information about coronary arteries, great arteries and veins, and heart valves. It shows the location and extent of calcified plaque in the coronary arteries and helps detect coronary artery disease at an early stage, which neither traditional imaging techniques nor cardiac testing can do. Over the last decade technologic advances in CT angiography have been made at a rapid rate, and the new applications and refinements of existing technology continue to be made. This issue will help practicing cardiologists to keep up with the latest technology in this important and swiftly moving field.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Cardiology Clinics | i | ||
| Copyright Page | ii | ||
| Table of Contents | vii | ||
| Contributors | iii | ||
| Cardiology Clinics | x | ||
| Foreword: Update on Cardiac CT | xi | ||
| Cardiac CT Imaging: Precocious Maturity? | xiii | ||
| Chapter 1. Technical Advances in Cardiac CT | 1 | ||
| COMPUTED TOMOGRAPHY HARDWARE | 1 | ||
| SOFTWARE | 6 | ||
| FUTURE DEVELOPMENTS | 6 | ||
| REFERENCES | 7 | ||
| Chapter 2. Minimizing Radiation Dose for Coronary CT Angiography | 9 | ||
| IONIZING RADIATION BACKGROUND | 9 | ||
| CURRENT STRATEGIES TO REDUCE RADIATION DOSE | 11 | ||
| LIMITATIONS | 15 | ||
| SUMMARY | 15 | ||
| REFERENCES | 15 | ||
| Chapter 3. Coronary Artery Calcification and Coronary Atherosclerotic Disease | 19 | ||
| HISTORICAL PERSPECTIVE | 19 | ||
| PATHOPHYSIOLOGY OF CORONARY ARTERY CALCIUM | 20 | ||
| CORONARY ARTERY CALCIUM AND RELATION WITH AGE, GENDER, AND RACE | 21 | ||
| DISTRIBUTION OF CORONARY ARTERY CALCIUM | 23 | ||
| RELATION OF CORONARY ARTERY CALCIUM WITH VALVULAR CALCIFICATION | 23 | ||
| RELATION OF CORONARY ARTERY CALCIUM WITH AORTIC CALCIFICATION | 25 | ||
| CORONARY ARTERY CALCIUM, CONVENTIONAL CARDIOVASCULAR RISK FACTORS, AND THE METABOLIC SYNDROME | 25 | ||
| CORONARY ARTERY CALCIUM COMPARED WITH CONVENTIONAL ANGIOGRAPHY | 27 | ||
| RELATION OF CORONARY ARTERY CALCIUM WITH OTHER TESTS FOR CORONARY ARTERY DISEASE | 32 | ||
| PROGNOSIS OF CORONARY ARTERY CALCIUM SCORE: RELATION TO CARDIOVASCULAR EVENTS AND MORTALITY | 33 | ||
| GUIDELINES AND RECOMMENDATIONS FOR CORONARY CALCIUM SCANNING | 33 | ||
| HYPOTHETICAL COST MODELS OF CORONARY ARTERY CALCIUM SCORING: THE EMERGENCY ROOM AND OUTPATIENT SETTING | 40 | ||
| REFERENCES | 41 | ||
| Chapter 4. Coronary Artery Calcium Testing: Dos and Don’ts | 49 | ||
| DOS | 50 | ||
| DON’TS | 52 | ||
| REFERENCES | 53 | ||
| Chapter 5. Identifying and Redefining Stenosis by CT Angiography | 57 | ||
| DIAGNOSTIC EVALUATION FOR HIGH-GRADE CORONARY STENOSIS | 58 | ||
| DIAGNOSTIC PERFORMANCE OF CCTA FOR ADDITIONAL CAD MEASURES BEYOND STENOSIS | 59 | ||
| INCREMENTAL PROGNOSTIC VALUE OF CCTA | 60 | ||
| COMPARATIVE PROGNOSTIC VALUE OF CCTA AND STRESS TESTING | 61 | ||
| PROGNOSIS AND PLAQUE COMPOSITION | 62 | ||
| PROGNOSIS AND VENTRICULAR FUNCTION | 62 | ||
| FUTURE DIRECTIONS | 63 | ||
| SUMMARY | 64 | ||
| REFERENCES | 64 | ||
| Chapter 6. Evaluation of Plaque Morphology by Coronary CT Angiography | 69 | ||
| DIAGNOSIS OF THE VULNERABLE PLAQUE | 69 | ||
| CT-VERIFIED VULNERABLE PLAQUE | 70 | ||
| SPATIAL DISTRIBUTION OF CT-VERIFIED VULNERABLE PLAQUE AND THE RELATIONSHIP WITH SIGNIFICANT STENOSIS | 70 | ||
| THE RELATIONSHIP WITH CALCIFICATION IN CT-VERIFIED VULNERABLE PLAQUE | 71 | ||
| THE RELATIONSHIP BETWEEN CT-VERIFIED VULNERABLE PLAQUE AND THE FRS | 71 | ||
| PLANNING CORONARY INTERVENTION | 73 | ||
| LIMITATION AND FUTURE PERSPECTIVE FOR ASSESSMENT OF PLAQUE MORPHOLOGY IN CORONARY CTA | 73 | ||
| REFERENCES | 74 | ||
| Chapter 7. Prognostic Value of Coronary CT Angiography | 77 | ||
| PROGNOSTIC VALUE OF CORONARY CTA IN SYMPTOMATIC PATIENTS | 78 | ||
| PROGNOSTIC VALUE OF CORONARY CTA IN UNIQUE POPULATIONS | 85 | ||
| PROGNOSTIC IMPLICATIONS OF PLAQUE MORPHOLOGY | 85 | ||
| CORONARY CTA AND PROGNOSIS IN ASYMPTOMATIC PATIENTS? | 86 | ||
| SUMMARY | 87 | ||
| REFERENCES | 87 | ||
| Chapter 8. Subtraction Coronary CT Angiography for Calcified Lesions | 93 | ||
| CT IMAGING METHODS | 94 | ||
| IMAGE ACQUISITION METHODS USED IN SUBTRACTION CORONARY CT | 94 | ||
| SUBTRACTION METHOD | 95 | ||
| IMAGE ANALYSIS | 95 | ||
| USEFULNESS OF THE CORONARY CALCIUM SCORE IN DECIDING WHETHER CONVENTIONAL CORONARY CT SHOULD BE PERFORMED | 96 | ||
| A CASE REPORT | 96 | ||
| PRELIMINARY RESULTS FOR SUBTRACTION CORONARY CT | 98 | ||
| USEFULNESS OF SUBTRACTION CORONARY CT FOR THE ASSESSMENT OF CORONARY ARTERY STENTS | 98 | ||
| RADIATION DOSE IN SUBTRACTION CORONARY CT | 99 | ||
| MISREGISTRATION ARTIFACTS | 100 | ||
| FUTURE PROSPECTS | 100 | ||
| REFERENCES | 101 | ||
| Chapter 9. CT Detection of Pulmonary Embolism and Aortic Dissection | 103 | ||
| AORTIC DISSECTION | 103 | ||
| PULMONARY EMBOLISM | 108 | ||
| CHEST PAIN CTA | 112 | ||
| SUMMARY | 113 | ||
| REFERENCES | 113 | ||
| Chapter 10. Cardiac CT in the Emergency Department | 117 | ||
| DEFINITION OF ACS | 117 | ||
| PATHOPHYSIOLOGY OF ACS | 117 | ||
| CURRENT DIAGNOSTIC PATHWAYS AND MANAGEMENT OF PATIENTS PRESENTING TO THE ED WITH SUSPICION OF ACS | 118 | ||
| THE ROLE OF CT IN THE ED | 120 | ||
| POTENTIAL NEW IMAGING TARGETS FOR CT IN PATIENTS PRESENTING WITH ACS | 124 | ||
| DOSE ISSUES | 126 | ||
| SUMMARY | 127 | ||
| REFERENCES | 127 | ||
| Chapter 11. Myocardial Perfusion by CT Versus Hybrid Imaging | 135 | ||
| TECHNOLOGY SUMMARY | 136 | ||
| CLINICAL EVIDENCE | 138 | ||
| LIMITATIONS | 140 | ||
| CLINICAL IMPLICATIONS | 141 | ||
| FUTURE PERSPECTIVES | 143 | ||
| SUMMARY | 143 | ||
| REFERENCES | 143 | ||
| Chapter 12. MDCT to Guide Transcatheter Aortic Valve Replacement and Mitral Valve Repair | 147 | ||
| TRANSCATHETER AORTIC VALVE REPLACEMENT | 147 | ||
| THE ONGOING DEBATE ON HOW TO SIZE THE ANNULUS WITH MDCT | 151 | ||
| MDCT FOR MITRAL VALVE REPAIR | 154 | ||
| SUMMARY | 157 | ||
| REFERENCES | 158 | ||
| Index | 161 |