Understanding Cardiac Imaging Techniques


Book Description

The availability of 3D imaging in cardiology has provided a large flow of information to the clinical management of low and high risk patients. However, the correlation among different findings such as perfusion, metabolism or wall motion abnormalities is difficult and mostly qualitative. In fact labs may return information that is frequently redundant or even conflicting due to lack of correlation between different techniques in imaging. The complexity of the problem is can be reflected in the technical differences of the many imaging techniques, for example, echocardiography is based on ultrasound while angiography is based on x-rays. This text collects the experiences of different specialists, starting from the basic concepts of cardiac imaging, analyzing differences and similarities between invasive and non-invasive techniques, challenged versus the computer point of view, in order to obtain an operative efficient guide in the field of image fusion.







Sources of Medical Technology


Book Description

Evidence suggests that medical innovation is becoming increasingly dependent on interdisciplinary research and on the crossing of institutional boundaries. This volume focuses on the conditions governing the supply of new medical technologies and suggest that the boundaries between disciplines, institutions, and the private and public sectors have been redrawn and reshaped. Individual essays explore the nature, organization, and management of interdisciplinary R&D in medicine; the introduction into clinical practice of the laser, endoscopic innovations, cochlear implantation, cardiovascular imaging technologies, and synthetic insulin; the division of innovating labor in biotechnology; the government- industry-university interface; perspectives on industrial R&D management; and the growing intertwining of the public and proprietary in medical technology.




Cardiovascular Imaging


Book Description

A host of imaging techniques are available to clinical cardiologists, including nuclear imaging, echocardiography, computerized tomography, and magnetic-resonance imaging. Chamber size, ventricular function, valvular function, coronary anatomy, and myocardial perfusion are among a wide array of cardiac characteristics that can all be assessed noninvasively. Cardiovascular Imaging systematically reviews each of these major techniques and provides clinical data from well-designed research studies. Following a brief overview of non-invasive cardiac imaging and the stress modalities used to detect coronary disease, case-based chapters are devoted to each of the various imaging techniques. The final chapter provides a glimpse of future possibilities, particularly with respect to molecular imaging. The text is illustrated throughout with amply-sized images. Demonstrating the values and limitations of the imaging techniques, the book enables practitioners to determine which test, in which patient population, and for which purpose would be the most appropriate to use.




Quality Evaluation in Non-Invasive Cardiovascular Imaging


Book Description

This handbook provides hospitals, clinics, and imaging centers, along with their medical and technical directors and hospital administrators, with the necessary information and tools to develop quality initiatives. The specific aims of this book include: 1.Describe quality control as it relates to non-invasive cardiovascular imaging 2.Understand the current standards as published by societal guidelines or accrediting organizations e.g. American College of Radiology (ACR), Intersocietal Accreditation Commission (IAC), The Joint Commission (TJC) or the European Society of Cardiology (ESC). 3.Demonstrate techniques to comply with the routine quality assessment of the equipment utilized in the imaging process. 4.Understand and document the appropriate patient and protocol selection. 5.Optimize appropriate imaging techniques to minimize acquisition and processing artifact. 6.Improve the reporting process and more effectively communicate with referring physicians. 7.Assess the current process of care and document the outcomes to allow for process improvement. 8.Develop protocols for the evaluation of patient and physician satisfaction. 9.Design programs to perform the public reporting of outcomes.​




Cardiovascular Computed Tomography


Book Description

Recent years have seen a marked increase in cardiovascular computed tomography (CT) imaging, with the technique now integrated into many imaging guidelines, such as those published by ESC and NICE. Rapid clinical and technological progress has created a need for guidance on the practical aspects of CT image acquisition, analysis and interpretation. The Oxford Specialist Handbook of Cardiovascular CT, now revised for the second edition by practising international experts with many years of hands-on experience, is designed to fulfil this need. The Handbook is a practical guide on performing, analysing and interpreting cardiovascular CT scans, covering all aspects from patient safety to optimal image acquisition to differential diagnoses of tricky images. It takes an international approach to both accreditation and certification, highlighting British, European, and American examinations and courses. The format is designed to be accessible and is laid out in easy to navigate sections. It is meant as a quick-reference guide, to live near the CT scanner, workstation, or on the office shelf. The Handbook is aimed at all cardiovascular CT users (Cardiologists, Radiologists and Radiographers), particularly those new to cardiovascular CT, although even the advanced user should find useful tips and tricks within.




Nuclear Cardiology and Multimodal Cardiovascular Imaging, E-Book


Book Description

Recent years have seen numerous advances in cardiovascular nuclear medicine technology, leading to more precise diagnoses and treatment and an expanded understanding of the molecular basis for cardiac disease. Nuclear Cardiology and Multimodal Cardiovascular Imaging is a one-stop, comprehensive guide to the diagnostic and clinical implications of this complex and increasingly important technology. Part of the Braunwald family of renowned cardiology references, it provides cutting-edge coverage of multimodal cardiac imaging along with case vignettes and integrated teaching content—ideal for cardiologists, cardiology fellows, radiologists, and nuclear medicine physicians. Features all the latest cardiovascular nuclear medicine studies with practical, evidence-based implications for personalized patient evaluation and treatment. Presents a consistent, patient-centered approach using integrated case vignettes correlated with specific nuclear medicine imaging findings. Discusses patient assessment criteria, risk factor criteria, pathology, evaluation criteria, outcomes, and other clinical implications. Covers a full range of imaging technologies, including SPECT/CT, PET/CT, and CT/MR hybrid radionuclide cardiovascular imaging studies. Addresses emerging clinical applications of nuclear imaging techniques for precision-based medicine, including targeted molecular imaging and cell therapies. Includes sections on instrumentation/principles of imaging; protocols and interpretation; applications in coronary artery disease, special populations, and heart failure; artificial intelligence, and more. Contains guidelines and appropriate use documents to provide appropriate context for clinicians. Features hundreds of high-quality figures including multimodal cardiac imaging studies, anatomic illustrations, and graphs. Provides Key Point summaries, 50 procedural videos, and 100 multiple-choice questions and answers to reinforce understanding and facilitate review.




Dilated Cardiomyopathy


Book Description

This open access book presents a comprehensive overview of dilated cardiomyopathy, providing readers with practical guidelines for its clinical management. The first part of the book analyzes in detail the disease’s pathophysiology, its diagnostic work up as well as the prognostic stratification, and illustrates the role of genetics and gene-environment interaction. The second part presents current and future treatment options, highlighting the importance of long-term and individualized treatments and follow-up. Furthermore, it discusses open issues, such as the apparent healing phenomenon, the early prognosis of arrhythmic events or the use of genetic testing in clinical practice. Offering a multidisciplinary approach for optimizing the clinical management of DCM, this book is an invaluable aid not only for the clinical cardiologists, but for all physicians involved in the care of this challenging disease.




Basic Principles of Cardiovascular MRI


Book Description

This book is a comprehensive and authoritative text on the expanding scope of CMR, dedicated to covering basic principles in detail focusing on the needs of cardiovascular imagers. The target audience for this book includes CMR specialists, trainees in CMR and cardiovascular medicine, cardiovascular physicists or clinical cardiovascular imagers. This book includes figures and CMR examples in the form of high-resolution still images and is divided in two sections: basic MRI physics, i.e. the nuts and bolts of MR imaging; and imaging techniques (pulse sequences) used in cardiovascular MR imaging. Each imaging technique is discussed in a separate chapter that includes the physics and clinical applications (with cardiovascular examples) of a particular technique. Evolving techniques or research based techniques are discussed as well. This section covers both cardiac and vascular imaging. ​Cardiovascular magnetic resonance (CMR) imaging is now considered a clinically important imaging modality for patients with a wide variety of cardiovascular diseases. Recent developments in scanner hardware, imaging sequences, and analysis software have led to 3-dimensional, high-resolution imaging of the cardiovascular system. These developments have also influenced a wide variety of cardiovascular imaging applications and it is now routinely used in clinical practice in CMR laboratories around the world. The non-invasiveness and lack of ionizing radiation exposure make CMR uniquely important for patients whose clinical condition requires serial imaging follow-up. This is particularly true for patients with congenital heart disease (CHD) with or without surgical corrections who require lifelong clinical and imaging follow-up.




Cardiac Imaging: The Requisites E-Book


Book Description

The updated third edition of this best-selling Radiology RequisitesTM volume concisely synthesizes all of today’s core knowledge about cardiac imaging. Clinically oriented coverage encompasses everything from basic principles through the latest diagnostic imaging techniques, equipment, and technology. This edition features new editors and new chapters on Cardiac CT, Coronary CTA, and more. Practice-proven tips and excellent problem-solving discussions are accompanied by nearly 718 figures (over 1000 pieces) of the highest quality, many of which have been updated and redrawn. The result is an outstanding review source for certification or recertification, as well as a highly user-friendly resource for everyday clinical practice. Covers valvular, ischemic, pericardial, myocardial, congenital, and thoracic/aortic heart disease. Describes all of the imaging modalities currently being used (plain film, ultrasound, CT, and MR), and discusses potential future developments. Delivers outstanding illustrations that demonstrate a full range of cardiac imaging approaches and findings. Features the expert contribution of two new co-editors, Drs. Suhny Abbara and Larence Boxt, to provide you with fresh perspective on the latest technologies. Covers the various modalities of MR, CT, PET, and SPECT perfusion in more depth. Includes new chapters on Cardiac CT and Coronary CTA for current information on all imaging modalities. Presents updated and redrawn illustrations and color images interspersed throughout the text for easier and more intuitive access.