Cardiovascular ImagingJohan H. C. Reiber, Ernst E. van der Wall In the past, coronary arteriography was the only modality available to provide high quality images of the coronary anatomy. Quantitative coronary arteriography (QCA) was developed, implemented, validated and extensively applied to obtain accurate and reproducible data about coronary morphology and the functional significance of coronary obstructions. Over the last few years extensive basic technological research supported by clinical investigations has created competing modalities to visualize coronary morphology and the associated perfusion of the myocardial muscle. Currently, the following modalities are available: X-ray coronary arteriography, intracoronary ultrasound, contrast- and stress-echocardiography, angioscopy, nuclear cardiology, magnetic resonance imaging, and cine and spiral CT imaging. For all these imaging modalities, the application of dedicated quantitative analytical software packages enables the evaluation of the imaging studies in a more accurate, reliable, and reproducible manner. These extensions and achievements have resulted in improved diagnostics and subsequently in improved patient care. Particularly in patients with ischaemic heart disease, major progress has been made to detect coronary artery disease in an early phase of the disease process, to follow the atherosclerotic changes in the coronary arteries, to establish the functional and metabolic consequences of the luminal obstructions, and accurately to assess the results of interventional therapy. Aside from all these high-tech developments in cardiac imaging techniques, the transition from the analogue to the digital world has been going on for some time now. For the future, it has been predicted that the CD-R will be the exchange medium for cardiac images and DICOM-3 the standard file format. This has been a major achievement in the field of standardization activities. Since these developments will have a major impact on the way images willbe stored, reviewed and exchanged in the near future, an important part of this book has been dedicated to DICOM and the filmless catheterization laboratory. Cardiovascular Imaging will assist cardiologists, radiologists, nuclear medicine physicians, image processing specialists, physicists, basic scientists, and fellows in training for these specialties to understand the most recent achievements in cardiac imaging techniques and their impact on cardiovascular medicine. |
Contents
Regressionprogression of CAD and cardiovascular imaging | 7 |
Archival systems for cineangiographic film replacement | 19 |
The AVE Micro Stents | 23 |
Copyright | |
29 other sections not shown
Other editions - View all
Common terms and phrases
acquisition algorithm analysis angiograms angiographic angioplasty angioscopy Archium archive system assessment atherectomy atherosclerosis atherosclerotic plaque AVE Micro Stents balloon blood flow breath-hold calcification cardiac catheterization Cardiology cardiomyopathy carotid cath lab catheter catheterization laboratory CD-R cholesterol cinefilm Circulation clinical Coll Cardiol compression contrast agent coronary angiography coronary arteriography coronary artery disease coronary atherosclerosis coronary flow correlation demonstrated Diameter Function DICOM digital image distal echocardiography effects evaluation exam factors Figure flow reserve flow velocity fluvastatin gradient Heart hypertrophic hypertrophic cardiomyopathy injection intervention intracoronary ultrasound intravascular ultrasound IVUS J.H.C. Reiber JPEG left ventricular lesions lipid lossy lumen magnetic resonance measurements medium myocardial infarction myocardial perfusion myocardium noninvasive obstruction occlusion patients pravastatin procedure PTCA quantitative coronary reconstruction reduction reference diameter regression Reiber JHC restenosis review station segment significant stenosis stent storage technique therapy thrombus tissue tomography trials ultrasound imaging vascular vessel x-ray