By Carlo Nicola De Cecco, Marco Rengo (auth.)
ISBN-10: 8847028647
ISBN-13: 9788847028647
ISBN-10: 8847028655
ISBN-13: 9788847028654
The goal of the instruction manual is to supply a realistic consultant for citizens and basic radiologists, prepared alphabetically, basically in response to illness or . The guide could be designed as a brief book with a few illustrations and schemes and should conceal themes on cardiac MDCT and MRI. Entries often contain a brief description of pathological and scientific features, tips on choice of the main applicable imaging approach, a schematic assessment of capability diagnostic clues, and worthwhile advice and methods.
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Extra info for MDCT and MRI of the Heart
Example text
LE usually seen only in advanced disease. • Ventricular function: Majority of patients (75 %) compatible with diagnosis of ARVC present various degree of right ventricle enlargement and dysfunction. , sarcoidosis). • Pitfalls: dyskinetic area near moderator band could be normal. • Differential diagnosis: dilated cardiomyopathies, sarcoidosis, valvular or congenital disease responsible for RV dilatation. • The diagnosis is not made with CMR alone! • ARVD Task Force Criteria: definite diagnosis, 2 major OR 1 major + 2 minor; borderline, 1 major + 1 minor OR 3 minor; possible, 1 major OR 2 minor.
Patients are usually asymptomatic until the stenosis reduces the aortic valve area to 1 cm2. • Evaluation of leaflet morphology, thickening, and calcifications. • CT: (1) Coronal MIP reformatted image obtained during systole; (2) restriction of the aortic valve orifice; (3) thickening and calcification of the aortic valve cusps, calcification is associated with the severity of stenosis and it can be quantified; (4) decreased excursion of the valve cusps. • MR: (1) direct jet visualization; (2) stenotic jet could be not parallel to the LV outflow tract; (3) late enhancement can be present in severe long-standing stenosis as patchy mid-wall enhancement, usually in conjunction with significant left ventricular hypertrophy.
Qp/Qs >2 indicates a large shunt. MR: (1) Not recommended for the diagnosis of small ASD. (2) It is used to visualize dimensions and rims for larger ASD when TOE is contraindicated. (3) MR useful to assess ASD dimension, rim, and flow quantification especially if a percutaneous closure device is used. (4) Useful in posttreatment follow-up to assess device position and residual defects. Tips and tricks: (1) Reduce slice thickness on phase contrast (5–6 mm) for flow quantification when measuring ASD/VSD; (2) short axis evaluation on atrial chambers.
MDCT and MRI of the Heart by Carlo Nicola De Cecco, Marco Rengo (auth.)
by Daniel
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