CT of the Heart (Contemporary Medical Imaging)

About this book

The introduction of fast ECG-synchronized computed tomography (CT) techniques enables imaging of the heart with a combination of speed and spatial resolution unparalleled by other noninvasive imaging modalities. Applying these modalities for the evaluation of coronary artery disease is a topic of active current research. Coronary artery calcium measurements are investigated as a marker for cardiac risk stratification. With contrast-enhanced CT coronary angiography, coronary arteries can be visualized with unprecedented detail, so that noninvasive stenosis assessment appears within reach. With increasing accuracy CT enables evaluation of coronary artery bypass grafts and stents. The cross-sectional nature of CT may to some degree allow noninvasive assessment of the coronary artery wall. CT for evaluating cardiac perfusion, motion, and viability is being investigated.
In CT of the Heart, leading radiologists, cardiologists, physicists, engineers, and basic and clinical scientists from around the world survey the full scope of current developments, research, and scientific controversy regarding principles and applications of cardiac CT. Richly illustrated with over 900 black-and-white and color images, the book discusses the interpretation of CT of the heart in a variety of clinical, physiologic, and pathologic applications. The authors emphasize current state-of-the-art uses of computed tomography, including 64-slice MDCT and contrast-enhanced CT, and examine emerging developments at the horizon. They review the technical basis of CT image acquisition as well as the tools for image visualization and analysis.
Meticulous and comprehensive, CT of the Heart authoritatively defines the current status of computed tomography of the heart, offering a truly balanced view of its technology, applications, significance, and future potential.

Written for: Cardiologists, radiologists, biophysicists, bioengineers, biochemists, physiologists, and pathologists

Reviews

"The entire contents-from the introduction about the past, present, and future of CT of the heart through the technical underpinning of the method, and through various clinical, physiologic, an d pathologic applications of CT in studying the heart-art meticulous and comprehensive. This book fills and immense need"-Foreword by Alexander R. Margulis, MD, DSc., Weill Medical College of Cornell University

"...state-of-the-art text on computed tomography of the heart." - Texas Heart Institute Journal

"This excellent, new, profusely illustrated book demonstrates state-of-the-art imaging of the heart and also provides appropriate comparisons with the results from magentic resonance and ultrasound imaging methofs." - Comprehensive Therapy

Table of contents

Part I. Introduction and Historical Background

• CT of the Heart: Past, Present, and Future
  William Stanford

Part II. Technical Background

• Electron Beam CT of the Heart
  David G. Hill
• Scan Techniques for Cardiac and Coronary Artery Imaging With Multislice CT
  Bernd M. Ohnesorge, Brian R. Westerman, and U. Joseph Schoepf
• Image Reconstruction for ECG-Triggered and ECG-Gated Multislice CT
  Thomas Flohr and Tinsu Pan
• Phase-Correlated Image Reconstruction Without ECG
  Marc Kachelriess and Willi A. Kalender
• Radiation Dose From CT of the Heart
  Cynthia H. McCollough

Part III. Detection and Quantification of Coronary Calcium

• Coronary Calcium Screening: An Epidemiologic Perspective
  Christopher J. O'Donnell and Udo Hoffmann
• Coronary Calcium Scanning: Why We Should Perform It
  Axel Schmermund, Stefan Möhlenkamp, and Raimund Erbel
• Detection and Quantification of Coronary Calcium With Electron Beam CT
  Axel Schmermund, Stefan Möhlenkamp, and Raimund Erbel
• Detection and Quantification of Coronary Calcium With Dual-Slice CT
  Joseph Shemesh
• Detection and Quantification of Calcified Coronary Plaque With Multidetector-Row CT
  J. Jeffrey Carr
• Coronary Calcium Scoring With Multidetector-Row CT: Rationale and Scoring Techniques
  Roman Fischbach and David Maintz
• Noninvasive Quantification of Coronary Calcium: Quantification Methods, Scanner Types, Scan Protocols, Accuracy, and Reproducibility
  Stefan Ulzheimer, Kaiss Shanneik, and Willi A. Kalender

Part IV. Contrast-Enhanced CT of the Heart: Morphology and Function

• CT of the Pericardium
  Reinhard Groell
• Multidetector-Row CT for Assessment of Cardiac Valves
  Jürgen K. Willmann and Dominik Weishaupt
• Multislice CT of the Heart and Great Vessels in Congenital Heart Disease Patients
  Jean-François Paul
• Imaging of Cardiac and Paracardiac Masses and Pseudotumors
  Bernd J. Wintersperger
• Multidetector-Row CT Assessment of Left-Ventricular Function
  Kai Uwe Juergens and Roman Fischbach
• Imaging Intramyocardial Microcirculatory Function Using Fast Computed Tomography
  Stefan Möhlenkamp, Axel Schmermund, Birgit Kantor, Raimund Erbel, and Erik L. Ritman
• Approaches for Assessing Myocardial Viability With Multidetector-Row CT
  Yasushi Koyama and Teruhito Mochizuki

Part V. Contrast-Enhanced CT of the Heart: Coronary Arteries

• Anatomy of the Coronary Arteries and Veins in CT Imaging
  Robert J. M. van Geuns and Filippo Cademartiri
• Techniques and Protocols for Acquisition and Display of Contrast-Enhanced CT Angiography
  Christoph R. Becker
• Contrast Material Injection Techniques for CT Angiography of the Coronary Arteries
  Filippo Cademartiri and Koen Nieman
• Visualization Techniques for Contrast- Enhanced CT Angiography of Coronary Arteries
  Jean-Louis Sablayrolles and Pascal Giat
• CT Angiography for Assessment of Coronary Artery Anomalies
  Steffen C. Froehner, Matthias Wagner, Juergen Brunn, and Rainer R. Schmitt
• Multidetector-Row CT for Assessment of Kawasaki Disease
  Toru Sakuma and Kunihiko Fukuda
• Multidetector-Row CT of the Coronary Arteries for Planning of Minimally Invasive Bypass Surgery
  Christopher Herzog, Selami Dogan, and Thomas J. Vogl
• CT Angiography for Assessment of Coronary Bypass Grafts
  Marcello De Santis
• Contrast-Enhanced Electron Beam CT and Multidetector-Row CT in the Evaluation of Coronary Stent Patency
  Heiko Pump, Stefan Möhlenkamp, Raimund Erbel, and Rainer Seibel
• CT Angiography for the Detection of Coronary Artery Stenosis
  Koen Nieman and Filippo Cademartiri
• Complementary Use of Coronary Calcium Scoring and CT Angiography
  Alexander W. Leber
• CT vs Magnetic Resonance for Imaging of the Coronary Arteries
  Armin Huber

Part VI. Contrast-Enhanced CT of the Heart: Principles of Atherosclerosis and Vessel Wall Imaging

• Pathology and Pathophysiology of Coronary Atherosclerotic Plaques
  Renu Virmani, Allen P. Burke, Frank D. Kolodgie, Andrew Farb, Aloke V. Finn, and Herman Gold
• Pathogenesis of the Vulnerable Atherosclerotic Plaque
  Masanori Aikawa
• Multidetector-Row CT Imaging of Clinical and Preclinical Coronary Atherosclerosis
  Christoph R. Becker
• Multidetector-Row CT vs Intravascular Ultrasound for Coronary Plaque Characterization
  Axel Kuettner
• Multidetector-Row CT vs Magnetic Resonance Imaging for Coronary Plaque Characterization
  Konstantin Nikolaou, Christoph R. Becker, and Zahi Fayad
• Multidetector-Row CT for Detection of Noncalcified and Calcified Coronary Lesions: Clinical Significance
  Stephen Schroeder

Index