[PDF] Atlas Of Coronary Intravascular Optical Coherence Tomography eBook
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This atlas is a practical and fully illustrated guide to the use of intravascular OCT in diagnosis and treatment of coronary artery disease. It consists of two parts. The first part of the book provides a systematic introduction to coronary imaging with OCT. It describes how to interpret images and describes abnormal findings seen in atherosclerosis, complications after intervention, and stent assessment. The second part of the book presents real-life case studies that show how OCT is used in clinical practice in Mount Sinai to assess the disease, select appropriate treatment, and evaluate complications and results. Each case includes a brief clinical history, procedure summary, angiography and OCT images, including video material, and a discussion of how OCT affected the clinical decision-making process.
This book, written by premier authors in the field of OCT intravascular imaging, covers the best practices for using OCT to provide high resolution cross-sectional viewing for atherosclerotic plaque assessment, stent strut coverage and apposition, assessment in stent restenosis evaluation, and PCI guide and optimization. Fully illustrated thorughout in a handy, cath-lab side handbook supplemented by online movie clips, OCT Made Easy includes case studies, angiography, CT correlations, and simple techniques for getting the best image.
This issue of Interventional Cardiology Clinics, edited by Matthew J. Price, is devoted to Intravascular Imaging. Dr. Price assembled a group of expert contributors to review the following topics: IVUS for the assessment of coronary lesion severity and optimization of PCI; IVUS for the diagnosis and treatment of left main coronary artery disease; Fundamentals of OCT: image acquisition and interpretation; Technique and Best Practices for Intracoronary OCT; Assessment and quantitation of stent results by intracoronary OCT; PCI planning and optimization with intracoronary OCT; Advances in Automated Assessment of Intracoronary OCT and Their Clinical Application; Diagnosis and evaluation of stent thrombosis using OCT; Acute and long-term evaluation of bioresorbable scaffolds by OCT; Role of OCT in the diagnosis, evaluation, and management of spontaneous coronary artery dissection; and Neointimal Coverage after Drug-Eluting Stent Implantation: Insights from Optical Coherence Tomography.
Intravascular ultrasound (IVUS) is an imaging technique used during coronary angiography. This book provides a systematic introduction to coronary imaging with (IVUS). It is divided into two integrated and extensively cross-referenced parts, the Atlas and the Manual. The Manual describes the rationale, method, and interpretation of IVUS imaging for
Given that for centuries, the standard tool to understand diseases in tissues was the microscope and that its major limitation was that only excised tissue could be used, recent technology now permits the examination of diseased tissue in vivo. Optical coherence tomography (OCT) has promising potential when applied to coronary artery disease. OCT has the capability to identify coronary plaque and to distinguish between plaques that are stable and unstable. If the plaques are stable then OCT can direct percutaneous intervention (angioplasty or stenting). Optical coherence tomography is a light-based imaging technology that allows for very high resolution imaging in biological tissues. It has been first applied in ophthalmology, where it soon became the golden standard for the assessment of (epi-) retinal processes. The unique imaging capabilities have raised the interest of researchers and clinicians in the field of cardiovascular disease, since OCT offers unique possibilities to study atherosclerosis pathophysiology in vivo. With over 1.1M Americans having a heart attack this year because of unstable plaque rupture, OCT may have an increasingly important role in the early diagnosis of coronary artery disease. This unique publication offers the reader the basic background to OCT and its role in the diagnosis and management of coronary artery disease. The Handbook of Optical Coherence Tomography in Cardiovascular Research introduces the cardiovascular application of this technology. Clinicians, biologists, engineers and physicist are discussing different aspects of cardiovascular OCT application in a multidisciplinary approach. The handbook offers the readership a concise overview on the current state of the art of vascular OCT imaging and sheds light on a variety of exciting new developments. The physics, technical principles of OCT and its application in a broad spectrum of cardiovascular research areas are summarized by highly recognized specialists. The potential of OCT in peripheral and coronary arteries and in developmental cardiology are described. Each research area is introduced by a clinical expert in the field followed by discussion of different aspects from an engineering, biomedical and clinical perspective. Specifically, the current capabilities for plaque characterization, detection of vulnerable plaque, guidance of interventional procedures, Doppler-assessment, and molecular contrast imaging are being described. The Handbook of Optical Coherence Tomography in Cardiovascular Research targets researchers and clinicians involved in the field of atherosclerosis. The summary of basic physics, engineering solutions, pre-clinical and clinical application covers all relevant aspects and will be a valuable reference source.
This heavily revised second edition comprehensively reviews the use of optical coherence tomography (OCT) in cardiovascular practice. It provides detailed guidance on how to properly interpret OCT images and successfully utilise it in daily clinical practice Chapters cover the development and physics associated with OCT, relevant interpretation skills, OCT imaging artifacts, plaque erosion, bioabsorbable stent, the detection of vulnerable plaque, and the use of OCT imaging in unison with other modalities such as phase contrast imaging (PCI). Areas of potential future development are also covered Cardiovascular OCT Imaging enables interventional cardiologists and cardiologists to quickly become both familiar and develop a detailed understanding of this technology to improve patient care and treatment outcome. It is a valuable reference for all practising and trainee medical professionals in cardiology, and in particular those who specialize in interventional cardiology.
Optical coherence tomography angiography (OCTA) is a non-invasive technique for imaging the microvasculature of the retina and the choroid. The advent of OCTA has allowed ophthalmologists to identify new pathologies, recognise new syndromes, and organise disorders with new classifications. This atlas provides clinicians with state-of-the-art principles of clinical OCTA imaging, helping them interpret and understand the features of the angiographic images. Following the success of the first edition (9789351528999) published in 2015, this second edition has been fully revised, with all chapters rewritten and new topics added to provide the very latest advances in the field. New knowledge about existing diseases and new disorders are described in depth, and operating principles, clinical applications, and future developments are explained thoroughly by the pioneers of the technology. The first part of the atlas covers the basic principles of OCT angiography, methods and technology, image interpretation, vascular anatomy of the retina, and clinical applications. Part two provides a general update on current research into OCT angiography in various retinal, choroid and anterior chamber disorders. The third and final part of the book describes future clinical applications and implications of next generation devices. This new edition is an invaluable guide for ophthalmologists and trainees for use in everyday practice.
Coronary artery disease (CAD) is the leading cause of death in the world. Most acute coronary events such as heart attacks and sudden deaths are due to the rupture of atherosclerotic plaques inside the arteries. Intravascular Optical Coherence Tomography (IVOCT), a high resolution (10-20μm) imaging modality that performs cross-sectional imaging of coronary arteries by measuring echoes of backscattered light, is rapidly becoming a promising imaging modality for diagnosis of CAD. Compared to alternative technologies such as intravascular ultrasound (IVUS), IVOCT with better resolution allows characterization of atherosclerotic plaques and evaluation of coronary stenting with unprecendented details. Currently, analysis of OCT images has been typically conducted manually in an extremely time-consuming manner. The aim of this PhD dissertation is to develop advanced image processing algorithms and software to automate the task and thereby reduce the image analysis time drastically. In this dissertation, we developed image analysis algorithms for a variety of IVOCT applications, including: (1) 3-D lumen boundary segmentation, (2) Guide wire artifact segmentation, (3) Automated calibration of IVOCT images, (4) Volumetric quantification of fibrous caps, (5) Automated segmentation of calcified plaques, (6) Automated quantification of macrophages and (7) Automated stent analysis, covering almost all the essential tasks performed in the Cardiovascular Imaging Core Laboratories (Core Lab). The algorithms we have developed have been extensively validated using a large number of data sets, and are robust to be used for real world clinical data analysis. Furthermore, we developed the prototype software OCTivat (intravascular OCT image visualization and analysis toolkit) for IVOCT image visualization and analysis, and it is being used by the interventional cardiologists in the Core Lab at the University Hospitals Case Medical Center. These image analysis methods, as well as OCTivat, can reduce the IVOCT image analysis time from tens of hours down to minutes. This may enable large clinical trial analysis and real-time feedback during clinical procedures, and may potentially improve patient care.
Part of the Essentials in Ophthalmology series, this atlas is designed to comprehensively cover optical coherence tomography of the anterior segment of the eye. The aim is to improve knowledge of the fundamentals of OCT technology for anterior segment, clarify the differences with posterior segment OCT and emphasize the immense relevance and usefulness that anterior segment OCT study has for diagnosis, therapeutic orientation, surgical guidance, and improvement in patient management. Atlas of Anterior Segment Optical Coherence Tomography is organized into comprehensive chapters on the following topics: fundamentals, technologies and technological differences among platforms, application of OCT, corneal OCT angiography, as well as case-based chapters. Numerous highly-detailed figures, illustrations and photographs make this an ideal resource for the corneal specialist seeking further instruction on this cutting-edge technology. The case-based chapters include such conditions as bowman dystrophies, trauma, cataract, glaucoma, sclera, refractive surgery, ocular infections, and are structured to facilitate the consultant surgeon by providing practical information applicable to practical cases in their practice.