[PDF] Computed Tomography Of The Coronary Arteries eBook
Computed Tomography Of The Coronary Arteries Book in PDF, ePub and Kindle version is available to download in english. Read online anytime anywhere directly from your device. Click on the download button below to get a free pdf file of Computed Tomography Of The Coronary Arteries book. This book definitely worth reading, it is an incredibly well-written.
Updated to reflect the notable advances in cardiac computed tomography (CT) imaging, the Second Edition of the best-selling Computed Tomography of the Coronary Arteries provides cardiologists and radiologists with a practical text that explains the basic principles and applications of CT. Written by renowned international experts in the field, this
Author : Matthew J. Budoff Publisher : Springer Science & Business Media Page : 763 pages File Size : 48,58 MB Release : 2010-06-16 Category : Medical ISBN : 1848826508
CT is an accurate technique for assessing cardiac structure and function, but advances in computing power and scanning technology have resulted in increased popularity. It is useful in evaluating the myocardium, coronary arteries, pulmonary veins, thoracic aorta, pericardium, and cardiac masses; because of this and the speed at which scans can be performed, CT is even more attractive as a cost-effective and integral part of patient evaluation. This book collates all the current knowledge of cardiac CT and presents it in a clinically relevant and practical format appropriate for both cardiologists and radiologists. The images have been supplied by an experienced set of contributing authors and represent the full spectrum of cardiac CT. As increasing numbers have access to cardiac CT scanners, this book provides all the relevant information on this modality. This is an extensive update of the previous edition bringing the reader up-to-date with the immense amount of updated content in the discipline.
Computed tomography (CT) is an increasingly used modality for investigations of patients with suspected coronary artery disease (CAD). Technical advances could improve diagnostic accuracy and lead to clinical workflow improvements. Also, more prognostic information can optimize clinical follow-up strategies and treatments. The general aim of this thesis was to explore the use of CT for CAD investigations. Three studies aimed to examine new technologies, including the evaluation of an on-site, computed tomography-based fractional flow reserve (CT-FFR) software (study I), the evaluation of an AI-based, calcium scoring computed tomography (CSCT) software (study III), and the evaluation of an photon-counting detector (PCD)-CT (study IV). One study aimed to evaluate the long-term prognostic value of coronary computed tomography angiography (CCTA) in symptomatic patients with no history of CAD (study II). The software evaluation studies (study I and III) and the prognostic study (study II) utilized CT data from clinical patients, while the PCD-CT evaluation study (study IV) used CT data from cadaveric specimens. The performances of both software programs were compared with standard references, being represented by fractional flow reserve (FFR) measurements (study I), and coronary artery calcification (CAC) scores from a semi-automatic software (study III), respectively. The PCD-CT performance on CAC quantification was compared with corresponding results from an energy integrating detector (EID)-CT, using micro-CT as the standard reference (study IV). The prognostic study merged registries to identify major adverse cardiac events (MACE), having a follow-up time of up to 7.5 years (study II). The CT-FFR and CSCT software correlation and agreement to corresponding standard references were good and excellent, respectively. Also, both software programs had time-saving potential (study I and III). The CAC quantification was more accurate using PCD-CT than EID-CT (study IV). The prognosis was excellent in patients with normal coronary arteries, and progressively impaired in non-obstructive and obstructive CAD (study II). The results in this thesis convey developmental, technical CT technology advances for CAD investigations. In addition, prognostic follow-up data is communicated. The results may benefit patients by an increased accuracy in the CT evaluation of CAD and can contribute to improve clinical follow-up strategies. Furthermore, the results suggest possibilities to improve the workflow in clinical radiology, which potentially could impact health care costs. Datortomografi (DT) är en kliniskt använd modalitet för utredning av misstänkt kranskärlsjukdom. För att förbättra framtida diagnostik, klinisk effektivitet och uppföljningsstrategier är det av stor vikt med teknisk vidareutveckling, och att erhålla relevant prognostisk information. Syftet med denna avhandling var att studera användandet av DT vid misstänkt kranskärlssjukdom. Tre studier syftade till att utvärdera nya tekniker, vilket innefattade utvärderingar av två nya mjukvaror samt en utvärdering av fotonräknar-DT (FR-DT). En studie syftade till att utvärdera det prognostiska värdet av DT kranskärl. Det första delarbetet utvärderade en mjukvara, som använde data från DT kranskärl för att beräkna tryckfall över misstänkta kranskärlsstenoser. Tiden för att erhålla tryckfallsmätningarna registrerades också. Resultaten av tryckfallsmätningarna jämfördes med en standardreferens, vilken utgjordes av invasiva, kateterburna tryckfallsregistreringar. Det andra delarbetet undersökte prognosen för patienter med olika fynd vid DT kranskärl. Genom registersamkörning erhölls data om kranskärlsrelaterad sjukdom med uppföljningstid på upp till 7.5 år. Det tredje delarbetet utvärderade en AI-mjukvara som utförde automatiska mätningar av kranskärlskalk, baserat på kliniskt utförda DT-undersökningar för detta ändamål (calcium scoring). Tiden för att erhålla mätningarna registrerades också. Resultaten jämfördes med en standardreferens, vilken utgjordes av en konventionell, semi-automatisk metod. Det fjärde delarbetet utvärderade förmågan att kvantifiera kranskärlskalk från avlidna med FRDT. Bilder från både FR-DT och DT användes för kvantifiering av kalkvolym och jämfördes med en standardreferens, vilken utgjordes av micro-DT. Korrelationen och överenstämmelsen mellan mjukvarorna och standardreferenserna var god för tryckfallberäkningarna över kranskärlsförträngningar, och mycket god för AI-baserad mätning av kranskärlskalk. Båda mjukvarorna hade tidsbesparande potential. För patienter med normala kranskärl var prognosen utmärkt, men den försämrades med ökad grad av kranskärlssjukdom. Användande av FR-DT bidrog till en bättre noggrannhet än DT vid kvantifiering av kranskärlskalk. Avhandlingen förmedlar värdet av teknisk utveckling vid utredning med DT för misstänkt kranskärlssjukdom. Dessutom presenteras nya, prognostiska data. Resultaten kan gynna patienten genom skärpt diagnostik och mer effektiva utredningar, vilket kan ge framtida ekonomiska effekter. Därtill kan de prognostiska resultaten bidra till förbättrade, kliniska uppföljningsstrategier.
This book is a comprehensive and richly-illustrated guide to cardiac CT, its current state, applications, and future directions. While the first edition of this text focused on what was then a novel instrument looking for application, this edition comes at a time where a wealth of guideline-driven, robust, and beneficial clinical applications have evolved that are enabled by an enormous and ever growing field of technology. Accordingly, the focus of the text has shifted from a technology-centric to a more patient-centric appraisal. While the specifications and capabilities of the CT system itself remain front and center as the basis for diagnostic success, much of the benefit derived from cardiac CT today comes from avant-garde technologies enabling enhanced visualization, quantitative imaging, and functional assessment, along with exciting deep learning, and artificial intelligence applications. Cardiac CT is no longer a mere tool for non-invasive coronary artery stenosis detection in the chest pain diagnostic algorithms; cardiac CT has proven its value for uses as diverse as personalized cardiovascular risk stratification, prediction, and management, diagnosing lesion-specific ischemia, guiding minimally invasive structural heart disease therapy, and planning cardiovascular surgery, among many others. This second edition is an authoritative guide and reference for both novices and experts in the medical imaging sciences who have an interest in cardiac CT.
This careful revision keeps pace with developments in the field, with new chapters on PET Metabolism, CT and MRI in the Emergency Department, Image-Guided Electrophysiology Mapping and Ablation, and Identification of Vulnerable Atherosclerotic Plaque by Radionuclide and CT techniques, plus the introduction of new contributors Udo Hoffman and Stephan Achenbach. Praised in its previous edition as a concise source of essential information, this new edition presents the most recent information in an accessible format and serves as an excellent reference source for all cardiologists, radiologists and nuclear medicine physicians.
Most cardiologists and radiologists are not acquainted with CT coronary imaging. This has inspired the compilation of this book, which is the culmination of the collaborated effort of cardiologists and radiologists to draw up a practical CT book explaining the basic principles and applications of CT by use of many illustrations and tables and avoid
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.
This handbook offers residents, fellows, and practicing physicians an excellent introduction to cardiac CT imaging and CT angiography. It includes chapters on coronary CT angiography, CT angiography of the peripheral arteries, and cardiac CT from the perspective of the interventionalist, the electrophysiologist, and the cardiac surgeon. The book presents the latest information on the indications for and limitations of CT and covers the use of CT for specific conditions such as peripheral vascular disease and congenital heart disease. A chapter on how to set up a cardiac CT lab is also included. Appendices include details on the major device manufacturers.
Author : David A. Dowe Publisher : Springer Science & Business Media Page : 265 pages File Size : 30,26 MB Release : 2013-11-26 Category : Medical ISBN : 8847026822
In non-fatal cases, cardiovascular diseases are associated with a decreased quality of life as well as a substantial economic burden to society. Most sudden cardiac events are related to the complications of a non-stenosing marginal plaque. For this reason, the ability to properly identify the atherosclerotic plaque with rapid, non-invasive techniques is of utmost clinical interest in diagnostic workup and therapeutic planning of symptomatic patient. Nowadays CT produces high-quality images of the coronary arteries, in addition to defining their location and the extent of the atherosclerotic involvement. This new edition is enriched with two important additions. Firstly, dedicated chapters on intravascular ultrasound (IVUS), catheter angiography, and nuclear imaging have been included, with some discussions on theoretical techniques such as optical coherence tomography (OCT) and magnetic resonance imaging (MRI). Secondly, a completely new section comprising more than 70 clinical cases remarkably expands the horizons reached by the previous edition. This volume provides general practitioners and cardiologists with a basic understanding of the imaging techniques. For radiologists with no direct experience in cardiac imaging, the book serves as an important source of information on coronary pathophysiology and anatomy.
Cardiovascular computed tomography (CT) has rapidly become an important imaging tool in cardiology, and is now a compulsory component of the core curriculum for cardiology in UK and Europe. It is a complex imaging modality, however, with many aspects to master: CT theory, image acquisition and analysis, interpretation and reporting. This practical handbook is therefore essential reading for both training and reference for all cardiovascular CT users, including cardiologists, radiologists and radiographers, providing practical guidance on performing, analysing and interpreting cardiovascular CT scans in an accessible format.