Cardiovascular Imaging

✍ Scribed by Simon H. Stertzer, Eugene V. Pomerantsev, Jonas A. Metz, Peter J. Fitzgerald (auth.), Johan H. C. Reiber, Ernst E. van der Wall (eds.)

• Publisher: Springer Netherlands
• Year: 1996
• Tongue: English
• Leaves: 578
• Series: Developments in Cardiovascular Medicine 186
• Edition: 1
• Category: Library

✦ Synopsis

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 will be 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.

✦ Table of Contents

Front Matter....Pages i-xxi
The changing role of high speed rotational atherectomy in the present and future practice of coronary intervention....Pages 1-13
The AVE Micro Stents™....Pages 15-30
Non-surgical septum reduction in hypertrophic cardiomyopathy....Pages 31-37
State of the Art in Quantitative Coronary Arteriography as of 1996....Pages 39-56
3-D Coronary angiography for quantitative analysis of coronary morphology....Pages 57-78
State of the art in ICUS quantitation....Pages 79-92
Imaging atherosclerosis: lesion vs. lumen....Pages 93-107
An overview of fluvastatin clinical trials....Pages 109-118
Lessons learned from angiographic coronary atherosclerosis trials....Pages 119-132
Regression/progression in women: the estrogen angiographic trials....Pages 133-143
Is peripheral B-mode ultrasound a substitute for coronary arteriography?....Pages 145-156
The digital catheterization Laboratory - is it Practical Today?....Pages 157-170
The Role of DICOM in the digital catheterization laboratory....Pages 171-184
Philips CD-Medical — A new era in digital cardiac review, exchange and archiving....Pages 185-192
Status of the GE approach to the digital catheterization laboratory....Pages 193-200
Requirements for cardiac interchange media and the adoption of recordable CD....Pages 201-209
Status of the Camtronics approach to the digital catheterization laboratory....Pages 211-219
The approach at the German Heart Institute in Berlin - the BERMED - System....Pages 221-232
Archival systems for cineangiographic film replacement....Pages 233-241
What are the advantages and limitations of three-dimensional intracoronary ultrasound imaging?....Pages 243-255
New developments in intracoronary ultrasound....Pages 257-275
Practical integration of intravascular ultrasound imaging into the cardiac catheterization laboratory....Pages 277-282
Intravascular ultrasound for evaluation of coronary arteries....Pages 283-300
To which extent can the coronary artery tree be imaged and quantified with the current MR technology?....Pages 301-314
Flow measurements in coronary arteries using MRI....Pages 315-327
Current and future applications of magnetic resonance coronary angiography....Pages 329-355
Advantages and limitations of coronary MR angiography....Pages 357-365
Color quantization in angioscopic images....Pages 367-377
The use of coronary angioscopy in diagnosis and clinical decision making....Pages 379-388
Current status and future expectations of the flow velocity guidewire....Pages 389-402
Coronary pressure measurements and myocardial fractional flow reserve for clinical decision making in the catheterization laboratory....Pages 403-410
Functional assessment of stenosis significance after coronary arteriography; value of myocardial perfusion scintigraphy....Pages 411-423
Blood flow measurements using 3D distance-concentration functions derived from digital x-ray angiograms....Pages 425-442
On-line assessment of myocardial flow reserve....Pages 443-459
Intravenous myocardial contrast echocardiography for myocardial perfusion....Pages 461-472
Newer imaging techniques in contrast echocardiography....Pages 473-484
Myocardial perfusion and function by MR imaging techniques....Pages 485-497
Myocardial perfusion imaging by SPECT....Pages 499-512
Myocardial blood flow quantitation with positron emission tomography....Pages 513-529
What is the current role of ultrafast CT in coronary imaging?....Pages 531-544
Assessment of the coronary arteries with electron beam computed tomography....Pages 545-558
Back Matter....Pages 559-578

✦ Subjects

Cardiology