Cardiac CT

491 Pages·2014·42.857 MB·English

by  Marc Dewey (auth.)

Marc Dewey
Cardiac CT
Second Edition
123
Cardiac CT

Marc Dewey
Cardiac CT

Second Edition
Marc Dewey
Institut für Radiologie
Charité - Universitätsmedizin Berlin
Berlin
Germany
ISBN 978-3-642-41882-2 ISBN 978-3-642-41883-9 (eBook)
DOI 10.1007/978-3-642-41883-9
Springer Heidelberg New York Dordrecht London
Library of Congress Control Number: 2014936307
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Foreword
Computed tomography (CT) has been going through a newest developments, protocols, technology, and clinical
dramatic evolution of technology in the past years. results in order to optimally apply this diagnostic tool.
Cardiac CT has become reliably possible and benefi ts to Th is is why the second edition of this textbook edited
a large extent from the continuous development. Th e by Dr. Dewey is just as welcome as the fi rst edition in
technical advances directly translate into improved 2011. It provides insight into the basics of cardiac CT
image quality, lower radiation exposure, and more versa- and at the same time includes all relevant new develop-
tile applications. CT angiography of the coronary arter- ments. May it be a useful resource to its readers and may
ies – oft en referred to as coronary CT angiography – has it contribute towards the further development of this
received tremendous interest and is now an established exciting fi eld.
clinical tool in selected patients. In fact, it has the poten-
tial to greatly alter the way in which many patients with
suspected coronary artery disease will be worked up. Erlangen, Germany Stephan Achenbach
However, the technique requires special knowledge and Baltimore, MD, USA Elliot K. Fishman
experience and it is important to keep abreast with the August 2013

Acknowledgments
Together with my team I would like to thank our patients, Prof. Gert Baumann, Vice Chairman: Prof. Karl Stangl)
without whom we would not be able to conduct our clin- has tremendously facilitated this work. We thank Prof.
ical work and studies to continuously increase our Wolfgang Rutsch (former head of the cardiac catheter-
understanding of the clinical utility of cardiac CT. ization laboratory at the Charité Campus Mitte) and his
We are indebted to our technicians, assistants, and successor Dr. Michael Laule as well as their coworkers
nurses at the Department of Radiology of the Charité – Dr. Adrian Borges, Dr. Hans-Peter Dübel, Dr. Christoph
Universitätsmedizin Berlin for their contributions to the Melzer, Prof. Verena Stangl, and Prof. Heinz Th eres for
success of our clinical cardiovascular imaging program. providing the majority of the conventional invasive
Without their support, this book would not have been angiograms presented in this book.
possible. Th e editorial assistance of Bettina Herwig and I wholeheartedly thank Drs. Martina and Charles
Deborah McClellan has been instrumental in writing Dewey.
this book. Stephanie Kreutzer has created beautiful art-
work to illustrate essential concepts and approaches.
Th e excellent collaboration with the Department of Berlin, Germany Marc Dewey
Cardiology and Angiology at the Charité (Chairman: August 2013

Contents
1 Introduction .................................................. 1 9d General Electric LightSpeed VCT, Optima
B. Hamm CT660 and Discovery CT750 HD .................... 133
L. Lehmkuhl, E. Martuscelli,
2 Technical and Personnel Requirements .......... 3 and M. Jinzaki
M. Dewey
10 Reading and Reporting .................................. 151
3 Anatomy ....................................................... 13 L.J.M. Kroft and M. Dewey
M. Dewey and L.J.M. Kroft
11 Coronary Artery Calcium ............................... 181
4 Cardiac CT in Clinical Practice ....................... 31 M.A. Latif, M.J. Budoff, and P. Greenland
K. Nieman
12 Coronary Artery Bypass Graft s ...................... 191
5 Clinical Indications ........................................ 41 E. Martuscelli
M. Dewey
13 Coronary Artery Stents .................................. 199
6 Patient Preparation ........................................ 51 K. Anders
M. Dewey
14 Coronary Artery Plaque ................................. 213
7 Physics Background and Radiation P. Schoenhagen, H. Niinuma,
Exposure ....................................................... 57 T. Gerber, and M. Dewey
J. Geleijns and M. Dewey
15 Cardiac Function ........................................... 225
8 Examination and Reconstruction ................... 71 F. Wolf and G. Feuchtner
M. Dewey
16 Cardiac Valves ................................................ 243
9 Examinations on Diff erent CT Scanners G. Feuchtner
9a Toshiba Aquilion 64 and Aquilion ONE .......... 91 17 Transcatheter Aortic Valve
E. Zimmermann Interventions ................................................. 259
F. Plank, J.N. Dacher, G. Feuchtner,
9b Siemens Somatom Sensation, and J. Leipsic
Defi nition, and Defi nition Flash ..................... 109
H-C. Becker, C. Klessen, and K. Anders 18 Pulmonic Valve Implantation, Mitral
Valve Repair, and Left Atrial
9c Philips Brilliance 64 and iCT .......................... 125 Appendage Closure ........................................ 283
O. Klass, M. Jeltsch, and M.K. Hoffmann V. Delgado