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Product Detail
Multi-Slice CT in Cardiac Imaging: Technical Principles, Clinical Application and Future Developments
Bernd M. Ohnesorge
;
C.R. Becker
Retail Price:
$74.95
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Product Information:
ISBN-13:
9783540429661
ISBN-10:
3540429662
Publisher:
SPRINGER VERLAG INC
Format:
Paperback, 120 pages
Pub Date:
06/2002
Edition Number:
1
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Synopsis
Text presents and discusses the technical concepts, potential spectrum of applications, and the future perspectives of multi-slice CT in cardiac imaging based on the experiences of internationally leading clinical institutions. Full-color illustrations. Softcover.
Cardiac diseases and in particular coronary artery disease are the leading cause of death and morbidity in the industrialized countries. The development of reliable cardiac imaging techniques is considered a key issue in improving patient care. The introduction of multi-slice computed tomography in 1998 represented a breakthrough of CT technology in cardiac imaging. For the first time, widely available CT systems can be used for non-invasive, angiographic assessment of the heart and the coronary arteries. This book presents and discusses the technical concepts, the potential spectrum of applications and the future perspectives of multi-slice CT in cardiac imaging based on the experience of internationally leading clinical institutions. It shows that this new modality has the potential to become an important and robust tool for non-invasive and early diagnosis of cardiac diseases, thus complementing invasive and non-invasive imaging modalities in clinical routine in the near future.
Written for:
Libraries, clinicians, researchers/scientists
Keywords:
Cardiac CT
cardiac imaging
coronary artery disease
coronary imaging
multislice CT
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Additional Description
Contents
1 Motivation 1
2 Introduction 3
2.1 Clinical Goals of CT Imaging in the Diagnosis
of Cardiac Disease 3
2.1.1 Coronary Artery Disease 3
2.1.2 Other Cardiac Diseases 5
2.1.3 Diseases of the Thoracic Vessels 6
2.2 Established Modalities in Cardiac Imaging 6
2.2.1 Invasive Imaging 6
2.2.2 Non-invasive Imaging 6
2.3 The Evolution of Mechanical CTand Electron Beam CT
in Cardiac Imaging 9
2.3.1Principles and Applications of Electron Beam CT 9
2.3.2 Cardiac Imaging with Conventional Mechanical CT
11
3 Overview of Multi-slice CT Technology 15
3.1 Basis and Motivation of Multi-slice Spiral CT15
3.2 Multi-slice CT System Design 16
3.3 Multi-slice Spiral Acquisition and Reconstruction for
General Purpose Imaging 18
3.4 Image Visualization and Post-processing Techniques for
Multi-slice CT in General Cardiovascular Applications 20
4 Technical Principles of Cardiac Image Acquisition 23
4.1 Basic Performance Requirements for CT Imaging of the
Heart 23
4.2 Prospective Multi-slice ECG Triggering 24
4.2.1 Half-Scan Image Reconstruction for Optimized
Temporal Resolution 24
4.2.2 ECG-Triggered Partial-Scan Acquisition 27
4.3 Retrospective Multi-slice ECG Gating 29
4.3.1 Multi-slice Cardiac Volume Reconstruction 29
4.3.2 ECG-Gated Multi-slice Spiral Acquisition 33
4.3.3 Segmented Adaptive Cardiac Volume Reconstruction
36
4.3.4 Advantages and Trade-Offs of ECG Gating vs ECG
Triggering 47
4.4 ECG Synchronization Strategies 48
4.5 ECG-Gated Spiral Imaging
with Increased Volume Speed 49
4.6 Clinical Examination Protocols 51
4.7 Radiation Exposure Estimation and Reduction
Approaches 53
4.7.1 ECG-Controlled Tube Output Modulation 53
4.7.2 Edge-Preserving Image Filtering 57
4.7.3 Scanning with Low kV 58
5 Clinical Application and Evaluation 61
5.1 Quantification of Coronary Artery Calcification 61
5.1.1 Clinical Background and Requirements 61
5.1.2 Standard Acquisition Protocols 61
5.1.3 Quantification Methods 61
5.1.4 Comparison and Correlation of Multi-slice CT and
Electron Beam CT 64
5.1.5 Reproducibility with ECG-Gated Spiral Acquisition 65
5.1.6 Future Directions 74
5.2 CT-Angiographic Cardiac Volume Imaging and
Diagnosis of CAD 75
5.2.1 Non-invasive Detection and Assessment of Coronary
Artery Stenosis 75
5.2.2 Detection and Evaluation of Atherosclerotic Plaques
in Different Stages 83
5.2.3 Evaluation of Coronary Bypass Graft Patency 85
5.2.4 Visualization of Cardiac Morphology 87
5.3 Cardiac Function Imaging 89
5.4 ECG-Synchronized Thoracic Imaging 91
5.4.1 Thoracic Imaging with Cardiac Scan Techniques 91
5.4.2 ECG-Gated Spiral Scanning with Extended Volume
Coverage 92
5.4.3 Imaging of Pediatric Congenital Heart and Thoracic
Vessel Diseases 94
6 Future Technical Developments 97
6.1Limitations in Clinical Application with State-of-the-Art
Technology 97
6.2Future Acquisition Platforms and Reconstruction
Methods 98
6.2.1Isotropic Cardiac Volume Scanning 98
6.2.2Approaches to Improve Temporal Resolution 102
6.3 New Approaches in Evaluation and Quantification 106
6.4 Combined Approaches in Cardiac Imaging and
Interventions 108
7 Summary and Conclusion 111
References 113
Subject Index 119
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