Cardiac CT 2/e

Cardiac computed tomography (CT) has become a highly accurate diagnostic modality that continues to attract increasing
attention. This extensively illustrated book aims to assist the reader in integrating cardiac CT into daily clinical
practice, while also reviewing its current technical status and applications. Clear guidance is provided on the
performance and interpretation of imaging using the latest technology, which offers greater coverage, better spatial
resolution, and faster imaging while also providing functional information about cardiac diseases. The specific
features of scanners from all four main vendors, including those that have only recently become available, are
presented. Among the wide range of applications and issues discussed are coronary calcium scoring, coronary artery
bypass grafts, stents, and anomalies, cardiac valves and function, congenital and acquired heart disease, and radiation
exposure. Upcoming clinical uses of cardiac CT, such as hybrid imaging, preparation and follow-up after valve
replacement, electrophysiology applications, myocardial perfusion and fractional flow reserve assessment, and plaque
imaging, are also explored.



Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . 1
B. Hamm
2 Technical and Personnel Requirements. . . . . 3
M. Dewey
3 Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
M. Dewey and L.J.M. Kroft
4 Cardiac CT in Clinical Practice . . . . . . . . . . . 29
K. Nieman
5 Clinical Indications. . . . . . . . . . . . . . . . . . . . 39
M. Dewey
6 Patient Preparation. . . . . . . . . . . . . . . . . . . . 49
M. Dewey
7 Physics Background and Radiation
Exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
J. Geleijns and M. Dewey
8 Examination and Reconstruction . . . . . . . . . 69
M. Dewey
9a Toshiba Aquilion 64 and Aquilion ONE. . . . . 91
E. Zimmermann
9b Siemens Somatom Sensation,
Defi nition, and Defi nition Flash . . . . . . . . . . 109
H.-C. Becker, C. Klessen,
and K. Anders
9c Philips Brilliance 64 and iCT. . . . . . . . . . . . . 125
O. Klass, M. Jeltsch,
and M.K. Hoffmann
9d General Electric LightSpeed VCT, Optima
CT660 and Discovery CT750 HD . . . . . . . . . . 133
L. Lehmkuhl, E. Martuscelli,
and M. Jinzaki
10 Reading and Reporting . . . . . . . . . . . . . . . . . 151
L.J.M. Kroft and M. Dewey
11 Coronary Artery Calcium . . . . . . . . . . . . . . . 181
M.A. Latif, M.J. Budoff, and P. Greenland
12 Coronary Artery Bypass Graft s . . . . . . . . . . . 191
E. Martuscelli
13 Coronary Artery Stents . . . . . . . . . . . . . . . . . 199
K. Anders
14 Coronary Artery Plaque . . . . . . . . . . . . . . . . 213
P. Schoenhagen, H. Niinuma,
T. Gerber, and M. Dewey
15 Cardiac Function . . . . . . . . . . . . . . . . . . . . . 225
F. Wolf and G. Feuchtner
16 Cardiac Valves. . . . . . . . . . . . . . . . . . . . . . . . 243
G. Feuchtner
17 Transcatheter Aortic Valve
Interventions . . . . . . . . . . . . . . . . . . . . . . . . 259
F. Plank, J.N. Dacher, G. Feuchtner,
and J. Leipsic
18 Pulmonic Valve Implantation, Mitral
Valve Repair, and Left Atrial
Appendage Closure . . . . . . . . . . . . . . . . . . . . 285
V. Delgado
x
19 Myocardial Perfusion and Fractional
Flow Reserve. . . . . . . . . . . . . . . . . . . . . . . . . 303
K. Kitagawa, A. Erglis, and M. Dewey
20 Hybrid Imaging . . . . . . . . . . . . . . . . . . . . . . 327
O. Gaemperli and P.A. Kaufmann
21 Electrophysiology Interventions . . . . . . . . . . 341
R.A. Salgado and B. Ghaye
22 Coronary Artery Anomalies . . . . . . . . . . . . . 367
P.G.C. Begemann, M. Grigoryev,
G. Lund, G. Adam, and M. Dewey
23 Congenital and Acquired Heart Disease . . . . 393
S. Ley, B.K. Han, R. Arnold,
and J.R. Lesser
24 Typical Clinical Examples . . . . . . . . . . . . . . . 415
M. Dewey
25 Results of Clinical Studies . . . . . . . . . . . . . . . 483
M. Dewey
26 Outlook . . . . . . . . . . . . . . . . . . . . . . . . . . . 487
M. Dewey
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 495
Contents