Cardiovascular Imaging, Vol. 186

Author: Johan H. Reiber
Published: July 1996
Publisher: Kluwer Academic Publishers
ISBN: 0792341090
Hardcover Book
Number of Pages: 574

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The book contains predominantly black-and-white illustrations, with some color illustrations. 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 several years extensive basic technological research supported by clinical investigations has created ways to visualize the coronary morphology and the associated perfusion of the myocardial muscle by other competing modalities. 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 holds that 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 ischemic 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 to accurately assess the results of interventional therapy. Aside from all these high-tech developments in cardiac imaging techniques, the transition from the analog to the digital world has been going on for some time now. For the future, it has been presaged 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 have and will have a major impact on the way images will Explains the latest cardiovascular imaging technologies, including advances in interventional cardiology; coronary quantitation by QCA and intracoronary ultrasound; regression/progression of CAD and cardiovascular imaging; DICOM and the filmless catheterization laboratory; magnetic resonance coronary imaging; angioscopy; coronary flow and flow reserve; myocardial perfusion; and cine and spiral CT coronary imaging. Includes color and b&w images. Of interest to cardiologists, radiologists, nuclear medicine physicians, image processing specialists, and those in training for these specialties. Reiber, Johan H. C. (Leiden University Hospital); Van Der Wall, Ernst E. (Leiden University Hospital)The contributors represent the specialties of cardiology, cardiovascular disease, internal medicine, diagnostic radiology, and nuclear medicine. Most are from academic medical centers, hospitals, and research institutions in the U.S., the Netherlands, Italy, the U.K., Germany, and Belgium. Institutions prominently represented include Harvard, Mayo, Leiden Univ Hospital, German Heart Institute, and Erasmus Univ.

Table of Contents
List of contributors
Preface
1 The changing role of high speed rotational atherectomy in the present and future practice of coronary intervention 1
2 The AVE Micro Stents 15
3 Non-surgical septum reduction in hypertrophic cardiomyopathy 31
4 State of the art in quantitative coronary arteriography as of 1996
5 3-D Coronary angiography for quantitative analysis of coronary morphology 57
6 State of the art in ICUS quantitation 79
7 Imaging atherosclerosis: lesion vs. lumen 93
8 An overview and fluvastatin clinical trials 109
9 Lessons learned from angiographic coronary atherosclerosis trials 119
10 Regression/progression in women: the estrogen angiographic trials 133
11 Is peripheral B-mode ultrasound a substitute for coronary arteriography?
12 The digital catheterization laboratory - is it practical today? 157
13 The role of DICOM in the digital catheterization laboratory 171
14 Philips CD-Medical - a new era in digital cardiac review, exchange and archiving 185
15 Status of the GE approach to the digital catheterization laboratory 193
16 Requirements for cardiac interchange media and the adoption of recordable CD 201
17 Status of the Camtronics approach to the digital catheterization laboratory 211
18 The approach at the German Heart Institute in Berlin - the BERMED-System 221
19 Archival systems for cineangiographic film replacement 233
20 What are the advantages and limitations of three-dimensional intracoronary ultrasound imaging? 243
21 New developments in intracoronary ultrasound 257
22 Practical integration of intravascular ultrasound imaging into the cardiac catheterization laboratory 277
23 Intravascular ultrasound for evaluation of coronary arteries 283
24 To which extent can the coronary artery tree be imaged and quantified with the current MR technology? 301
25 Flow measurements in coronary arteries using MRI 315
26 Current and future applications of magnetic resonance coronary angiography 329
27 Advantages and limitations of coronary MR angiography 357
28 Color quantization in angioscopic images 367
29 The use of coronary angioscopy in diagnosis and clinical decision making 379
30 Current status and future expectations of the flow velocity guidewire 389
31 Coronary pressure measurements and myocardial fractional flow reserve for clinical decision making in the catheterization laboratory 403
32 Functional assessment of stenosis signficance after coronary arteriography; value of myocardial perfusion scintigraphy 411
33 Blood flow measurements using 3D distance-concentration functions derived from digital x-ray angiograms 425
34 On-line assessment of myocardial flow reserve 443
35 Intravenous myocardial contrast echocardiography for myocardial perfusion 461
36 Newer imaging techniques in contrast echocardiography 473
37 Myocardial perfusion and function by MR imaging techniques 485
38 Myocardial perfusion imaging by SPECT 499
39 Myocardial blood flow quantitation with positron emission tomography 513
40 What is the current role of ultrafast CT in coronary imaging? 531
41 Assessment of the coronary arteries with electron beam computed tomography 545
Colour section 559
Index 569

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