Thoracic multidetector CT comes of age:
Gespeichert in:
Weitere Verfasser: | |
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Format: | Buch |
Sprache: | English |
Veröffentlicht: |
Philadelphia, Pa.
Saunders
2010
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Schriftenreihe: | Radiologic clinics of North America
48,1 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XIV, 212 S. zahlr. Ill., graph. Darst. |
ISBN: | 9781437715149 |
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Datensatz im Suchindex
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adam_text | Titel: Thoracic multidetector CT comes of age
Autor: Bhalla, Sanjeev
Jahr: 2010
Thoracic Multidetector CT Comes of Age
Contents
Preface xiii
SanjeevBhalla
The Beatles, the Nobel Prize, and Chest CT Scan 1
Lawrence R. Goodman
From its first test scan on a mouse, in 1967, to current medical practice, the CT scan-
ner has become a core imaging tool in thoracic diagnosis. Initially financed by money
from Beatles record sales, the first patient scan was performed in 1971. Only 8 years
later, a Nobel Prize in Physics and Medicine was awarded to Hounsfield and Cor-
mack for their discovery. This article traces the history of CT scanner development
and how each technical advance expanded chest diagnostic frontiers. Chest imag-
ing now accounts for 30% of all CT scanning.
Optimization of Contrast Enhancement inThoracic MDCT 9
Kyongtae T. Bae
Many clinical applications of thoracic computed tomography (CT) require contrast
medium to enhance and delineate vascular, mediastinal, hilar, and cardiac struc-
tures, and differentiate normal and pathologic vascular or tumoral conditions. Multi-
detector row computed tomography (MDCT) is superior to single-detector row CT
(SDCT) because MDCT permits more efficient and flexible use of intravenous con-
trast medium to achieve enhancement. However, to fully reap the benefits of
MDCT contrast enhancement, the technical challenges associated with optimizing
enhancement and scan timing in MDCT need to be solved. This article reviews
the basic principles of CT contrast enhancement and discusses common clinical
considerations and the protocol design modifications that are necessary to achieve
optimal contrast enhancement in thoracic MDCT.
Acute Pulmonary Embolism 31
Jean Kuriakoseand Smita Patel
Evolving MDCT technology and high accuracy for pulmonary embolism detection
has led to CT pulmonary angiography (CTPA) becoming a first-line imaging test.
Rapid and accurate assessment for DVT and PE can be performed with a single
test. Concerns remain regarding the radiation exposure incurred with CTPA and
CT venography, especially in young patients. There are concerns also regarding ra-
diation exposure in pregnancy and search for the best diagnostic test for PE in preg-
nancy. The increased detection of subsegmental emboli raises the question as to
which emboli are significant and should be treated and which should be left alone.
We review the current role of CT in the diagnosis of pulmonary embolism.
Multidetector Computed Tomographic Pulmonary Angiography:
Beyond Acute Pulmonary Embolism 51
KristopherW. Cummings and Sanjeev Bhalla
Although multidetector computed tomographic (MDCT) pulmonary angiography
has found widespread use in the evaluation of acute pulmonary embolism,
Contents
advances in technology have allowed for its application in realms that were previ-
ously exclusive to conventional pulmonary angiography. In this article, the authors
address the use of MDCT in the evaluation of chronic thromboembolic pulmonary
hypertension and pulmonary arteriovenous malformations. These examples dem-
onstrate the potential for MDCT to expand the use of computed tomographic an-
giography in the evaluation of the pulmonary arteries. Technical parameters,
diagnostic findings at MDCT, and therapeutic implications of such findings are dis-
cussed for each condition.
MDCT Evaluation of Acute Aortic Syndrome 67
Seung MinYoo, HwaYeon Lee, and Charles S.White
This article provides a summary of acute aortic syndrome (AAS), focusing especially
on the multidetector CT technique and findings of AAS, as well as recent concepts
regarding the subtypes of AAS, consisting of aortic dissection, intramural hema-
toma, penetrating atherosclerotic ulcer, and unstable aortic aneurysm.
Congenital Thoracic Vascular Anomalies 85
Jose A. Maldonado, Travis Henry, and Fernando R. Gutierrez
Congenital vascular anomalies of the thorax represent an important group of enti-
ties that can occur either in isolation or in association with different forms of con-
genital heart disease. It is extremely important that radiologists have a clear
understanding of these entities, their imaging characteristics, and their clinical rel-
evance. The imaging armamentarium available to diagnose these diverse condi-
tions is ample, and has evolved from such traditional methods as chest
radiography, barium esophagography, and angiography to new modalities that in-
clude echocardiography, multidetector row CT (MDCT), and MR imaging. These
imaging modalities have added safety, speed, and superb resolution in diagnosis
and, as in the case of MDCT, provide additional information about the airway
and lung parenchyma, resulting in a more comprehensive examination with greater
anatomic coverage. This article reviews the most important congenital thoracic
vascular anomalies, their embryologic foundation, clinical presentation, and imag-
ing characteristics, especially those of MDCT.
Multidetector Computed Tomography in the Preoperative Assessment
of Cardiac Surgery Patients 117
Nila J. Akhtar, Alan H. Markowitz, and Robert C. Gilkeson
The expanding imaging capabilities of multidetector computed tomography (MDCT)
have made it an important part of the preoperative assessment of the cardiac sur-
gery patient. Ever decreasing imaging times, superior spatial resolution, and the
3-dimensional capabilities of MDCT improve diagnosis and enhance surgical plan-
ning. Understanding the imaging advantages of MDCT enable improved outcomes
in this important patient population.
Multidetector CT of Solitary Pulmonary Nodules 141
Mylene T. Truong, Bradley S. Sabloff, and Jane P. Ko
With the increasing use of multidetector CT, small nodules are being detected more
often. Although most incidentally discovered nodules are benign, usually the
Contents
sequelae of pulmonary infection and malignancy, either primary or secondary, re-
mains an important consideration in the differential diagnosis of solitary pulmonary
nodules. This article reviews the role of imaging in the detection and characterization
of solitary pulmonary nodules. Strategies for evaluating and managing solitary
pulmonary nodules are also discussed.
MDCT of Trachea and Main Bronchi 157
CylenJavidan-Nejad
Tracheobronchial imaging has undergone a major revolution. The improved spatial
and temporal resolution has introduced newer techniques such as dynamic expi-
ratory imaging to evaluate for tracheomalacia. This article describes these tech-
niques and a practical approach to diagnosis of diseases of the central airways.
Volumetric Expiratory HRCTof the Lung: Clinical Applications 177
Mizuki Nishino, George R.Washko, and Hiroto Hatabu
Expiratory high-resolution CT (HRCT) of the chest offers a powerful adjunct to inspi-
ratory HRCT in the detection of lung diseases involving the small airways. In 2003
a clinical HRCT scan protocol was developed. It has since been used for evaluation
of diffuse lung disease with suspected airway abnormalities. It provides volumetric
assessment of the entire thorax at end-inspiration and at end-expiration, and allows
for detailed analysis of the airway and parenchyma. It offers a powerful adjunct to
inspiratory HRCT in the detection of lung diseases involving the small airways.
This article explores its clinical applications for chronic obstructive pulmonary dis-
ease, bronchiectasis, and sarcoidosis. It concludes that standardization of image
acquisition and post-processing in CT examinations will be necessary for the real
application of quantitative data derived from volumetric expiratory HRCT to daily
clinical medical practice.
Multidetector CT Scan in the Evaluation of Chest Pain of Nontraumatic
Musculoskeletal Origin 185
TravisJ. Hillen and Daniel E.Wessell
Acute nontraumatic chest pain is a common presenting symptom to the emer-
gency department. Often, it is evaluated by thin-collimation multidetector com-
puted tomography scan (MDCT) using pulmonary embolism, aortic dissection,
or coronary artery protocols. The parameters used for these protocols are very
similar to those used in protocols for dedicated imaging of the musculoskeletal
system. In essence, every MDCT of the chest is also a musculoskeletal examina-
tion of the chest. Familiarity with the MDCT-imaging appearance of common mus-
culoskeletal causes of acute nontraumatic chest pain aids in interpretation of the
images. This article discusses the MDCT appearance of a number of musculoskel-
etal causes of chest pain, including those of infectious, rheumatologic, and sys-
temic causes.
Thoracic Applications of Dual Energy 193
Martine Remy-Jardin, Jean-Baptiste Faivre, Francois Pontana, Anne-Lise Hachulla,
Nunzia Tacelli, Teresa Santangelo, andJacques Remy
Recent technological advances in multidetector computed tomography (CT) have
led to the introduction of dual-source CT, which allows acquisition of CT data at
the same energy or at 2 distinct tube voltage settings during a single acquisition.
Contents
The advantage of the former is improvement of temporal resolution, whereas the lat-
ter offers new options for CT imaging, allowing tissue characterization and functional
analysis with morphologic evaluation. The most investigated application has been
iodine mapping at pulmonary CT angiography. The material decomposition achiev-
able opens up new options for recognizing substances poorly characterized by sin-
gle-energy CT. Although it is too early to draw definitive conclusions on dual-energy
CT applications, this article reviews the results already reported with the first gener-
ation of dual-source CT systems.
Index 207
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spelling | Thoracic multidetector CT comes of age guest ed. Sanjeev Bhalla Philadelphia, Pa. Saunders 2010 XIV, 212 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Radiologic clinics of North America 48,1 Borstkas gtt Computertomografie gtt Bhalla, Sanjeev (DE-588)14027085X edt Radiologic clinics of North America 48,1 (DE-604)BV000003369 48,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018867128&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Thoracic multidetector CT comes of age Radiologic clinics of North America Borstkas gtt Computertomografie gtt |
title | Thoracic multidetector CT comes of age |
title_auth | Thoracic multidetector CT comes of age |
title_exact_search | Thoracic multidetector CT comes of age |
title_full | Thoracic multidetector CT comes of age guest ed. Sanjeev Bhalla |
title_fullStr | Thoracic multidetector CT comes of age guest ed. Sanjeev Bhalla |
title_full_unstemmed | Thoracic multidetector CT comes of age guest ed. Sanjeev Bhalla |
title_short | Thoracic multidetector CT comes of age |
title_sort | thoracic multidetector ct comes of age |
topic | Borstkas gtt Computertomografie gtt |
topic_facet | Borstkas Computertomografie |
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