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Electron Beam Computed Tomography and Cardiovascular Imaging

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Diagnostics of Vascular Diseases

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Abstract

Noninvasive or minimally invasive medical imaging has allowed safe, serial assessment of patients with proven or suspected cardiac and/or vascular disease in both in- and out-of-hospital situations. Evaluation of such patients by radionuclide angiography, cardiac perfusion field imaging, transthoracic and transesophageal echocardiography, magnetic resonance imaging (MRI), conventional X-ray computed tomography (EBCT) and peripheral ultrasound is now commonplace in clinical practice. Electron beam computed tomography (EBCT) has emerged as yet another powerful means to examine and quantitate cardiovascular anatomy, function, and flow in patients presenting with a variety of diseases of the heart, coronary arteries, pericardium, and great vessels. The three-dimensional registration of the images provides the clinician with qualitative and quantitative information regarding the patient which aids diagnosis, allows prognostic forecasting, and helps guide or monitor acute and long-term responses to pharmacologic and/or surgical interventions.

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References

  1. Feiring AJ, Rumberger JA, Skorton DJ, Collins SM, Higins CB, Lipton MJ, Ell S, Marcus ML (1985) Determinaobation of left ventricular mass in the dog with rapid acquisition cardiac CT scanning. Circulation 72: 1355–1362

    Article  PubMed  CAS  Google Scholar 

  2. Reiter SJ, Rumberger JA, Feiring AJ, Stanford W, Marcus ML (1986) Precision of right and left ventricular stroke volume measurements by rapid acquisition cine computed tomography. Circulation 74: 890–900

    Article  PubMed  CAS  Google Scholar 

  3. Feiring AJ, Rumberger JA, Reiter SJ, Collins SM, Skorton DJ, Rees M, Marcus ML (1988) Sectional and segmental variability of left ventricular function: experimental and clinical studies using ultrafast computed tomography. J Am Coll Cardiol 12: 415–425

    Article  PubMed  CAS  Google Scholar 

  4. Lanzer P, Garrett J, Lipton MJ, Gould R, Sievers R, O’Connell W, Botvinick E, Higgins CB (1986) Quantitation of regional myocardial function by cine computed tomography: pharmacologic changes in wall thickness. J Am Coll Cardiol 8: 682–692

    Article  PubMed  CAS  Google Scholar 

  5. Rumberger JA (1991) Quantifying left ventricular regional and global systolic function using ultrafast computed tomography. Am J Cardiac Imaging 5: 29–37

    CAS  Google Scholar 

  6. Hirose K, Reed JE, Rumberger JA (1995) Serial changes in left and right ventricular systolic and diastolic mechanics during the first year after an initial left ventricular Q-wave myocardial infarction. J Am Coll Cardiol 25: 1097–1104

    Article  PubMed  CAS  Google Scholar 

  7. Rumberger JA, Weiss RM, Feiring AJ, Stanford W, Hajduczok Z, Rezia K, Marcus ML (1989) Patterns of regional diastolic function in the normal human left ventricle: an ultrafast-CT study. J am Coll Cardiol 13: 119–125

    Article  Google Scholar 

  8. Hajduczok Z, Weiss RM, Marcus ML, Stanford W (1990) Determination of right ventricular mass in humans and dogs with ultrafast computed tomography. Circulation 82: 202–212

    Article  PubMed  CAS  Google Scholar 

  9. Reiter SJ, Rumberger JA, Stanford W, Marcus ML (1986) Quantitative determination of aortic regurgitant volume by cine computed tomography. Circulation 76: 728–735

    Article  Google Scholar 

  10. Weiss RM, Stark CA, Rumberger JA, Marcus ML (1990) Identification and quantitation of myocardial infarction or risk area size with cine-computed tomography. Am J Cardiac Imaging 4: 33–37

    Google Scholar 

  11. Rumberger JA, Behrenbeck T, Breen JR, Reed JE, Gersh BJ (1993) Non-parallel changes in global chamber volumer and muscle mass during the first year following transmural myocardial infarction in man. J Am Coll Cardiol 21: 673–682

    Article  PubMed  CAS  Google Scholar 

  12. Hirose K, Shu NH, Reed JE, Rumberger JA (1993) Right ventricular dilatation and remodeling the first year after an initial transmural wall myocardial infarction. Am J Cardiol 72: 1126–1130

    Article  PubMed  CAS  Google Scholar 

  13. Teigen CL, Maus TP, Sheedy PF II, Stanson AW, Johnson CM, Breen JF, McKusick MA (1995) Pulmonary embolism: diagnosis with contrast-enhanced electron-beam CT and comparison with pulmonary angiography. Radiology 194: 313–319

    PubMed  CAS  Google Scholar 

  14. Hoffman EA, Tajik JK, Petersen G, Reiners TJ, Thompson BH, Stanford W (1995) Perfusion deficit vs anatomic visualization in detection of pulmonary emboli via electron beam CT ( Abstr ). Circulation 92: 1–312

    Google Scholar 

  15. Detrano RC, Wong ND, Weiyi T, French WJ, Georgiou D, Young E, Brezden OS, Narahara KA, Brundage BH (1994) Prognostic significance of cardiac cine-fluoroscopy for coronary calcific deposits in a high risk, asymptomatic population. J Am Coll Cardiol 24: 354–358

    Article  PubMed  CAS  Google Scholar 

  16. Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M, Detrano R (1990) Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 15: 827–832

    Article  PubMed  CAS  Google Scholar 

  17. Simons DB, Schwartz RS, Edwards WD, Sheedy PF, Breen JF, Rumberger JA (1992) Noninvasive definition of anatomic coronary artery disease by ultrafast CT: a quantitative pathologic study. J Am Coll Cardiol 20: 1118–1126

    Article  PubMed  CAS  Google Scholar 

  18. Breen JF, Sheedy PF, Schwartz RS, Stanson AW, Kaufmann RB, Moll PP, Rumberger JA (1992) Coronary calcification detected with fast-CT as a marker of coronary artery disease: works in progress. Radiology 185: 435–439

    PubMed  CAS  Google Scholar 

  19. Fallovollita JA, Brody AS, Bunell IL, Kumar Y, Canty JM (1994) Fast computed tomography detection of coronary calcification inthe diagnosis of coronary artery disease. Comparison with angiography in patients <50 years old. Circulation 89: 285–290

    Google Scholar 

  20. Rumberger JA, Schwartz RS, Simons DB, Sheedy PF, Edwards WD, Fitzpatrick LA (1994) Relations of coronary calcium determined by electron beam computed tomography and lumen narrowing determined at autopsy. Am J Cardiol 73: 1169–1173

    Article  PubMed  CAS  Google Scholar 

  21. Rumberger JA, Sheedy PF, Breen JR, Schwartz RS (1995) Coronary calcium as determined by electron beam computed tomography, and coronary disease on arteriogram: effect of patient’s sex on diagnosis. Circulation 91: 1363–1367

    PubMed  CAS  Google Scholar 

  22. Rumberger JA, Simons DB, Fitzpatrick LA, Sheedy PF, Schwartz RS (1995) Coronary artery calcium areas by electron beam computed tomography and coronary atherosclerotic plaque area: a histopathologic correlative study. Circulation 92: 2157–2162

    PubMed  CAS  Google Scholar 

  23. Stanford W, Brundage BH, MacMillan R, Chomka EV, Bateman TM, Eldridge WJ, Lipton MJ, White CW, Wilson RF, Johnson MR, Marcus ML (1988) Sensitivity and specificity of assessing coronary artery bypass graft patency with ultrafast computed tomography: results of a multi-center trial. J Am Coll Cardiol 12: 1–7

    Article  PubMed  CAS  Google Scholar 

  24. Stanford W, Rooholamini M, Rumberger JA, Marcus ML (1988) Evaluation of coronary bypass graft patency by ultrafast CT. J Thorac Imaging 3: 52–55

    Article  PubMed  CAS  Google Scholar 

  25. Lessick J, Sideman S, Azhari H, Marcus M, Grenadier E, Beyar R (1991) Regional three-dimensional geometry and function of left ventricles with fibrous aneurysms: a cine-computed tomography study. Circulation 84: 1072–1086

    PubMed  CAS  Google Scholar 

  26. Mosage WEL, Achenbach S, Seese B, Bachmann K, Kirchgeorg M (1995) Coronary artery stenoses: three-dimensional imaging with electro cardiographically triggered, contrast agent-enhanced, electron-beam CT. Radiology 196: 707–714

    Google Scholar 

  27. McCollough CH, Zink Fe, Morin RL (1994) Radiation dosimetry for electron beam CT. Radiology 192: 637–643

    PubMed  CAS  Google Scholar 

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Authors
  1. J. A. Rumberger
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Editors and Affiliations

  1. Kardiologische Gemeinschaftspraxis, Saalbaustraße 27, 64283, Darmstadt, Germany

    Peter Lanzer

  2. Department of Radiology, The University of Chicago Hospitals, 5841 South Maryland Avenue, 60637, Chicago, IL, USA

    Martin Lipton

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© 1997 Springer-Verlag Berlin Heidelberg

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Rumberger, J.A. (1997). Electron Beam Computed Tomography and Cardiovascular Imaging. In: Lanzer, P., Lipton, M. (eds) Diagnostics of Vascular Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60512-3_16

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  • DOI: https://doi.org/10.1007/978-3-642-60512-3_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64437-5

  • Online ISBN: 978-3-642-60512-3

  • eBook Packages: Springer Book Archive

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