Advertisement

Computed Tomography

  • Harold Goerne
  • Prabhakar Rajiah
Chapter

Abstract

Computed Tomography (CT) plays an important role in the evaluation of diseases of the right heart, both congenital and acquired. Advantages of CT include its wide availability, rapid turnaround time, good spatial and temporal resolutions, multi-planar reconstruction capabilities and wide field-of-view. Disadvantages of CT include the use of potentially nephrotoxic contrast media and ionizing radiation. In this chapter, we review the comprehensive role of CT in the evaluation of right heart, including techniques, protocols and pathologies.

Keywords

CT Heart Right heart ARVD Congenital Tumor Cardiomyopathy Infarction 

References

  1. 1.
    Cury RC, Abbara S, Achenbach S, et al. CAD-RADS(TM) coronary artery disease – reporting and data system. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT), the American College of Radiology (ACR) and the North American Society for Cardiovascular Imaging (NASCI). Endorsed by the American College of Cardiology. J Cardiovasc Comput Tomogr. 2016;10(4):269–81.CrossRefPubMedGoogle Scholar
  2. 2.
    Rajiah P, Abbara S. Radiation exposure from medical imaging must not be taken out of context. Trends Cardiovasc Med. 2016;26(1):66–7.CrossRefPubMedGoogle Scholar
  3. 3.
  4. 4.
    Machida H, Tanaka I, Fukui R, et al. Current and novel imaging techniques in coronary CT. Radiographics. 2015;35(4):991–1010.CrossRefPubMedGoogle Scholar
  5. 5.
    Abbara S, Blanke P, Maroules CD, et al. SCCT guidelines for the performance and acquisition of coronary computed tomographic angiography: a report of the society of Cardiovascular Computed Tomography Guidelines Committee: endorsed by the North American Society for Cardiovascular Imaging (NASCI). J Cardiovasc Comput Tomogr. 2016;10(6):435–49.CrossRefPubMedGoogle Scholar
  6. 6.
    Rajiah P, Saboo SS, Abbara S. Role of CT in congenital heart disease. Curr Treat Options Cardiovasc Med. 2017;19(1):2.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Cody DD, Mahesh M. AAPM/RSNA physics tutorial for residents: technologic advances in multidetector CT with a focus on cardiac imaging. Radiographics. 2007;27(6):1829–37.CrossRefPubMedGoogle Scholar
  8. 8.
    Bogaard K, van der Zant FM, Knol RJJ, Reinders S, Krul MMG, van Rossum AC, et al. High-pitch prospective ECG-triggered helical coronary computed tomography angiography in clinical practice: image quality and radiation dose. Int J Cardiovasc Imaging. 2015;31(1):125–33.CrossRefPubMedGoogle Scholar
  9. 9.
    McCollough CH, Leng S, Yu L, Fletcher JG. Dual- and multi-energy CT: principles, technical approaches, and clinical applications. Radiology. 2015;276(3):637–53.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Kalisz K, Halliburton S, Abbara S, et al. Update on cardiovascular applications of multienergetic CT. Radiographics. 2017;37:1955–74.CrossRefPubMedGoogle Scholar
  11. 11.
    Rajiah P, Saboo SS, Abbara S. Role of CT in congenital heart disease. Curr Treat Options Cardiovasc Med. 2017;19(1):6.CrossRefPubMedGoogle Scholar
  12. 12.
    Han BK, Rigsby CK, Hlavacek A, et al. Computed tomography in patients with congenital heart disease part 1: rationale and utility. An expert consensus document of the society of cardiovascular computed tomography (SCCT): endorsed by the Society of Pediatric radiology (SPR) and North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr. 2015;9(6):475–92.CrossRefPubMedGoogle Scholar
  13. 13.
    Han BK, Rigsby CK, Hlavacek A, et al. Computed tomography in patients with congenital heart disease part 2: technical recommendations: an expert consensus document of the society of cardiovascular computed tomography (SCCT): endorsed by the Society of Pediatric radiology (SPR) and North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr. 2015;9(6):493–513.CrossRefPubMedGoogle Scholar
  14. 14.
    Leipsic J, Abbara S, Achenbach S, et al. SCCT guidelines for the interpretation and reporting of coronary CT angiography: a report of the Society of Cardiovascular Computed Tomography Guidelines Committee. J Cardiovasc Comput Tomogr. 2014;8(5):342–58.CrossRefPubMedGoogle Scholar
  15. 15.
    Raman SP, Johnson PT, Deshmukh S, Mahesh M, Grant KL, Fishman EK. CT dose reduction applications: available tools on the latest generation of CT scanners. J Am Coll Radiol. 2013;10(1):37–41.  https://doi.org/10.1016/j.jacr.2012.06.025.CrossRefPubMedGoogle Scholar
  16. 16.
    Halliburton S, Tanabe Y, Partovi S, Rajiah P. The role of advanced reconstruction algorithms in cardiac CT. Cardiovasc Diagn Ther. 2017;7(5):527–38.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Halliburton SS, Abbara S, Chen MY, Gentry R, Mahesh M, Raff GL, et al. SCCT guidelines on radiation dose and dose-optimization strategies in cardiovascular CT. J Cardiovasc Comput Tomogr. 2011;5(4):198–224.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    O’Brien JP, Srichai MB, Hecht EM, Kim DC, Jacobs JE. Anatomy of the heart at multidetector CT: what the radiologist needs to know. Radiographics. 2007;27(6):1569–82.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Akcay M, Bilen ES, Bilge M, Durmaz T, Kurt M. Prominent crista terminalis: as an anatomic structure leading to atrial arrhythmias and mimicking right atrial mass. J Am Soc Echocardiogr. 2007;20(2):197.e9–10.CrossRefGoogle Scholar
  20. 20.
    Laura DM, Donnino R, Kim EE, Benenstein R, Freedberg RS, Saric M. Lipomatous atrial Septal hypertrophy: a review of its anatomy, pathophysiology, multimodality imaging, and relevance to percutaneous interventions. J Am Soc Echocardiogr. 2016;29(8):717–23.CrossRefPubMedGoogle Scholar
  21. 21.
    Gad A, Mannan J, Chhabra M, Zhang XXY, Narula P, Hoang D. Prominent eustachian valve in newborns: a report of four cases. AJP Rep. 2016;6(1):e33–7.PubMedGoogle Scholar
  22. 22.
    Hwang SH, Oh Y-W. Assessment of cor triatriatum dexter and giant eustachian valve with cardiac magnetic resonance. Circulation. 2014;130(19):1727–9.CrossRefPubMedGoogle Scholar
  23. 23.
    Castaner E, Gallardo X, Ballesteros E, et al. CT diagnosis of chronic pulmonary thromboembolism. Radiographics. 2009;29:31–53.CrossRefPubMedGoogle Scholar
  24. 24.
    Kirsch J, Brown RKJ, Henry TS, et al. Expert panels on cardiac and thoracic imaging, ACR appropriateness criteria® acute chest pain-suspected pulmonary embolism. J Am Coll Radiol. 2017;14(5S):S2–S12.CrossRefPubMedGoogle Scholar
  25. 25.
    Schoepf UJ, Costello P. CT angiography for diagnosis of pulmonary embolism: state of the art. Radiology. 2004;230(2):329–37.CrossRefPubMedGoogle Scholar
  26. 26.
    Rossi SE, Goodman PC, Franquet T. Non thrombotic pulmonary emboli. Am J Roentgenol. 2000;174(6):1499–508.CrossRefGoogle Scholar
  27. 27.
    Pena E, Dennie C, Veinot J, et al. Pulmonary hypertension: how the radiologist can help. Radiographics. 2012;32:9–32.CrossRefPubMedGoogle Scholar
  28. 28.
    Ameli-Renani S, Rahman F, Nair A, et al. Dual-energy CT for imaging of pulmonary hypertension: challenges and opportunities. Radiographics. 2014;34(7):1769–89.CrossRefPubMedGoogle Scholar
  29. 29.
    Kalisz K, Rajiah P. Computed tomography of cardiomyopathies. Cardiovasc Diagn Ther. 2017;7(5):539–56.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 30.
    Rajiah P, Kanne JP, Kalahasti V, Schoenhagen P. Computed tomography of cardiac and pericardiac masses. J Cardiovasc Comput Tomogr. 2011;5(1):16–29.CrossRefPubMedGoogle Scholar
  31. 31.
    Pham N, Zaitoun H, Mohammed TL, et al. Complications of aortic valve surgery: manifestations at CT and MR imaging. Radiographics. 2012;32:1873–92.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Harold Goerne
    • 1
    • 2
  • Prabhakar Rajiah
    • 3
  1. 1.IMSS Western National Medical CenterGuadalajaraMexico
  2. 2.CID Imaging and Diagnostic CenterGuadalajaraMexico
  3. 3.Department of Radiology, Cardiothoracic ImagingUT Southwestern Medical CenterDallasUSA

Personalised recommendations