CT and MRI Cardiovascular Hemodynamics

  • Andrew O. ZurickEmail author
Part of the Contemporary Cardiology book series (CONCARD)


Noninvasive cardiac imaging has experienced dynamic improvements over the past several decades and, increasingly, is a cornerstone of contemporary cardiovascular care. Multiple, complementary technologies, including magnetic resonance imaging (MRI), computed tomography (CT), echocardiography, nuclear scintigraphy, fluoroscopy, and angiography, are now capable of directly or indirectly providing information on cardiac and great vessel anatomy, volumes and function, myocardial perfusion, valvular morphology and function, coronary artery blood flow, and presence or absence of myocardial fibrosis or scar. Further, several of these technologies now are capable of providing a noninvasive hemodynamic assessment, which has otherwise primarily in the past been the domain and strength of echocardiography and invasive catheterization. Both CT and MRI have been proven to be accurate and reproducible, with each now capable of providing noninvasive hemodynamic information which is capable of enhancing clinical decision-making and impacting patient care. However, the use of this information must be based on a thorough knowledge of the strengths and weaknesses of the various noninvasive methods of hemodynamic assessment. Understanding the applications and limitations of these modalities will permit their effective and efficient usage in the future.


Computed tomography (CT) Magnetic resonance imaging (MRI) Hemodynamic Ischemia Diastolic function Myocardial perfusion Fractional flow reserve (FFR) 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.St. Thomas HeartNashvilleUSA

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