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Evaluation of Chest Pain, Hemoptysis and Dyspnea

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Integrated Cardiothoracic Imaging with MDCT

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Remarkable advances in multidetector CT (MDCT) technology have facilitated accurate evaluation of coronary artery disease in a noninvasive manner. Recent studies indicate that MDCT can replace the radionuclide stress test in the evaluation of some patients who present to the emergency department with acute chest pain, and normal or nonspecific ECG results and normal initial serum cardiac bio-markers. The potential of MDCT to identify and exclude other urgent causes of acute chest pain, such as the acute aortic syndrome and pulmonary embolism, as well as acute coronary syndrome, suggests that MDCT may be a primary imaging modality for the evaluation of acute chest pain. MDCT for the evaluation of hemoptysis can provide not only a localization and source of hemoptysis, but also identification of the culprit artery responsible for triggering hemoptysis. The ability of MDCT to scan the entire chest with thin collimation and within a single breath hold can offer a comprehensive assessment in the evaluation of dyspnea.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, University of Maryland Medical Center, 22 S Greene Street, Baltimore, MD, 21201, USA

    Seung Min Yoo MD, PhD & Charles S. White MD

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  1. Seung Min Yoo MD, PhD
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  2. Charles S. White MD
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Editors and Affiliations

  1. Department of Radiology C.H.R.U. de Lille, Höpital Calmette, Boulevard du Prof. J. Leclercq, 59037, Lille Cédex, France

    Martine Rémy-Jardin MD, PhD (Professor) & Jacques Rémy MD (Professor) (Professor) &  (Professor)

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Yoo, S.M., White, C.S. (2009). Evaluation of Chest Pain, Hemoptysis and Dyspnea. In: Rémy-Jardin, M., Rémy, J. (eds) Integrated Cardiothoracic Imaging with MDCT. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72387-5_15

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  • DOI: https://doi.org/10.1007/978-3-540-72387-5_15

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