Skip to main content

Heart

  • Chapter
  • First Online:
Pitfalls in Diagnostic Radiology

Abstract

Artifacts and pitfalls are an important part of cardiac imaging, particularly due to the continuous cardiac motion and multiple unique problems related to electrocardiography (ECG) gating. The field of cardiac imaging is constantly advancing with new technologies, particularly in regard to computed tomography (CT) and magnetic resonance imaging (MRI). New imaging techniques represent potential sources of image artifacts and pitfalls, especially for less experienced interpreters. These problems may be related to the patient (inappropriate positioning, body habitus, motion, heart rate and rhythm, implanted devices), the scanner (ECG gating, radiofrequency transmitter/receiver coils, CT detectors, photomultiplier tubes, misregistration, attenuation correction), the imaging processing/post processing (step artifact, aliasing, chemical shift), or the surrounding environment (magnetic field inhomogeneity). Examples of common artifacts and pitfalls related to cardiac imaging, with focus on CT, MRI, and nuclear imaging, are reviewed and discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 149.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

CT:

Computed tomography

CTA:

CT angiography

ECG:

Electrocardiography

FOV:

Field of view

MRI:

Magnetic resonance imaging

ROI:

Region of interest

SPECT:

Single-photon emission computed tomography

References

  • Boas FE, Fleischmann D (2011) Evaluation of two iterative techniques for reducing metal artifacts in computed tomography. Radiology 259:894–902

    Article  PubMed  Google Scholar 

  • Burrell S, MacDonald A (2006) Artifacts and pitfalls in myocardial perfusion imaging. J Nucl Med Tech 34:193–212

    Google Scholar 

  • Cooper JA, Neumann PH, McCandless BK (1992) Effect of patient motion on tomographic myocardial perfusion imaging. J Nucl Med 33:1566–1571

    CAS  PubMed  Google Scholar 

  • Dvorak RA, Brown RK, Corbett JR (2011) Interpretation of SPECT/CT myocardial perfusion images: common artifacts and quality control techniques. RadioGraphics 31:2041–2057

    Article  PubMed  Google Scholar 

  • Hoffmann U, Ferencik M, Cury RC, Pena AJ (2006) Coronary CT angiography. J Nucl Med 47:797–806

    PubMed  Google Scholar 

  • Kroft LJ, de Roos A, Geleijns J (2007) Artifacts in ECG-synchronized MDCT coronary angiography. AJR Am J Roentgenol 189:581–591

    Article  CAS  PubMed  Google Scholar 

  • Mouton A, Megherbi N, Van Slambrouck K et al (2013) An experimental survey of metal artefact reduction in computed tomography. J X-Ray Sci Tech 21:193–226

    Google Scholar 

  • Patton JA, Kulkarni MV, Craig JK et al (1987) Techniques, pitfalls and artifacts in magnetic resonance imaging. RadioGraphics 7:505–519

    Article  CAS  PubMed  Google Scholar 

  • Saremi F, Grizzard JD, Kim RJ (2008) Optimizing cardiac MR imaging: practical remedies for artifacts. RadioGraphics 28:1161–1187

    Article  PubMed  Google Scholar 

  • Singh A, Sethi Y, Watkins S et al (2009) Banding and stairstep artifacts on the cardiac-CT caused by pseudo-ectopic beats. J Radiol Case Rep 3:3–8

    Article  PubMed Central  PubMed  Google Scholar 

  • Srichai MB, Lim RP, Wong S et al (2009) Cardiovascular applications of phase-contrast MRI. AJR Am J Roentgenol 192:662–675

    Article  PubMed  Google Scholar 

  • Truong MT, Erasmus JJ, Gladish GW et al (2003) Anatomy of pericardial recesses on multidetector CT: implications for oncologic imaging. AJR Am J Roentgenol 181:1109–1113

    Article  PubMed  Google Scholar 

  • Vogel-Claussen J, Rochitte CE, Wu KC et al (2006) Delayed enhancement MR imaging: utility in myocardial assessment. Radio Graph 26:795–810

    Google Scholar 

  • Wheat JM, Currie GM (2004) Impact of patient motion on myocardial perfusion SPECT diagnostic integrity: part 2. J Nucl Med Tech 32:158–163

    Google Scholar 

  • Zhuo J, Gullapalli RP (2006) AAPM/RSNA physics tutorial for residents: MR artifacts, safety, and quality control. RadioGraphics 26:275–297

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Isabel Oliva MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Oliva, I., Jokerst, C., Avery, R. (2015). Heart. In: Peh, W. (eds) Pitfalls in Diagnostic Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44169-5_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-44169-5_13

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44168-8

  • Online ISBN: 978-3-662-44169-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics