CMR and MDCT in Cardiac Masses: From Acquisition Protocols by Alexis Jacquier (auth.) PDF

By Alexis Jacquier (auth.)

ISBN-10: 3642184561

ISBN-13: 9783642184567

ISBN-10: 364218457X

ISBN-13: 9783642184574

This booklet, special in focusing in particular on cardiac lots, is the results of cooperation between a couple of groups of radiologists operating below the aegis of the French Society of Cardiovascular Imaging (SFICV). Its target is to at least one) evaluation the several CMR sequences and CT acquisition protocols used to discover cardiac lots, 2) to illustrate the different CMR and MDCT good points of cardiac lots. it's been designed as a educating device and gives a completely illustrated compendium of medical circumstances, tables summarizing facts, and decision-making timber crucial in daily perform. it truly is awarded as a realistic instruction manual and will be both learn conceal to hide or consulted at any time when wanted in the course of a cardiac imaging task. The ebook is meant for all scholars and skilled practitioners, no matter if radiologists or no longer, who're drawn to cardiac or thoracic pathology.

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Extra resources for CMR and MDCT in Cardiac Masses: From Acquisition Protocols to Diagnosis

Sample text

1 Late enhancement images in the four-chamber view (a) and the two-chamber view (b), 10 min after contrast injection showing late transmural hyper enhancement of the apex of the LV, indicating transmural myocardial necrosis (arrows). The thrombus is adhering to the infarcted myocardium inside the LV cavity and appears as a hypoenhanced mass (arrowhead) 4 Cardiac Thrombus a b Background The prevalence of myocardial infarct-related thrombus is around 5%. It is interesting to note that the incidence of these thrombi increases as the LV ejection fraction decreases and is significantly higher in patients with a left ventricular ejection fraction below 40% [1, 39].

The patient’s echocardiographic examination showed LV enlargement and decreased ejection fraction. The coronarogram did not reveal any anomalies of the coronary vessels. A CMR was performed to assess the etiology of his recently revealed LV failure. Diagnosis Dilated cardiomyopathy complicated by the presence of a thrombus in the left ventricle.  2 The patient’s left ventricle is dilated (enddiastolic volume: 200 mL/m²) and hypokinetic (LVEF: 8%), the cine images also revealed a marked asynchronization between the contractions of the interventricular septum and the lateral LV wall.

Diagnosis LV apical thrombus complicating the evolution of a myocardial infarct in the territory of the anterior interventricular artery. The stroke was due to migration of a part of the thrombus into the main circulation.  1 Late enhancement images in the four-chamber view (a) and the two-chamber view (b), 10 min after contrast injection showing late transmural hyper enhancement of the apex of the LV, indicating transmural myocardial necrosis (arrows). The thrombus is adhering to the infarcted myocardium inside the LV cavity and appears as a hypoenhanced mass (arrowhead) 4 Cardiac Thrombus a b Background The prevalence of myocardial infarct-related thrombus is around 5%.

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CMR and MDCT in Cardiac Masses: From Acquisition Protocols to Diagnosis by Alexis Jacquier (auth.)


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