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Untersuchungstechniken und Stellenwert der CT bei der Diagnostik von Herzklappenerkrankungen


Gordic, S; Alkadhi, H (2013). Untersuchungstechniken und Stellenwert der CT bei der Diagnostik von Herzklappenerkrankungen. Der Radiologe, 53(10):864-871.

Abstract

CLINICAL/METHODICAL ISSUE: Cardiac computed tomography (CT) is the first-line modality for coronary assessment. In addition valvular morphology and function can be evaluated. STANDARD RADIOLOGICAL METHODS: The method of choice for the evaluation of cardiac valves is echocardiography, followed by magnetic resonance imaging. METHODICAL INNOVATIONS: Recent technical improvements and advances in temporal resolution allow a detailed anatomical and functional evaluation of the cardiac valves. PERFORMANCE: Cardiac CT provides an excellent image quality of the aortic and mitral valve thus enabling an evaluation of the morphology. In addition, cardiac CT allows an assessment of aortic valve function with respect to the grading of stenosis and regurgitation. ACHIEVEMENTS: Cardiac CT is not considered the first-line modality for the evaluation of cardiac valves; however, beyond coronary assessment CT provides important information on the morphology and function of cardiac valves. PRACTICAL RECOMMENDATIONS: Cardiac CT can be a useful imaging alternative for patients in whom other more commonly used methods, such as echocardiography and magnetic resonance imaging fail to provide the necessary information.

Abstract

CLINICAL/METHODICAL ISSUE: Cardiac computed tomography (CT) is the first-line modality for coronary assessment. In addition valvular morphology and function can be evaluated. STANDARD RADIOLOGICAL METHODS: The method of choice for the evaluation of cardiac valves is echocardiography, followed by magnetic resonance imaging. METHODICAL INNOVATIONS: Recent technical improvements and advances in temporal resolution allow a detailed anatomical and functional evaluation of the cardiac valves. PERFORMANCE: Cardiac CT provides an excellent image quality of the aortic and mitral valve thus enabling an evaluation of the morphology. In addition, cardiac CT allows an assessment of aortic valve function with respect to the grading of stenosis and regurgitation. ACHIEVEMENTS: Cardiac CT is not considered the first-line modality for the evaluation of cardiac valves; however, beyond coronary assessment CT provides important information on the morphology and function of cardiac valves. PRACTICAL RECOMMENDATIONS: Cardiac CT can be a useful imaging alternative for patients in whom other more commonly used methods, such as echocardiography and magnetic resonance imaging fail to provide the necessary information.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:2013
Deposited On:12 Sep 2013 15:46
Last Modified:05 Apr 2016 16:58
Publisher:Springer
ISSN:0033-832X
Publisher DOI:https://doi.org/10.1007/s00117-012-2469-y
PubMed ID:24002182

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