Document Detail


Imaging the heart-lung relationships during a chest computed tomography examination: is electrocardiographic gating the only option?
MedLine Citation:
PMID:  20711040     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Before the advent of fast-scanning multidetector-row computed tomography (CT) technology, thoracic CT studies were exclusively used for the morphologic assessment of thoracic organs, as the concurrent examination of the heart was hampered by image degradation from cardiac motion artifacts. The introduction of fast rotation speed and dedicated cardiac reconstruction algorithms has opened new possibilities for chest imaging, starting with the possibility to integrate cardiac morphologic and functional information into a diagnostic CT scan of the chest. Initiated with 16-slice multidetector-row CT, this concept of integrating morphology and function has been further simplified with 64-slice CT scanners, thus allowing radiologists to provide vital information in the management of patients with a wide variety of acute or chronic respiratory disorders. Because this CT technology offers the possibility of generating high-resolution and motion-free images of the coronary arteries, evaluation of the coronary arteries during CT examinations of the chest should further widen the clinical applications of CT for respiratory patients, keeping in mind that cigarette smoking is a shared risk factor for both impaired lung function and cardiovascular events. The recent advent of high temporal resolution and high pitch modes with dual-source CT simplifies the concept of integrated cardiothoracic imaging, introducing non-electrocardiographic-gated coronary artery imaging. The purpose of this article is to review the successive approaches of these redefined borders of thoracic imaging.
Authors:
Martine Remy-Jardin; Jean-Baptiste Faivre; Teresa Santangelo; Nunzia Tacelli; Jacques Remy
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of thoracic imaging     Volume:  25     ISSN:  1536-0237     ISO Abbreviation:  J Thorac Imaging     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-12-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606160     Medline TA:  J Thorac Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  239-46     Citation Subset:  IM    
Affiliation:
Department of Thoracic Imaging, Hospital Calmette, University Center of Lille, Lille Cedex, France. mremy-jardin@chru-lille.fr
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MeSH Terms
Descriptor/Qualifier:
Electrocardiography / methods*
Heart / physiopathology,  radiography*
Humans
Lung / physiopathology,  radiography*
Tomography, X-Ray Computed*

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