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Written by world-renowned experts in both CT angiography and MR angiography, this landmark work is the first comprehensive text on vascular imaging using CT and MR. It provides a balanced view of the capabilities of these modalities and practical guidelines for obtaining and interpreting images. More than 2,200 illustrations complement the text. Chapters co-authored by CT and MR authorities cover imaging of all coronary and non-coronary arteries and veins. Each chapter details indications, imaging strategies, normal and variant anatomy, diseases, surgical management, and pitfalls. The authors compare the utility of CT and MR in specific clinical situations and discuss the role of conventional angiography and ultrasound where appropriate.
This text discusses the basic aspects of multislice CT angiography with chapters on technical principles, basic scan technique for peripheral vascular imaging with multislice CT, image reconstruction with multislice CT, radiation doses, and contrast agent administration. Clinical applications for each major vascular territory are covered in-depth,
Non-invasive, high resolution contrast arteriography without arte rial catheterization or nephrotoxicity is now possible. It is accomplished by using paramagnetic contrast and an MR scanner. Paramagnetic contrast media is injected intravenously and image data are collected as the con trast circulates through the vascular territory of interest. Due to the strong enhancement effect of paramagnetic contrast media, a small dose injected as an intravenous bolus is sufficient to briefly enhance the entire arterial vascular tree. This allows imaging with a large field-of-view that encompasses an extensive region of vascular anatomy. By using a 3D gradient echo pulse sequence on magnets with high performance gra dient systems, high resolution 3D volumes of image data are acquired in a single breath-hold. This has vastly improved image quality of 3D con trast MRA exams, particularly in the chest and abdomen. Subsequent post-processing allows an angiographic display of image data in any desired obliquity. The success of this technique is reflected by its incorporation into clinical practice in centers throughout the world. It has been applied to multiple vascular territories, using various magnets, and slightly differ ing imaging strategies. As is the ca se for all MR imaging techniques, a thorough understanding of the underlying mechanisms and proper technique are essential to fully exploit the diagnostic potential of this new form of angiography. This book will familiarize the reader with the basic principles of 3D contrast MRA.
This volume highlights and broadens our understanding of the correct use and the possible contraindications of contrast agents applied in radiology. Written by experts in the field, it not only focuses on the chemistry, physiochemical properties and pharmacokinetics of both iodinated and gadolinium-containing contrast agents, but also on the relevant safety issues such as frequency of their short- and long-term side effects and ways to avoid them nephrotoxicity risk related to the iodinated contrast agents NSF (nephrogenic systemic fibrosis) accumulation of gadolinium in the brain use of contrast agents in pediatric patients and pregnancy It also includes essential data on the use of contrast agents, such as scanning protocols, in the context of various clinical conditions. This comprehensive manual addresses all professionals involved in radiological imaging and is an invaluable tool for radiologists and technologists, as well as for residents and clinicians.
In recent years, there has been increasing interest in the clinical applications of coronary angiography techniques. Coronary MRA can be instrumental in the evaluation of congenital coronary artery anomalies, however, the complexity of advanced MR pulse sequences and strategies may be overwhelming to many. Coronary MR Angiography demystifies the art of coronary MRA by providing a text in plain language with clearly illustrated imaging steps and protocols. Designed to bridge the gap between radiology and cardiology, it is written for physicians and scientists planning to incorporate this technique into their research or practice.
This open access book focuses on diagnostic and interventional imaging of the chest, breast, heart, and vessels. It consists of a remarkable collection of contributions authored by internationally respected experts, featuring the most recent diagnostic developments and technological advances with a highly didactical approach. The chapters are disease-oriented and cover all the relevant imaging modalities, including standard radiography, CT, nuclear medicine with PET, ultrasound and magnetic resonance imaging, as well as imaging-guided interventions. As such, it presents a comprehensive review of current knowledge on imaging of the heart and chest, as well as thoracic interventions and a selection of "hot topics". The book is intended for radiologists, however, it is also of interest to clinicians in oncology, cardiology, and pulmonology.
This careful revision keeps pace with developments in the field, with new chapters on PET Metabolism, CT and MRI in the Emergency Department, Image-Guided Electrophysiology Mapping and Ablation, and Identification of Vulnerable Atherosclerotic Plaque by Radionuclide and CT techniques, plus the introduction of new contributors Udo Hoffman and Stephan Achenbach. Praised in its previous edition as a concise source of essential information, this new edition presents the most recent information in an accessible format and serves as an excellent reference source for all cardiologists, radiologists and nuclear medicine physicians.
The significantly updated second edition of this important work provides an up-to-date and comprehensive overview of cardiovascular magnetic resonance imaging (CMR), a rapidly evolving tool for diagnosis and intervention of cardiovascular disease. New and updated chapters focus on recent applications of CMR such as electrophysiological ablative treatment of arrhythmias, targeted molecular MRI, and T1 mapping methods. The book presents a state-of-the-art compilation of expert contributions to the field, each examining normal and pathologic anatomy of the cardiovascular system as assessed by magnetic resonance imaging. Functional techniques such as myocardial perfusion imaging and assessment of flow velocity are emphasized, along with the exciting areas of artherosclerosis plaque imaging and targeted MRI. This cutting-edge volume represents a multi-disciplinary approach to the field, with contributions from experts in cardiology, radiology, physics, engineering, physiology and biochemistry, and offers new directions in noninvasive imaging. The Second Edition of Cardiovascular Magnetic Resonance Imaging is an essential resource for cardiologists and radiologists striving to lead the way into the future of this important field.
The first book-length reference to thoroughly describe diagnostic and therapeutic advances in the development of vascular radiology over the last decade The last ten years has seen vascular imaging of the central nervous system (CNS) evolve from fairly crude, invasive procedures to more advanced imaging methods that are safer, faster, and more precise—with computed tomographic (CT) and magnetic resonance (MR) imaging methods playing a special role in these advances. Vascular Imaging of the Central Nervous System is the first full-length reference text that shows radiologists—especially neuroradiologists—how to optimize the use of the many techniques available in order to increase the sensitivity and specificity of vascular imaging, thereby improving the diagnosis and treatment of individual patients. Each chapter is formatted carefully and divided into two essential parts: The first part describes the physical principles underlying each imaging technique, along potential associated artifacts and pitfalls; the second part addresses clinical applications and novel applications of each method. With a strong focus on the clinical application of each modality or technique in CNS radiology, this book provides in-depth chapter coverage of: • Ultrasound Vascular Imaging (UVI) • Computed Tomography Angiography (CTA) • Magnetic Resonance Vascular imaging (MRV) • Digital subtraction angiography (DSA) • Brain perfusion techniques: CT and MRI • Plaque imaging • Intravascular imaging • Pediatric vascular imaging Along with numerous illustrations and case studies, Vascular Imaging of the Central Nervous System: Physical Principles, Clinical Applications, and Emerging Techniques is an important book for those faced with choosing from the wide range of choices available for clinical practice.
This book is a highly visual guide to the radiographic and advanced imaging modalities - such as computed tomography and ultrasonography - that are frequently used by physicians during the treatment of emergency patients. Covering practices ranging from ultrasound at the point of care to the interpretation of CT scan results, this book contains over 2,200 images, each with detailed captions and line-art that highlight key findings. Within each section, particular attention is devoted to practical tricks of the trade and tips for avoiding common pitfalls. Overall, this book is a useful source for experienced clinicians, residents, mid-level providers, or medical students who want to maximize the diagnostic accuracy of each modality without losing valuable time.