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The last 10 years has seen explosive expansion of the number of centres performing cardiov- cular magnetic resonance (CMR) imaging. The majority of this expansion has been in the ? eld of adult ischaemic imaging, but congenital heart disease remains one of the main indications for CMR. Importantly, the greatly improved survival of patients with congenital heart disease gives us a burgeoning adult population living with the sequelae of the disease (grown-up c- genital heart disease – GUCH). Without previous experience or formal training, the interpretation of CMR images of patients with congenital heart disease can be dif? cult. The main aim of this book is to create a portable resource that offers ef? cient access to high-quality MR (and where appropriate, CT) images of the common congenital and structural heart abnormalities. We hope that by prov- ing key images for each condition and a clear interpretation of the MR appearances, we will improve the reader’s understanding of the conditions, facilitate their interpretation of images and optimise the planning of the imaging protocols during their own practice of congenital CMR. As with any publication from a single institution, the contents of this book represent our own practice. We have not written a de? nitive or exhaustive description of the conditions.
CMR is a powerful tool in the armamentarium of pediatric cardiology and health care workers caring for patients with congenital heart disease (CHD), but a successful study still presents major technical and clinical challenges. This text was created to give trainees, practitioners, allied professionals, and researchers a repository of dependable information and images to base their use of CMR on. Because CHD presents an intricate web of connections and associations that need to be deciphered, the imager performing CMR needs to understand not only anatomy, physiology, function, and surgery for CHD, but also the technical aspects of imaging. Written by experts from the world’s leading institutions, many of whom pioneered the techniques and strategies described, the text is organized in a logical way to provide a complete understanding of the issues involved. It is divided into three main parts: The Basics of CMR - familiarizes the reader with the minimum tools needed to understand the basics, such as evaluating morphology, ventricular function, and utilizing contrast agents CMR of Congenital and Acquired Pediatric Heart Disease - discusses broad categories of CHD and the use of CMR in specific disease states Special Topics in Pediatric Cardiac MR - covers other important areas such as the complementary role of CT scanning, interventional CMR, the role of the technologist in performing a CMR exam, and more With the ever increasing sophistication of technology, more can be done with CMR in a high quality manner in a shorter period of time than had been imagined as recently as just a few years ago. Principles and Practice of Cardiac Magnetic Resonance in Congenital Heart Disease: Form, Function, and Flow makes a major contribution to applying these techniques to improved patient care. An ideal introduction for the novice or just the curious, this reference will be equally useful to the seasoned practitioner who wants to keep pace with developments in the field and would like a repository of information and images readily availalble.
This book covers the cross-sectional imaging of congenital heart diseases, and features a wealth of relevant CT and MRI images. Important details concerning anatomy, physiology, embryology and management options are discussed, and the key technical aspects of performing the imaging are explained step by step. Written by a team of respected authors, the book is richly illustrated and supplemented with access to a number of clinical videos. Intended to provide quick and reliable access to high-quality MRI and CT images of frequently encountered congenital and structural heart abnormalities, the book offers a go-to guide for imaging physicians, helping them overcome the steep learning curve for pediatric cardiac imaging.
This heavily updated textbook focuses on the use of cardiac magnetic resonance (CMR) imaging in pediatric and adult patients with congenital heart disease. Over past two decades, CMR has come to occupy an ever more important place in the assessment and management of patients with congenital heart defects (CHD) and other cardiovascular disorders. The modality offers an ever-expanding amount of information about the heart and circulation, provides outstanding images of cardiovascular morphology and function, is increasingly being used to detect pathologic fibrosis, and has an expanding role in the assessment of myocardial viability. Magnetic Resonance Imaging of Congenital Heart Disease is an excellent foundation for any reader not familiar with the field whether they are imagers or clinicians who deal with cardiovascular disease. It also describes the technical details of MRI techniques to help the clinician understand the most important elements of CMR in assessing and managing their patients. In creating the book, the editors have assembled a world-renowned panel of contributors to review the use of CMR in CHD and make it accessible to those working in the field and to those who use the information derived from CMR in their clinical practice.
- Provides state-of-the-art coverage of CMR technologies and guidelines, including basic principles, imaging techniques, ischemic heart disease, right ventricular and congenital heart disease, vascular and pericardium conditions, and functional cardiovascular disease. - Includes new chapters on non-cardiac pathology, pacemaker safety, economics of CMR, and guidelines as well as new coverage of myocarditis and its diagnosis and assessment of prognosis by cardiovascular magnetic resonance, and the use of PET/CMR imaging of the heart, especially in sarcoidosis. - Features more than 1,100 high-quality images representing today's CMR imaging. - Covers T1, T2 and ECV mapping, as well as T2* imaging in iron overload, which has been shown to save lives in patients with thalassaemia major - Discusses the cost-effectiveness of CMR. - Provides state-of-the-art coverage of CMR technologies and guidelines, including basic principles, imaging techniques, ischemic heart disease, right ventricular and congenital heart disease, vascular and pericardium conditions, and functional cardiovascular disease. - Includes new chapters on non-cardiac pathology, pacemaker safety, economics of CMR, and guidelines as well as new coverage of myocarditis and its diagnosis and assessment of prognosis by cardiovascular magnetic resonance, and the use of PET/CMR imaging of the heart, especially in sarcoidosis. - Features more than 1,100 high-quality images representing today's CMR imaging. - Covers T1, T2 and ECV mapping, as well as T2* imaging in iron overload, which has been shown to save lives in patients with thalassaemia major. - Discusses the cost-effectiveness of CMR. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
This extensively illustrated volume has been specifically geared towards optimal use of MRI systems. The text provides essential theoretical background information: Imaging acquisition and potential pitfalls are also examined in detail. Most importantly, structured guidelines are provided on the interpretation of clinical data in the wide range of cardiac pathology that can be encountered.
Cardiovascular MR imaging has become a robust, clinically useful mod- ity, and the rapid pace of innovation and important information it conveys have attracted many students whose goal is to become adept practitioners. In turn, many excellent textbooks have been written to aid this process. These books are necessary and useful in helping the student learn the underlying pulse sequences used in CMR, as well as the imaging findings in a variety of disorders. However, one of the difficulties inherent in learning CMR from a book is that the printed format is not the ideal medium to d- play the dynamic imaging that comprises a typical CMR case. For instance, it may be difficult to perceive focal areas of wall motion abnormality on serial static pictures, but these abnormalities are often easily seen on cine loops. One might say that trying to learn CMR solely from a standard textbook with illustrations is like trying to learn to drive by looking at snapshots obtained through the windshield of a moving car. The learner needs to see the cardiac motion and decide if it is normal or abnormal; he or she needs to be in the driver’s seat. An additional limitation of the ava- able textbooks on CMR is that while they often have superb illustrations of abnormal findings, these images have been preselected.
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.
Clinical Cardiac MRI is a comprehensive textbook intended for everyone involved in magnetic resonance imaging of the heart. It is designed both as a useful guide for newcomers to the field and as an aid for those who routinely perform such studies. The first edition, published in 2004-5, was very well received within the cardiac imaging community, and has generally been considered the reference because of its completeness, its clarity, and the number and quality of the illustrations. Moreover, the addition of a CD-ROM showing 50 real-life cases significantly enhanced the value of the book. In this second edition, the aim has been to maintain the same quality while incorporating the newest insights and developments in this rapidly evolving domain of medical imaging. The four editors, all experts in the field, have taken great care to ensure a homogeneous high standard throughout the book. Finally, the selection of 100 real-life cases, added as online material, will further enhance the value of this textbook.
This book is a comprehensive and authoritative text on the expanding scope of CMR, dedicated to covering basic principles in detail focusing on the needs of cardiovascular imagers. The target audience for this book includes CMR specialists, trainees in CMR and cardiovascular medicine, cardiovascular physicists or clinical cardiovascular imagers. This book includes figures and CMR examples in the form of high-resolution still images and is divided in two sections: basic MRI physics, i.e. the nuts and bolts of MR imaging; and imaging techniques (pulse sequences) used in cardiovascular MR imaging. Each imaging technique is discussed in a separate chapter that includes the physics and clinical applications (with cardiovascular examples) of a particular technique. Evolving techniques or research based techniques are discussed as well. This section covers both cardiac and vascular imaging. ​Cardiovascular magnetic resonance (CMR) imaging is now considered a clinically important imaging modality for patients with a wide variety of cardiovascular diseases. Recent developments in scanner hardware, imaging sequences, and analysis software have led to 3-dimensional, high-resolution imaging of the cardiovascular system. These developments have also influenced a wide variety of cardiovascular imaging applications and it is now routinely used in clinical practice in CMR laboratories around the world. The non-invasiveness and lack of ionizing radiation exposure make CMR uniquely important for patients whose clinical condition requires serial imaging follow-up. This is particularly true for patients with congenital heart disease (CHD) with or without surgical corrections who require lifelong clinical and imaging follow-up.