Imaging of the right heart - CT and CMR Journal Article
| Authors: | Kochav, J.; Simprini, L.; Weinsaft, J. W. |
| Article Title: | Imaging of the right heart - CT and CMR |
| Abstract: | Right ventricular (RV) structure and function is of substantial importance in a broad variety of clinical conditions. Cardiac magnetic resonance (CMR) and computed tomography (CT) each provide three-dimensional RV imaging, high-resolution evaluation of RV structure/anatomy, and accurate functional assessment without geometric assumptions. This is of particular significance for the RV, where complex geometry compromises reliance on indices derived from two-dimensional (2D) imaging planes. CMR flow-based imaging can be applied to right-sided heart valves, enabling evaluation of hemodynamic and valvular dysfunction that may contribute to or result from RV dysfunction. Tissue characterization imaging by both CMR and CT provides valuable complementary assessment of the RV. Changes in myocardial tissue composition provide a mechanistic substrate for RV dysfunction and cardiac arrhythmias. This review provides an overview of RV imaging by both CMR and CT, with focus on assessment of RV structure/function, flow, and tissue characterization. Emerging evidence and established guidelines are discussed in the context of imaging contributions to diagnosis, prognostic risk stratification and disease management of clinical conditions that impact the right ventricle. |
| Keywords: | functional assessment; computer assisted tomography; radiation exposure; disease severity; three dimensional imaging; heart infarction; heart arrhythmia; heart output; heart stroke volume; ct; heart right ventricle; heart right ventricle failure; tissue characterization; pulmonary hypertension; heart valve; cardiac imaging; lung artery pressure; congenital heart disease; cardiovascular magnetic resonance; human; priority journal; article; heart left ventricle enddiastolic volume; cmr; right ventricle; heart right ventricle dysplasia; heart right ventricle ejection fraction; heart right ventricle enddiastolic volume; heart right ventricle endsystolic volume; heart right ventricle function; heart right ventricle performance |
| Journal Title: | Echocardiography |
| Volume: | 32 |
| Issue: | Suppl.1 |
| ISSN: | 0742-2822 |
| Publisher: | Wiley Periodicals, Inc |
| Date Published: | 2015-01-01 |
| Start Page: | 53 |
| End Page: | 68 |
| Language: | English |
| DOI: | 10.1111/echo.12212 |
| PROVIDER: | scopus |
| PUBMED: | 25244072 |
| DOI/URL: | |
| Notes: | Export Date: 2 March 2015 -- Source: Scopus |
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