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Cardiac CT, PET and MR

Cardiac CT, PET and MR

Vasken Dilsizian (Editor), Gerald M. Pohost (Editor), Robert O. Bonow (Foreword by)

ISBN: 978-1-405-17171-7

Apr 2008, Wiley-Blackwell

272 pages

Select type: E-Book



The standard procedure for defining the anatomic extent and severity of coronary artery disease is catheter-based selective coronary angiography. While there are advantages to coronary angiography, it is invasive with some risk of complications and requires a brief period of hospitalization, making it relatively expensive. Cardiac CT, PET and MR is a complete technique-oriented reference, offering real alternatives to the “standard procedure”.

Non-invasive techniques of coronary artery lumen imaging, such as multislice computed tomography (MSCT) and magnetic resonance imaging (CMR) as well as complementary and at times more useful physiologic and/or metabolic imaging techniques provided by positron emission tomography (PET) are clearly detailed throughout this book. Cardiac CT, PET and MR therefore provides an excellent reference for all cardiologists, radiologists, and nuclear medicine physicians involved in the diagnosis and risk assessment of patients with known or suspected coronary artery disease.

With the advent of these non-invasive techniques, the future of invasive coronary angiography will be reserved primarily for therapeutic rather than diagnostic purposes. Accordingly, this book provides a unique and essential contribution to the developing field for both physicians and students.

Part I. Instrumentation, imaging techniques, and protocols.

1. Positron emission tomography (Stephen L. Bacharach).

2. Cardiovascular magnetic resonance: Basic principles, methods and techniques (Joseph B. Selvanayagam, Matthew D. Robson, Jane M. Francis, an d Stefan Neubauer).

3. Multidetector and electron-beam computed tomography of the heart (Robert Detrano, and Nathan D. Wong).

Part II. Clinical applications.

4. PET assessment of myocardial perfusion (Marcelo F. Di Carli).

5. PET: Metabolism, innervation and receptors (Frank M. Bengel and Markus Schwaiger).

6. MR angiography: Coronaries and great vessels (Patricia Nguyen and Phillip Yang).

7. Cardiovascular magnetic resonance: Evaluation of myocardial function, perfusion and viability (Padmini Varadarajan, Karam Souibri, Krishna S. Nayak and Gerald M. Pohost).

8. MSCT coronary imaging (Koen Nieman).

9. Cardiac computed tomography: Evaluation of myocardial function, perfusion and viability (Subha V. Raman and Patrick M. Colletti).

Part III. Concurrent noninvasive assessment of coronary anatomy, physiology, and myocellular integrity.

10. PET and MRI in cardiac imaging (Stephan G. Nekolla).

11. PET and CT in cardiac imaging: Is a paradigm shift from SPECT to hybrid PET/CT inevitable (Henning Braess and Vasken Dilsizian).


Clinincal Radiology - July 2006

"This short and easy to read book of just over 250 pages…provides up-to-date and in-depth discussion about not only the technical issue regarded with utilisation of CT, PET and cardiac MR, but also its place in clinical management at this present time.

The book is very easy to read and well illustrated and would be an invaluable aid to both radiologists and cardiologists with an interest in non-invasive imaging. The illustrations are of high quality and the clinical information is bang up-to-date in this rapidly evolving field. I would recommend it not only to consultants in practice but also to trainees"

Circulation - Journal of the American Heart Association - 2006; 114; 39

“Major technological advances in computed tomography (CT), positron emission tomography (PET), and magnetic resonance (MR) have propelled imaging, particularly integrated imaging, into the forefront of the management of cardiovascular disease patients. Imaging has become the cornerstone of medical diagnosis, early detection, and treatment. Although CT and MR imaging provide exquisite morphological and pathological details, PET explores pathophysiological alterations. In the book Cardiac CT, PET and MR, Drs Dilsizian and Pohost, along with a group of highly accomplished investigators, deliver timely and comprehensive information on advanced cardiovascular imaging techniques. Both editors are leaders and outstanding educators in the field of noninvasive imaging with a wealth of clinical experience.

Cardiac CT, PET and MR is divided into 3 sections. The first section is organized according to the instrumentation, imaging techniques, and protocols for each of the imaging modalities: PET, MR, and multidetector (as well as electron-beam) CT. These chapters provide easy-to-understand physics and an evolution of these technologies. The second section is organized according to the clinical applications of each of the imaging modalities for the assessment of coronary arteries and great vessels and of myocardial perfusion, function, viability, and innervation. Each of the clinically oriented chapters begins with a succinct overview of clinical and imaging issues followed by a comprehensive review of currently published literature. The last section of the book provides concurrent assessments of coronary anatomy, physiology, and myocellular integrity. The book concludes with an interesting chapter by Henning and Dilsizian on trends and new developments in integrated PET/CT and single photon emission tomography/CT systems. The organization of the last section reflects the editors’ emphasis on physiology over and above a more commonly practiced morphology-based description of coronary artery disease. These technological advances, which have so remarkably enhanced our capacity for accurate diagnosis and management, have also raised a number of perplexing questions. How, which, and in what sequence should such procedures be used? It is with considerations such as these that make this text essential for practicing cardiologists and radiologists. The book will promote a better understanding and thus an improved utilization of these noninvasive techniques for the benefit of patients.

The uniformity of the tables, figures, and illustrations along with masterful editing of the chapters make the monograph seamless, as though it was written by a single author. In this regard, the book departs from other multi-author books where stylistic differences in writing as well as author-specific display of illustrations, figures, and colors make books a mere collection of articles, similar to those published from proceedings, rather than a well-edited monograph. The quality of the photographs and illustrations are excellent. The figures are not cluttered with excessive use of arrows and other notation. The references have been carefully selected to blend both historically essential references along with recent publications in journals.

This is an exciting time for cardiovascular imaging. The anatomic accuracy of noninvasive coronary artery lesion detection, along with physiological and metabolic correlates of myocardial function, are far better than they have been previously. Likewise, it is the perfect time to bring forth a book like this, which is dedicated to both advanced cardiovascular imaging as well as the integration of information from combined imaging modalities to derive at a more accurate and comprehensive clinical assessment. Summarily, these features render this monograph indispensable.”

Jagat Narula, MD
Division of Cardiology
University of California
Irvine School of Medicine
Irvine, Calif

Eur J Nucl Med Mol Imaging (2007)

" comprehensive information on these advanced cardiovascular imagining proceadures..."This book is a must for the bookshelf of imaging specialists, cardiologists, cardio-surgeons and their trainees. It would be valuable addition to university, hospital and personal libraries"

A reference on non-invasive techniques of coronary artery imaging

  • Illustrations showing advantages of techniques
  • Organised in a clinically relevant way
  • Written by key authorities in the field