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This book is a comprehensive and richly-illustrated guide to cardiac CT, its current state, applications, and future directions. While the first edition of this text focused on what was then a novel instrument looking for application, this edition comes at a time where a wealth of guideline-driven, robust, and beneficial clinical applications have evolved that are enabled by an enormous and ever growing field of technology. Accordingly, the focus of the text has shifted from a technology-centric to a more patient-centric appraisal. While the specifications and capabilities of the CT system itself remain front and center as the basis for diagnostic success, much of the benefit derived from cardiac CT today comes from avant-garde technologies enabling enhanced visualization, quantitative imaging, and functional assessment, along with exciting deep learning, and artificial intelligence applications. Cardiac CT is no longer a mere tool for non-invasive coronary artery stenosis detectionin the chest pain diagnostic algorithms; cardiac CT has proven its value for uses as diverse as personalized cardiovascular risk stratification, prediction, and management, diagnosing lesion-specific ischemia, guiding minimally invasive structural heart disease therapy, and planning cardiovascular surgery, among many others. This second edition is an authoritative guide and reference for both novices and experts in the medical imaging sciences who have an interest in cardiac CT.
Pages i-xxvii
Front Matter
Pages 1-1
History of Cardiac CT: A Personal Story
Pages 3-10
Evolution of Radiation Dose from Cardiac CT
Pages 11-18
The Long March into Clinical Practice: Cardiac CT and Its Competitors
Pages 19-33
Front Matter
Pages 35-35
Cardiac Computed Tomography: A Team Sport
Pages 37-39
Cardiac CT: Credentialing and Accreditation
Pages 41-47
Front Matter
Pages 49-49
Cardiac CT Platforms: State of the Art
Pages 51-67
Principles of Cardiac CT Image Acquisition
Pages 69-85
Dual Energy and Spectral CT Techniques in Cardiovascular Imaging
Pages 87-101
Pages 103-107
Contrast Media Injection Protocols in CT Coronary Angiography
Pages 109-115
Cardiovascular CT: Image Reconstruction
Pages 117-123
Pages 125-130
Cardiac CT: Contemporary Clinical Image Data Display, Analysis, and Quantification
Pages 131-147
Pages 149-160
Defining the Role and Benefits of a 3D Laboratory for Cardiovascular CT
Pages 161-172
Structured Reporting for Cardiac CT
Pages 173-193
Pages 195-201
Thoughts on Coding and Reimbursement
Pages 203-207
Front Matter
Pages 209-209
Pathology and Pathophysiology of Coronary Atherosclerotic Plaques
Pages 211-226
Pages 227-234
Patient Selection: When to Use Cardiac CT Versus Other Imaging or Non-imaging Tests
Pages 235-244
Pages 245-255
Front Matter
Pages 257-257
Pages 259-284
The Many Uses of Epicardial Fat Measurements
Pages 285-294
Front Matter
Pages 295-295
Nonatherosclerotic Coronary Artery Disease
Pages 297-307
The Many Faces of Atherosclerosis
Pages 309-317
Pages 319-329
Coronary CT Angiography for Evaluation of Acute Coronary Syndrome in the Emergency Department
Pages 331-348
The Role of Cardiac CT in Patients with Metabolic Disorders
Pages 349-354
Use of Coronary Computed Tomography Angiography in Cardiac Risk Assessment for Non-cardiac Surgery
Pages 355-360
CT for Guiding Successful Revascularization
Pages 361-374
Pages 375-379
Multidetector CT Angiography for Coronary Bypass Graft Assessment and Reoperative Cardiac Surgery
Pages 381-390
Cardiac CT in the Setting of Heart Transplantation
Pages 391-404
Front Matter
Pages 405-405
CT of Cardiac Function and Wall Motion
Pages 407-421
Three-Chamber Function with Cardiac CT
Pages 423-440
Front Matter
Pages 441-441
Diseases of the Myocardium and Pericardium
Pages 443-449
CT of Cardiac and Paracardiac Masses
Pages 451-469
Valvular Heart Disease and Prostheses
Pages 471-485
Pages 487-500
Front Matter
Pages 501-501
CT in the Context of Transcatheter Aortic Valve Replacement
Pages 503-517
CT for Minimally Invasive Repair of Mitral Valve and Other Structural Heart Diseases
Pages 519-530
Cardiac CT: Electrophysiological Applications
Pages 531-552
Front Matter
Pages 553-553
Special Technique Considerations for Congenital Heart Disease Imaging
Pages 555-563
CT of Coronary Artery Anomalies
Pages 565-577
CT Spectrum of Congenital Heart Disease
Pages 579-601
The Use of Cardiovascular CT in Repaired CHD
Pages 603-620
Front Matter
Pages 621-621
CT Imaging of the Heart-Lung Axis
Pages 623-634
Ischemic Stroke: The Role of Cardiac CT
Pages 635-645
Incidental Findings on CT Angiography and How to Manage Them
Pages 647-656
Front Matter
Pages 657-657
Prognosis and Outcome: State of the Evidence
Pages 659-671
Cardiac CT: Comparative Cost-Effectiveness
Pages 673-679
Barriers to Greater Clinical Implementation
Pages 681-687
A Test on the Move: Cardiac CT in China as a Case Study
Pages 689-704
Front Matter
Pages 705-705
Pages 707-713
Pages 715-724
Advanced Methods for Coronary Artery Plaque Analysis
Pages 725-735
Front Matter
Pages 737-737
Pages 739-745
Front Matter
Pages 747-747
Transluminal Attenuation Gradient and Other CT Techniques for Gauging Lesion Significance
Pages 749-766
CT Angiography-Derived Fractional Flow Reserve
Pages 767-776
CT Myocardial Perfusion Imaging: Arterial First-Pass Imaging
Pages 777-790
Myocardial Perfusion Imaging: Dual-Energy Approaches
Pages 791-810
Dynamic Myocardial CT Perfusion Imaging
Pages 811-828
CT’s Role for Myocardial Viability Assessment
Pages 829-845
Front Matter
Pages 847-847
Coronary CT Angiography as the Gatekeeper to the Cath Lab: Where Are We?
Pages 849-857
3D Printing from Cardiac CT Images
Pages 859-872
Future Technological Advances in Cardiac CT
Pages 873-892
Machine Learning and Artificial Intelligence in Cardiovascular Imaging
Pages 893-907
Pages C1-C1
Pages 909-931
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