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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Computed tomography and magnetic resonance imaging of patients with valvular heart disease
1Department of Radiology, St. Luke's/Roosevelt Hospital Center, New York, NY, USA.
Insights
Computed tomography (CT) and magnetic resonance (MR) imaging offer valuable insights into valvular heart disease, assessing its severity and underlying causes. MR provides superior functional data and direct visualization of valve dysfunction compared to CT.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Valvular heart disease diagnosis often relies on non-imaging methods initially.
- Computed tomography (CT) and magnetic resonance (MR) imaging are not typically first-line diagnostic tools for valvular heart disease.
Purpose of the Study:
- To highlight the diagnostic utility of CT and MR in evaluating valvular heart disease.
- To compare the specific advantages of MR over CT in assessing valvular dysfunction.
Main Methods:
- Utilizing CT and MR imaging to assess cardiac morphology and physiology.
- Evaluating chamber and great artery dimensions, ventricular wall thickness.
- Identifying specific imaging findings like calcification and pulmonary edema.
- Employing MR to visualize signal void jets and quantify ventricular function.
Main Results:
- CT and MR provide crucial morphologic and physiologic data for valvular heart disease.
- Imaging aids in diagnosing and grading the severity of valvular dysfunction.
- Findings such as calcification and pulmonary edema enhance diagnostic accuracy.
- MR offers direct visualization of valve jets and quantitative functional assessment.
Conclusions:
- CT and MR imaging are valuable adjuncts in the comprehensive evaluation of valvular heart disease.
- MR imaging provides unique advantages in assessing valvular function and pressure gradients.
Abstract:
Although computed tomographic (CT) and magnetic resonance (MR) evaluation of patients with valvular heart disease is almost never performed as a first line of diagnostic intervention, their performance does provide important morphologic and physiologic information concerning the etiology and the current status of the valvular dysfunction. Evaluation of chamber and great artery size as well as ventricular wall thickness provide the basis for diagnosing and analyzing severity of valvular heart disease. Furthermore, additional findings, including calcification and evidence of interstitial pulmonary edema, increase diagnostic sensitivity and confidence in diagnosis. MR examination has the advantage over CT of providing direct demonstration of the signal void jets of dysfunctional valves, as well as a means of quantitating regional and global ventricular function and severity of valvular pressure gradients.
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