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Updated: Jul 11, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
Clinical decision making with contemporary cardiovascular imaging: ischemic heart disease
Subha V Raman1, Marshall W Winner
1Division of Cardiovascular Medicine, CMR/CCT, The Ohio State University, 473 West 12th Avenue, Columbus, OH 43210, USA. raman1@osu.edu
Insights
Understanding coronary artery anatomy and myocardial physiology is key for treating ischemic heart disease. Advanced imaging like computed tomography and magnetic resonance imaging aids diagnosis and intervention.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
Background:
- Effective treatment of ischemic heart disease necessitates a comprehensive understanding of coronary artery anatomy and myocardial physiology.
- This clinical vignette is part of a series focusing on cardiovascular imaging, integrating modern diagnostic and management strategies.
Observation:
- A case study is presented to illustrate the interplay between coronary anatomy and myocardial function in ischemic heart disease.
- The patient's care incorporated advanced imaging modalities at multiple stages.
Findings:
- Volumetric multidetector computed tomography provided detailed coronary artery anatomy.
- Dynamic magnetic resonance imaging enabled timely myocardial characterization.
- The integrated imaging approach facilitated effective coronary artery intervention.
Implications:
- State-of-the-art imaging techniques, guided by clinical assessment, are crucial for contemporary cardiovascular medicine.
- Combining anatomical and physiological imaging improves diagnosis and treatment planning for ischemic heart disease.
- This approach enhances the potential for successful coronary artery intervention and patient outcomes.
Abstract:
Treating ischemic heart disease requires an understanding of both coronary artery anatomy as well as myocardial physiology. The following clinical vignette illustrates these complementary concepts as part of an ongoing series on cardiovascular imaging in the Journal of Cardiovascular Medicine. This series seeks to present contemporary approaches to diagnosis and management in cardiovascular medicine that include state-of-the-art imaging techniques guided by bedside clinical assessment. Incorporating volumetric multidetector computed tomography and dynamic magnetic resonance imaging at various stages of this patient's care afforded timely myocardial characterization and coronary artery intervention.
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