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Updated: Jun 27, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
Evaluation of poor left ventricle: multislice computer tomography in the assessment of myocardial viability
Elif Eroğlu1, Muzaffer Değertekin
1Department of Cardiology, Yeditepe University Hospital, Istanbul, Turkey. mdegertekin@yeditepe.edu.tr
Insights
Cardiac multislice computed tomography (MSCT) offers vital insights into left ventricular function and viability for ischemic heart disease patients. This review explores contrast-enhanced MSCT
Area of Science:
- Cardiovascular Imaging
- Radiology
- Cardiac Physiology
Background:
- Left ventricular function and viability assessment are crucial for managing ischemic heart disease.
- Cardiac multislice computed tomography (MSCT) is an advancing imaging modality.
- Traditional assessments may have limitations in certain patient groups.
Purpose of the Study:
- To review the pathophysiological mechanisms of contrast-enhanced MSCT for myocardial assessment.
- To outline the clinical applications of contrast-enhanced MSCT in evaluating cardiac function and viability.
- To highlight the role of MSCT in ischemic heart disease management.
Main Methods:
- Review of existing literature on contrast-enhanced MSCT.
- Analysis of studies focusing on myocardial perfusion and viability imaging.
- Discussion of pathophysiological principles underlying MSCT contrast enhancement in myocardium.
Main Results:
- Contrast-enhanced MSCT provides comprehensive data on myocardial function, perfusion, and viability.
- It offers an alternative or complementary approach to other cardiac imaging techniques.
- Specific imaging protocols and contrast agents enhance diagnostic accuracy.
Conclusions:
- Contrast-enhanced MSCT is a valuable tool for assessing myocardial function and viability in ischemic heart disease.
- Its ability to visualize perfusion and tissue characteristics aids in treatment planning.
- Further research can optimize MSCT protocols for broader clinical adoption.
Abstract:
The evaluation of left ventricular function and viability is critical in patients with suspected or documented ischemic heart disease. Recently, cardiac multislice computed tomography (MSCT) has emerged as a powerful modality for cardiac imaging. In addition to coronary artery assessment, contrast enhanced MSCT can provide reliable information about myocardial function, perfusion and viability. This review will focus on the pathophysiological mechanisms and clinical applications of contrast enhanced myocardial function and viability MSCT imaging.
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