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Vascular disease in chronic obstructive pulmonary disease
Martine Remy-Jardin1, Jacques Remy
1Department of Thoracic Imaging, Hospital Calmette, Blvd. Jules Leclercq, 59037 Lille, France. mremy-jardin@chru-lille.fr
Proceedings of the American Thoracic Society
|December 6, 2008
Summary
Advanced computed tomography (CT) scanners now integrate cardiac and lung imaging for patients with chronic obstructive pulmonary disease (COPD). This allows for noninvasive assessment of cardiovascular abnormalities in COPD patients.
Area of Science:
- Radiology
- Cardiovascular Imaging
- Pulmonary Medicine
Background:
- Multi-detector row computed tomography (MDCT) has advanced airway and lung parenchyma imaging in chronic obstructive pulmonary disease (COPD).
- Faster CT rotation speeds and cardiac algorithms enable integration of cardiac function into chest CT scans.
- Advancements from 16-slice to 64-slice MDCT simplify morphology and function integration for respiratory disorders.
Purpose of the Study:
- To review the applications of advanced CT technology in patients with COPD.
- To highlight noninvasive depiction of cardiovascular abnormalities in COPD patients.
- To explore the integration of cardiac imaging into thoracic CT examinations.
Main Methods:
- Review of technological developments in MDCT, including 16-slice and 64-slice scanners.
- Discussion of dual-source CT and dual-energy applications in chest imaging.
- Focus on CT capabilities for imaging coronary arteries and pulmonary capillaries.
Main Results:
- MDCT allows for improved characterization of anatomic changes in COPD airways and lung parenchyma.
- Integrated cardiac functional information is now possible in diagnostic chest CT scans.
- High-resolution, motion-free coronary artery imaging can be performed during chest CT.
Conclusions:
- Advanced CT technology offers new possibilities for thoracic imaging in COPD patients.
- Integrating cardiac and pulmonary imaging provides vital information for managing respiratory disorders.
- CT enables noninvasive assessment of cardiovascular abnormalities common in COPD patients.
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