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In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
08:13

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Published on: February 16, 2016

Evaluation of myocarditis with delayed-enhancement computed tomography

Kelly Axsom1, Fay Lin, Jonathan W Weinsaft

  • 1Department of Medicine, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, NY, USA.

Journal of Cardiovascular Computed Tomography
|January 20, 2010
PubMed

Insights

Delayed-enhancement cardiac computed tomography angiography (DE-CCTA) can effectively diagnose acute myocarditis. This imaging technique shows similar results to cardiac magnetic resonance imaging (CMR) for detecting myocardial inflammation.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Acute myocarditis is an inflammatory condition of the heart muscle.
  • Accurate and timely diagnosis is crucial for patient outcomes.
  • Traditional diagnostic methods may have limitations.

Observation:

  • A healthy 19-year-old male presented with symptoms suggestive of acute cardiac events.
  • Cardiac computed tomography angiography (CCTA) revealed normal coronary arteries but showed myocardial inflammation.
  • Delayed-enhancement cardiac magnetic resonance imaging (CMR) confirmed the findings of myocardial inflammation.

Findings:

  • Both DE-CCTA and DE-CMR demonstrated patchy, diffuse epicardial hyperenhancement consistent with acute myocarditis.
  • DE-CCTA findings correlated well with DE-CMR in terms of territory and extent of myocardial inflammation.
  • DE-CCTA identified various patterns of late hyperenhancement, including transmural and subepicardial.

Implications:

  • DE-CCTA shows potential as a valuable tool for diagnosing acute myocarditis.
  • This technique allows for simultaneous assessment of coronary arteries and myocardial inflammation.
  • DE-CCTA may offer a more comprehensive evaluation in suspected myocarditis cases.

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