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Right heart on multidetector CT
1Department of Radiology, Papworth Hospital NHS Trust, Papworth Everard, Cambridge, UK. deepa.gopalan@btopenworld.com
Insights
Multidetector row CT (MDCT) imaging now allows detailed assessment of the right ventricle, a crucial factor in cardiovascular disease. This technique overcomes previous imaging challenges, offering insights into right heart anatomy and function.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Cardiac Anatomy
Background:
- Right ventricular function is critical in cardiovascular disease pathogenesis and outcomes.
- The complex geometry of the right ventricle has historically posed imaging challenges.
- Advancements in multidetector row CT (MDCT) have expanded cardiac imaging capabilities.
Purpose of the Study:
- To review the anatomical features of the right heart.
- To describe MDCT acquisition techniques for optimal right heart imaging.
- To elucidate the morphological and functional information obtainable from MDCT of the right heart.
Main Methods:
- Utilizing multidetector row CT (MDCT) with modified contrast protocols.
- Achieving adequate opacification of right-sided cardiac chambers.
- Analyzing anatomical and functional data derived from MDCT scans.
Main Results:
- MDCT enables detailed visualization of right heart anatomy and function.
- Optimized contrast protocols facilitate clear imaging of the right ventricle.
- MDCT provides valuable morphological and functional insights into the right heart.
Conclusions:
- MDCT is a powerful tool for evaluating the right ventricle, overcoming previous limitations.
- Optimized MDCT protocols allow comprehensive assessment of right heart structure and function.
- This technique aids in understanding and diagnosing cardiovascular conditions involving the right heart.
Abstract:
Right ventricular function plays an integral role in the pathogenesis and outcome of many cardiovascular diseases. Imaging the right ventricle has long been a challenge because of its complex geometry. In recent years there has been a tremendous expansion in multidetector row CT (MDCT) and its cardiac applications. By judicious modification of contrast medium protocol, it is possible to achieve good opacification of the right-sided cardiac chambers, thereby paving the way for exploring the overshadowed right heart. This article will describe the key features of right heart anatomy, review MDCT acquisition techniques, elaborate the various morphological and functional information that can be obtained, and illustrate some important clinical conditions associated with an abnormal right heart.
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