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Related Concept Videos

Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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Related Experiment Video

Updated: May 15, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Computed tomography for detecting left atrial thrombus: a meta-analysis.

Xiaosan Wu1, Congxia Wang, Chunyan Zhang

  • 1Department of Cardiovascular Medicine, Second Affiliated Hospital of Medical School, Xi'an Jiaotong University, Shaanxi, China.

Archives of Medical Science : AMS
|January 16, 2013
PubMed
Summary

Computed tomography (CT) accurately detects left atrial and appendage thrombus, a complication of atrial fibrillation. This noninvasive imaging method shows high sensitivity and specificity, making it a valuable alternative to transesophageal echocardiography.

Keywords:
computed tomographyleft atrial thrombusmeta-analysistransesophageal echocardiography

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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

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Related Experiment Videos

Last Updated: May 15, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Atrial fibrillation frequently leads to thromboembolism from the left atrium (LA) and left atrial appendage (LAA), causing stroke.
  • Computed tomography (CT) offers a noninvasive approach for identifying LA/LAA thrombus.
  • The diagnostic accuracy of CT for LA/LAA thrombus requires comprehensive evaluation.

Purpose of the Study:

  • To perform a meta-analysis evaluating the diagnostic accuracy of CT in detecting LA/LAA thrombus.
  • To compare CT's performance against transesophageal echocardiography as a reference standard.

Main Methods:

  • A systematic literature search was conducted across major databases (PubMed, Medline, ISI Web of Knowledge, Cochrane Library) up to June 2012.
  • Meta-analysis techniques were employed to pool sensitivity and specificity data.
  • Summary receiver operating characteristic (SROC) curves were constructed to assess overall diagnostic performance.

Main Results:

  • Nine studies comprising 1646 patients were included in the meta-analysis.
  • CT demonstrated a mean sensitivity of 81% (95% CI: 70-90%) and specificity of 90% (95% CI: 88-91%) for LA/LAA thrombus detection.
  • The SROC analysis yielded an area under the curve of 0.93, indicating strong diagnostic capability.

Conclusions:

  • Computed tomography exhibits significant diagnostic accuracy for detecting LA/LAA thrombus.
  • CT is a highly sensitive and specific noninvasive imaging modality.
  • CT represents a primary noninvasive alternative to transesophageal echocardiography for LA/LAA thrombus identification, warranting further patient-level randomized trials.