Multi-detector CT angiography of the aortic valve-Part 2: disease specific findings
Edward T D Hoey1, Arul Ganeshan1
1Department of Radiology, Heart of England NHS Trust, Birmingham, UK.
Insights
Multi-detector computed tomography (MDCT) provides crucial insights into aortic valve disease, complementing echocardiography and MRI. This imaging technique is definitive for assessing calcification, acute aortic syndrome, and coronary arteries, aiding in valve replacement procedures.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Cardiac Pathology
Background:
- Routine evaluation of the aortic valve and adjacent structures is essential in thoracic imaging.
- Echocardiography and MRI are primary modalities for aortic valve assessment, but multi-detector computed tomography (MDCT) offers complementary value.
Purpose of the Study:
- To review the spectrum of aortic valve disease.
- To highlight key multi-detector computed tomography (MDCT) imaging features for diagnosing aortic valve pathology.
Main Methods:
- Review of multi-detector computed tomography (MDCT) imaging in various aortic valve disease scenarios.
- Comparison of MDCT findings with echocardiography and magnetic resonance imaging (MRI) where applicable.
Main Results:
- Multi-detector computed tomography (MDCT) is definitive for assessing aortic valvular calcification and acute aortic syndrome.
- MDCT enables non-invasive assessment of coronary arteries and plays an emerging role in trans-catheter aortic valve replacement planning and follow-up.
- MDCT provides valuable complementary information to echocardiography and MRI for comprehensive aortic valve evaluation.
Conclusions:
- Multi-detector computed tomography (MDCT) is a vital tool in the comprehensive evaluation of aortic valve disease.
- Understanding MDCT imaging features is crucial for accurate diagnosis and management of patients with aortic valve pathology.
Abstract:
The aortic valve and adjacent structures should be routinely evaluated on all thoracic cross-sectional imaging studies. Echocardiography and magnetic resonance imaging (MRI) are the main imaging techniques used for assessment of the aortic valve and related pathology but multi-detector computed tomography (MDCT) can offer valuable complimentary information in some clinical scenarios. MDCT is the definite means of assessing aortic valvular calcification, acute aortic syndrome and for non-invasive assessment of the coronary arteries. MDCT also has an emerging role in the planning and follow-up of trans-catheter aortic valve replacement. This article reviews the spectrum of aortic valve disease highlighting the key MDCT imaging features.
More Related Videos
06:59Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
Published on: June 3, 2018
09:57Four-Dimensional Computed Tomography-Guided Valve Sizing for Transcatheter Pulmonary Valve Replacement
Published on: January 20, 2022
Related Concept Videos
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
01:28Imaging Studies for Cardiovascular System V: CT
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
01:20Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
01:25Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT