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Updated: Mar 9, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
Imaging of Heart Disease in Women
Tina D Tailor1, Gregory A Kicska1, Jill E Jacobs1
1From the Department of Radiology, Duke University Medical Center, 2301 Erwin Rd, DUMC Box 3808, Durham, NC 27710 (T.D.T.); Department of Radiology, University of Washington Medical Center, Seattle, Wash (G.A.K., G.P.R.); Department of Radiology, New York University Medical Center, New York, NY (J.E.J.); Department of Radiology and Biomedical Imaging, University of California-San Francisco, San Francisco, Calif (M.H.P.); and Department of Diagnostic Imaging, Beth Israel Deaconess Medical Center, Boston, Mass (D.E.L.).
Abstract:
Ischemic heart disease is the number one cause of death of women in the United States, accounting for over a quarter of a million annual female deaths. Evidence within the last several decades supports sex-specific differences in the prevalence, symptoms, and prognosis of ischemic heart disease between men and women. Despite women having a lower burden of obstructive coronary artery disease compared with men, the prevalence of angina and mortality from ischemic heart disease is higher for women than men. In addition to ischemic heart disease, certain nonischemic conditions may also have sex-specific differences in clinical presentation and occurrence. With the rising utilization of noninvasive modalities for the diagnosis and management of ischemic heart disease, it is important for radiologists to be familiar with the unique considerations for imaging women with heart disease. The purpose of this review is to discuss challenges for detection of heart disease in women, examine performance of noninvasive modalities in the detection of ischemic heart disease, and discuss nonischemic cardiomyopathies unique to or prevalent in women. Considerations for cardiac imaging in pregnancy are also discussed. © RSNA, 2017.
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