Analysis of ventricular function by CT

Abstract The assessment of ventricular function, cardiac chamber dimensions, and ventricular mass is fundamental for clinical diagnosis, risk assessment, therapeutic decisions, and prognosis in patients with cardiac disease. Although cardiac CT is a noninvasive imaging technique often used for the a...

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Bibliographic Details
Published in:Journal of cardiovascular computed tomography 2015-01, Vol.9 (1), p.1-12
Main Authors: Rizvi, Asim, MD, Deaño, Roderick C., MD, MPH, Bachman, Daniel P., MD, Xiong, Guanglei, PhD, Min, James K., MD, Truong, Quynh A., MD, MPH
Format: Article
Language:English
Subjects:
Algorithms
Arrhythmogenic right ventricular dysplasia
Cardiovascular
Computed tomography
Ejection fraction
Humans
Left ventricular mass
Patient Positioning - methods
Radiographic Image Enhancement - methods
Radiographic Image Interpretation, Computer-Assisted - methods
Stroke Volume
Tomography, X-Ray Computed - methods
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular function
Wall motion abnormality
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Summary:Abstract The assessment of ventricular function, cardiac chamber dimensions, and ventricular mass is fundamental for clinical diagnosis, risk assessment, therapeutic decisions, and prognosis in patients with cardiac disease. Although cardiac CT is a noninvasive imaging technique often used for the assessment of coronary artery disease, it can also be used to obtain important data about left and right ventricular function and morphology. In this review, we will discuss the clinical indications for the use of cardiac CT for ventricular analysis, review the evidence on the assessment of ventricular function compared with existing imaging modalities such cardiac magnetic resonance imaging and echocardiography, provide a typical cardiac CT protocol for image acquisition and postprocessing for ventricular analysis, and provide step-by-step instructions to acquire multiplanar cardiac views for ventricular assessment from the standard axial, coronal, and sagittal planes. Furthermore, both qualitative and quantitative assessments of ventricular function as well as sample reporting are detailed.
ISSN:1934-5925
1876-861X
DOI:10.1016/j.jcct.2014.11.007