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Left ventricular and coronary cineangiography; overview of techniques, applications and limitations

  • Chapter
Quantitative Coronary and Left Ventricular Cineangiography

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 51))

Abstract

Left ventricular and coronary cineangiography are regarded as the definite procedures for the confirmation of cardiac disease. These invasive procedures produce high resolution, dynamic images of the left ventricle and the coronary arteries, respectively. The left ventricular angiograms may provide the clinician with detailed information about left ventricular anatomy, wall motion abnormalities and allow the computation of left ventricular volume and of global and regional ejection fraction. Likewise, the coronary cineangiograms allow the assessment of the presence and severity of coronary artery disease. In routine clinical practice, the angiographic data are still interpreted visually, which results in significant inter- and intraobserver variations. Moreover, the abnormalities as judged by the clinician can only be expressed in relative terms. It was recognized at an early stage, that quantitation of such images would be extremely desirable for a number of reasons: (1) availability of objective measurements; (2) communication between and comparison of results from different centers would be greatly facilitated; and (3) the state of disease of a given patient would be much better characterized. To obtain such objective measurements from the angiograms, many groups have been active over the last fifteen years in the development of methods for the quantitative analysis of the cineangiograms. These efforts have first been directed towards manual, semi- and fully-automated procedures for the outlining of the left ventricular boundaries and the subsequent analysis of these boundaries in terms of left ventricular volume, global and regional ejection fraction, as well as of regional wall motion. At a later point in time, methods for semi- or fully-automated boundary definition of the coronary arteries were being developed.

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  1. Department of Cardiology (Chief: P.G. Hugenholtz, M.D., F.A.C.C.) Thoraxcenter, Erasmus University, and University Hospital Dijkzigt, Rotterdam, The Netherlands

    J. H. C. Reiber Ph.D., P. W. Serruys M.D. & C. J. Slager M.Sc.

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Reiber, J.H.C., Serruys, P.W., Slager, C.J. (1986). Left ventricular and coronary cineangiography; overview of techniques, applications and limitations. In: Quantitative Coronary and Left Ventricular Cineangiography. Developments in Cardiovascular Medicine, vol 51. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4239-4_1

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