Abstract
Imaging plays a critical role in the diagnosis of heart disease. In the past 25 to 30 yr, advanced imaging modalities such as digital angiography, echocardiography, magnetic resonance imaging (MRI), computed tomography (CT), and nuclear cardiology have become important in the evaluation of the heart. However, the conventional radiographic examination remains the mainstay of cardiac imaging. This chapter will discuss the role of the chest radiograph in the diagnosis of cardiac disease in adults, with an emphasis on both normal cardiovascular anatomy and pathoanatomy in a variety of diseases. Correlation will be made with cross-sectional imaging in order to illustrate important anatomic points.
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References
Steiner RM, Gross G, Flicker S, et al. Congenital heart disease in the adult patient. J Thorac Imaging 1995;10:1–25.
Danza FM, Fusco A, Breda M. Ductus arteriosus aneurysm in an adult. AJR 1984;143:131–133.
West JB. Regional differences in gas exchange in the lung in erect man. J Appl Physiol 1962;17:893–898.
Kabala JE, Wilde P. Measurement of heart size in the anteroposterior chest radiograph. Br J Radiol 1987;60:981–986.
Milne ENC, Burnett K, Aufrichtig D, et al. Assessment of cardiac size on portable chest films. J Thorac Imaging 1988;3:64–72.
Higgins CB, Reinke RT, Jones WE, et al. Left atrial dimension on the frontal thoracic radiograph: a method for assessing left atrial enlargement. AJR 1978;130:251–255.
Carlsson E, Gross R, Hold RG. The radiological diagnosis of cardiac valvar insufficiencies. Circulation 1977;55:921–933.
Jefferson K, Rees S. Clinical Cardiac Radiology, 2nd ed. Butterworths, London, 1980, pp. 3–24.
Murphy ML, Blue LR, Ferris EJ, et al. Sensitivity and specificity of chest roentgenogram criteria for right ventricular hypertrophy. Invest Radiol 1988;23:853–856.
Berdon WE, Baker DH. Plain film findings in azygos continuation of the inferior vena cava. AJR 1968;104:452–457.
Gutierrez FR, Moran CJ, Ludbrook PA, et al. Pulmonary arterial calcification with reversible pulmonary hypertension. AJR 1980;135:177–178.
Harrison MO, Conte, PJ, Heitzman ER. Radiological detection of clinically occult cardiac failure following myocardial infarction. Br J Radiol 1971;44:265–272.
Grainger RG. Interstitial pulmonary oedema and its radiological diagnosis. A sign of pulmonary venous and capillary hypertension. Br J Radiol 1958;31:201–217.
Higgins CB. Radiography of acquired heart disease. In: Higgins CB, ed. Essentials of Cardiac Radiology and Imaging. J. B. Lippincott, Philadelphia, 1992, pp. 1–48.
Lasser A. Calcification of the myocardium. Hum Pathol 1983;14:824–826.
Follman DF. Aortic regurgitation. Identifying and treating acute and chronic disease. Postgrad Med 1993;93:83–90.
Green CE, Kelley MJ, Higgins CB. Etiologic significance of enlargement of the left atrial appendage in adults. Radiology 1982;142:21–27.
Gurney JW, Goodman LR. Pulmonary edema localized in the right upper lobe accompanying mitral regurgitation. Radiology 1989;172:397–399.
Stanford W, Galvin JR. The radiology of right heart dysfunction: chest roentgenogram and computed tomography. J Thorac Imaging 1989;4:7–19.
Watanabe AM. Ischemic heart disease. In: Kelly NW, ed. Essentials of Internal Medicine. J. B. Lippincott, Philadelphia, 1994, pp. 1511–1512.
Higgins CB, Lipton MJ. Radiography of acute myocardial infarction. Radiol Clin North Am 1980;18:359–368.
Higgins CB, Lipton MJ, Johnson AD, et al. False aneurysms of the left ventricle. Identification of distinctive clinical, radiographic, and angiographic features. Radiology 1978;127:21–27.
Kotler MN, Mintz GS, Panidis I, et al. Noninvasive evaluation of normal and abnormal prosthetic valve function. J Am Coll Cardiol 1983;2:151–173.
Wexler L, Brundage B, Crouse J, et al. Coronary artery calcification: pathophysiology, epidemiology, imaging methods, and clinical implications. A statement for health professionals from the American Heart Association. Circulation 1996;94:1175–1192.
Rumberger JA, Sheedy PF, Breen JF, et al. Electron beam computed tomography and coronary artery disease: scanning for coronary artery calcification. Mayo Clin Proc 1996;71:369–377.
Thompson BH, Stanford W. Imaging of coronary calcification by computed tomography. J Magn Reson Imaging 2004;19:720–733.
Olson MC, Posniak HV, McDonald V, et al. Computed tomography and magnetic resonance imaging of the pericardium. Radiographics 1989;9:633–649.
Steiner RM, Rao VM. Radiology of the pericardium. In: Grainger RG, Allison J, eds. Diagnostic Radiology. Churchill Livingstone, London, 1986, pp. 675–689.
Engel PJ. Echocardiography in pericardial disease. Cardiovasc Clin 1983;13:181–200.
Sechtem U, Tscholakoff D, Higgins CB. MRI of the abnormal pericardium. AJR 1986;147:245–252.
Vaitkus PT, Kussmaul WG. Constrictive pericarditis versus restrictive cardiomyopathy: a reappraisal and update of diagnostic criteria. Am Heart J 1991;122:1431–1441.
Carsky EW, Mauceri RA, Azimi R. The epicardial fat pad sign: analysis of frontal and lateral chest radiographs in patients with pericardial effusion. Radiology 1980;137:303–308.
Chen JTT, Khoury M, Kirks DR. Obscured aortic arch on the lateral view as a sign of coarctation. Radiology 1984;153:595–596.
Von Schulthess GK, Higashino SM, Higgins SS, et al. Coarctation of the aorta: MR imaging. Radiology 1986;158:469–474.
Whittemore R, Wells JA, Castellsague X. A second generation study of 427 probands with congenital heart disease and their 837 children. J Am Coll Cardiol 1994;23:1459–1467.
Bremerich J, Reddy GP, Higgins CB. MRI of supracristal ventricular septal defects. J Comput Assist Tomogr 1999;23:13–15.
Recommended Reading
Lipton MJ, Boxt LM. How to approach cardiac diagnosis from the chest radiograph. Radiol Clin North Am 2004;42:487–495.
Miller SW, ed. Cardiac Radiology. The Requisites (2nd ed.). Elsevier, Philadelphia, 2004.
Steiner RM. Radiology of the heart and great vessels. In: Braunwald E, Zipes DP, Libby P, eds. Heart Disease. A Textbook of Cardiovascular Medicine (6th ed.). W. B. Saunders, Philadelphia, 2001, pp. 237–272.
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© 2005 Humana Press Inc., Totowa, NJ
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Reddy, G.P., Steiner, R.M. (2005). Radiology of the Heart. In: Rosendorff, C. (eds) Essential Cardiology. Humana Press. https://doi.org/10.1007/978-1-59259-918-9_11
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DOI: https://doi.org/10.1007/978-1-59259-918-9_11
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