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Cardiac Noninvasive Imaging: Chest Radiography, Cardiovascular Magnetic Resonance and Computed Tomography of the Heart

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MGH Cardiology Board Review

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Abstract

Non-invasive imaging plays an important role in the management of cardiac diseases. While chest radiography forms a standard part of the diagnostic work-up and follow-up of many cardiac patients, evolving technology related to cardiac computed tomography (CT) and cardiovascular magnetic resonance (CMR) imaging have contributed substantially to the diagnosis and prognosis of various cardiac pathologies. This chapter describes chest radiography findings of cardiopulmonary abnormalities and diseases, including recognition of valvular prostheses as well as pericardial and aortic abnormalities. This is followed by a section on cardiac CT and CMR where scan modes and sequences, indications specific to cardiology and safety issues are addressed.

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References

  1. Taylor AJ, Cerqueira M, Hodgson JM, Mark D, Min J, O’Gara P, et al. ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 appropriate use criteria for cardiac computed tomography. A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance. J Am Coll Cardiol. 2010;56(22):1864–94.

    Article  Google Scholar 

  2. Pletcher MJ, Tice JA, Pignone M. Use of coronary calcification scores to predict coronary heart disease. JAMA. 2004;291(15):1831–2; author reply 2–3

    PubMed  Google Scholar 

  3. Stein PD, Yaekoub AY, Matta F, Sostman HD. 64-slice CT for diagnosis of coronary artery disease: a systematic review. Am J Med. 2008;121(8):715–25.

    Article  Google Scholar 

  4. de Graaf FR, van Velzen JE, Witkowska AJ, Schuijf JD, van der Bijl N, Kroft LJ, et al. Diagnostic performance of 320-slice multidetector computed tomography coronary angiography in patients after coronary artery bypass grafting. Eur Radiol. 2011;21(11):2285–96.

    Article  Google Scholar 

  5. Rao QA, Newhouse JH. Risk of nephropathy after intravenous administration of contrast material: a critical literature analysis. Radiology. 2006;239(2):392–7.

    Article  Google Scholar 

  6. Hendel RC, Patel MR, Kramer CM, Poon M, Carr JC, Gerstad NA, et al. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, and Society of Interventional Radiology. J Am Coll Cardiol. 2006;48(7):1475–97.

    Article  Google Scholar 

  7. Nandalur KR, Dwamena BA, Choudhri AF, Nandalur MR, Carlos RC. Diagnostic performance of stress cardiac magnetic resonance imaging in the detection of coronary artery disease: a meta-analysis. J Am Coll Cardiol. 2007;50(14):1343–53.

    Article  Google Scholar 

  8. Bingham SE, Hachamovitch R. Incremental prognostic significance of combined cardiac magnetic resonance imaging, adenosine stress perfusion, delayed enhancement, and left ventricular function over preimaging information for the prediction of adverse events. Circulation. 2011;123(14):1509–18.

    Article  Google Scholar 

  9. Kim RJ, Fieno DS, Parrish TB, Harris K, Chen EL, Simonetti O, et al. Relationship of MRI delayed contrast enhancement to irreversible injury, infarct age, and contractile function. Circulation. 1999;100(19):1992–2002.

    Article  CAS  Google Scholar 

  10. Kim RJ, Wu E, Rafael A, Chen EL, Parker MA, Simonetti O, et al. The use of contrast-enhanced magnetic resonance imaging to identify reversible myocardial dysfunction. N Engl J Med. 2000;343(20):1445–53.

    Article  CAS  Google Scholar 

  11. Friedrich MG, Sechtem U, Schulz-Menger J, Holmvang G, Alakija P, Cooper LT, et al. Cardiovascular magnetic resonance in myocarditis: a JACC White Paper. J Am Coll Cardiol. 2009;53(17):1475–87.

    Article  Google Scholar 

  12. Patel MR, Cawley PJ, Heitner JF, Klem I, Parker MA, Jaroudi WA, et al. Detection of myocardial damage in patients with sarcoidosis. Circulation. 2009;120(20):1969–77.

    Article  Google Scholar 

  13. Smedema JP, Snoep G, van Kroonenburgh MP, van Geuns RJ, Dassen WR, Gorgels AP, et al. Evaluation of the accuracy of gadolinium-enhanced cardiovascular magnetic resonance in the diagnosis of cardiac sarcoidosis. J Am Coll Cardiol. 2005;45(10):1683–90.

    Article  Google Scholar 

  14. Maceira AM, Joshi J, Prasad SK, Moon JC, Perugini E, Harding I, et al. Cardiovascular magnetic resonance in cardiac amyloidosis. Circulation. 2005;111(2):186–93.

    Article  Google Scholar 

  15. Moon JC, McKenna WJ, McCrohon JA, Elliott PM, Smith GC, Pennell DJ. Toward clinical risk assessment in hypertrophic cardiomyopathy with gadolinium cardiovascular magnetic resonance. J Am Coll Cardiol. 2003;41(9):1561–7.

    Article  Google Scholar 

  16. Anderson LJ, Holden S, Davis B, Prescott E, Charrier CC, Bunce NH, et al. Cardiovascular T2-star (T2∗) magnetic resonance for the early diagnosis of myocardial iron overload. Eur Heart J. 2001;22(23):2171–9.

    Article  CAS  Google Scholar 

  17. Marcus FI, McKenna WJ, Sherrill D, Basso C, Bauce B, Bluemke DA, et al. Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation. 2010;121(13):1533–41.

    Article  Google Scholar 

  18. Petersen SE, Selvanayagam JB, Wiesmann F, Robson MD, Francis JM, Anderson RH, et al. Left ventricular non-compaction: insights from cardiovascular magnetic resonance imaging. J Am Coll Cardiol. 2005;46(1):101–5.

    Article  Google Scholar 

  19. Bogaert J, Francone M. Cardiovascular magnetic resonance in pericardial diseases. J Cardiovasc Magn Reson. 2009;11:14.

    Article  Google Scholar 

  20. Levine GN, Gomes AS, Arai AE, Bluemke DA, Flamm SD, Kanal E, et al. Safety of magnetic resonance imaging in patients with cardiovascular devices: an American Heart Association scientific statement from the Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology, and the Council on Cardiovascular Radiology and Intervention: endorsed by the American College of Cardiology Foundation, the North American Society for Cardiac Imaging, and the Society for Cardiovascular Magnetic Resonance. Circulation. 2007;116(24):2878–91.

    Article  Google Scholar 

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Acknowledgements

We wish to acknowledge the contributions by Wai-ee Thai, MD, Bryan Wai, MD, and Quynh A. Truong, MD MPH for their work on this chapter in the previous edition of the MGH Cardiology Board Review Book.

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Authors and Affiliations

  1. Division of Cardiology, Massachusetts General Hospital, Boston, MA, USA

    Michael T. Osborne & Vinit Baliyan

  2. Department of Radiology, Cardiovascular Imaging, Cardiovascular Imaging Research Center (Department of Radiology and Division of Cardiology), Massachusetts General Hospital, Boston, MA, USA

    Michael T. Osborne & Brian B. Ghoshhajra

Authors
  1. Michael T. Osborne
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  2. Vinit Baliyan
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  3. Brian B. Ghoshhajra
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Corresponding author

Correspondence to Brian B. Ghoshhajra .

Editor information

Editors and Affiliations

  1. Cardiology Division, Massachusetts General Hospital, Boston, MA, USA

    Hanna K. Gaggin

  2. Cardiology Division, Massachusetts General Hospital, Boston, MA, USA

    James L. Januzzi Jr.

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Osborne, M.T., Baliyan, V., Ghoshhajra, B.B. (2021). Cardiac Noninvasive Imaging: Chest Radiography, Cardiovascular Magnetic Resonance and Computed Tomography of the Heart. In: Gaggin, H.K., Januzzi Jr., J.L. (eds) MGH Cardiology Board Review. Springer, Cham. https://doi.org/10.1007/978-3-030-45792-1_3

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  • DOI: https://doi.org/10.1007/978-3-030-45792-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-45791-4

  • Online ISBN: 978-3-030-45792-1

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