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Current and future aspects of multimodal and fusion imaging in structural and coronary heart disease

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Abstract

The procedural success of cardiovascular and structural interventions depends on adequate pre- and intraprocedural imaging. Multimodal imaging utilizing several techniques provides added value in terms of procedural planning and efficacy by combining the individual strength of each imaging modalities. Recently, fusion imaging as combined “hybrid” procedure of several imaging modalities has gained some attention. The major advantage consists in the optimized multi-dimensional view with an excellent spatial resolution and anatomic orientation. The so often called “anatomical intelligence” already gives prospects towards heart model-derived heart valve construction and individual anatomic conformation. However, hybrid fusion imaging has the potential to increase safety, accuracy, and procedural effectiveness in interventional cardiology.

This review gives an overview of the benefits and shortcomings of multimodal and fusion imaging in the context of pre- and intraprocedural structural and cardiovascular interventions. It highlights some aspects and thoughts towards cardiovascular imaging of the future.

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Abbreviations

CAD:

Coronary artery disease

CMR:

Cardiovascular magnetic resonance imaging

3D:

3-dimensional

IHD:

Ischemic heart disease

LAA:

Left atrial appendage

LVOT:

Left ventricular outflow tract

MSCT:

Multislice computer tomography

PCI:

Percutaneous coronary intervention

SE:

Stress echocardiography

SHD:

Structural heart disease(s)

TAVI:

Transcatheter aortic valve implantation

TOE:

Transesophageal echocardiography

TTE:

Transthoracal echocardiography

VHD:

Valvular heart disease

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Authors and Affiliations

  1. Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich Heine University, Medical Faculty, Moorenstraße 5, 40225, Düsseldorf, Germany

    Verena Veulemans, Katharina Hellhammer, Amin Polzin, Florian Bönner, Tobias Zeus & Malte Kelm

  2. CARID (Cardiovascular Research Institute Düsseldorf), Moorenstraße 5, 40225, Düsseldorf, Germany

    Malte Kelm

Authors
  1. Verena Veulemans
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  2. Katharina Hellhammer
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  3. Amin Polzin
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  4. Florian Bönner
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  5. Tobias Zeus
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  6. Malte Kelm
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Corresponding author

Correspondence to Malte Kelm.

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Conflict of interest

The Division of Cardiology has a master research agreement with Philips Healthcare (Netherlands).

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Veulemans, V., Hellhammer, K., Polzin, A. et al. Current and future aspects of multimodal and fusion imaging in structural and coronary heart disease. Clin Res Cardiol 107 (Suppl 2), 49–54 (2018). https://doi.org/10.1007/s00392-018-1284-5

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  • DOI: https://doi.org/10.1007/s00392-018-1284-5

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