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European Radiology

, Volume 14, Issue 3, pp 359–368 | Cite as

Assessment of pulmonary hypertension by CT and MR imaging

  • Sebastian LeyEmail author
  • Karl-Friedrich Kreitner
  • Christian Fink
  • Claus P. Heussel
  • Mathias M. Borst
  • Hans-Ulrich Kauczor
Chest

Abstract

In the recent World Health Organization (WHO) classification the group of pulmonary arterial hypertension (PH) comprises the classic primary pulmonary hypertension and several conditions with definite or very high risk factors to develop pulmonary arterial hypertension. Therapeutic advances drive the need for a comprehensive pre-therapeutic evaluation for optimal treatment. Furthermore, follow-up examinations need to be performed to monitor changes in disease status and response to therapy. Up to now, the diagnostic imaging work-up of PH comprises mainly echocardiography, invasive right heart catheterization and ventilation/perfusion scintigraphy. Due to technical advances helical computed tomography (CT) and magnetic resonance imaging (MRI) became more important in the evaluation and for differential diagnosis of pulmonary arterial hypertension. Both modalities are reviewed and recommendations for clinical use are given.

Keywords

Pulmonary hypertension Computed tomography Magnetic resonance imaging Echocardiography Angiography Evian classification Diagnostic workup 

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Sebastian Ley
    • 1
    • 2
    Email author
  • Karl-Friedrich Kreitner
    • 2
  • Christian Fink
    • 1
  • Claus P. Heussel
    • 2
  • Mathias M. Borst
    • 3
  • Hans-Ulrich Kauczor
    • 1
  1. 1.Department of RadiologyDeutsches KrebsforschungszentrumHeidelbergGermany
  2. 2.Department of RadiologyJohannes Gutenberg UniversityMainzGermany
  3. 3.Department of Internal Medicine IIIRuprecht-Karls UniversityHeidelbergGermany

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