Clinical Research in Cardiology

, Volume 107, Supplement 2, pp 49–54 | Cite as

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

  • Verena Veulemans
  • Katharina Hellhammer
  • Amin Polzin
  • Florian Bönner
  • Tobias Zeus
  • Malte KelmEmail author


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.


Fusion imaging Hybrid imaging Multimodal imaging 



Coronary artery disease


Cardiovascular magnetic resonance imaging




Ischemic heart disease


Left atrial appendage


Left ventricular outflow tract


Multislice computer tomography


Percutaneous coronary intervention


Stress echocardiography


Structural heart disease(s)


Transcatheter aortic valve implantation


Transesophageal echocardiography


Transthoracal echocardiography


Valvular heart disease


Compliance with ethical standards

Conflict of interest

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


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Verena Veulemans
    • 1
  • Katharina Hellhammer
    • 1
  • Amin Polzin
    • 1
  • Florian Bönner
    • 1
  • Tobias Zeus
    • 1
  • Malte Kelm
    • 1
    • 2
    Email author
  1. 1.Division of Cardiology, Pulmonology and Vascular MedicineHeinrich Heine University, Medical FacultyDüsseldorfGermany
  2. 2.CARID (Cardiovascular Research Institute Düsseldorf)DüsseldorfGermany

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