Skip to main content
SpringerLink
Log in

Conventional computerized tomography of the heart

  • Published:
The International Journal of Cardiac Imaging Aims and scope Submit manuscript

Summary

Ungated cardio-CT provides good morphologic information in the case of congenital heart disease, volume or pressure loading, left ventricular aneurysm, tumours, thrombi, cardiac calcifications and pericardial diseases. It allows qualitative assessments of myocardial thickness and perfusion of coronary bypass grafts.

ECG-gated cardio-CT allows a quantitative assessment of systolic and diastolic myocardial thickness, volume calculation of cardiac cavities and evaluation of functional parameters. The correlation of the calculated left ventricular ejection fraction comparing laevocardiography and ECG-gated cardio-CT was poor (r=0.7) mainly due to the comparable poor time resolution on the side of cardio-CT (approximately 0.1 s). The quantitative analysis of regional wall motion based on cardio-CT showed for the diagnosis of pathologic wall motion a specificity of 80.5%, sensitivity of 73.9% and accuracy of 75.7%.

Side effects must be taken into account following the injection of 200–250 ml hyperosmolar contrast medium during 5–10 minutes which causes intravascular fluid retention and cardiac volume loading. Patients prone to cardiac decompensation should be excluded from cardio-CT examinations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Higgins CB, Diemers PI, Newell JD, Schmidt W. Role of iodinated contrast material in the evaluation of myocardial infarction by computerized transmission tomography. Invest Radiol 1980; 15: 176.

    Google Scholar 

  2. Lackner K, Simon H, Thurn P. Lardio-Computertomographie — neue Möglichkeiten in der radiologischen nichtinvasiven Herzdiagnostik. Z Kardiol 1979; 68: 667.

    PubMed  Google Scholar 

  3. Guthaner DF, Wexler L, Harell G. CT demonstration of cardiac structures. Amer J Roentgenol 1979; 133: 75.

    Google Scholar 

  4. Carlsson E, Lipton MJ, Skiöldebrand CG, Berninger WH, Redington RW. Erfahrungen mit der Computertomographie bei der in vivo Herzdiagnostik. Radiologe 1980; 20: 44.

    PubMed  Google Scholar 

  5. Lackner K, Thurn P. Computed tomography of the heart: ECG-gated and continuous scans. Radiology 1981; 140: 413.

    PubMed  Google Scholar 

  6. Morehouse CC, Brody WR, Guthaner DF, Breiman RS, Harell GS. Gated cardiac computed tomography with a motion phantom. Radiology 1980; 134: 213.

    PubMed  Google Scholar 

  7. Lackner K, Landwehr P, Uexküll V, Grube E, Biersack HJ. Die Bestimmung der globalen Auswurffraktion des linken Ventrikels mit der EKG-gesteuerten Kardiocomputertomographie. Fortschr Röntgenstr 1985; 142: 625.

    Google Scholar 

  8. Landwehr P, Lackner K, Rader U, Biersack HJ, Grube E. Quantitative regionale Funktionsanalyse des linken Ventrikels mit der EKG-gesteuerten Kardio-CT. Fortschr Röntgenstr 1987, im Druck.

  9. Skiöldebrand CC, Ovenfors CO, Mavroudis C, Lipton MJ. Assessment of ventricular wall thickness in vivo by computed transmission tomography. Circulation 1980; 61: 960.

    PubMed  Google Scholar 

  10. Lackner K, Köster O, Uexküll V, Broich H. Nebenwikungen nach hochdosierter intravenöser Injektion nierengängiger Kontrastmittel. Fortschr Röntgenstr 1984; 141: 447.

    Google Scholar 

  11. Schlolaut KH, Lackner K, Becher H, Grube E, Orellano L. Treffsicherheit der Kardio-CT und Echokardiographie in der Diagnostik raumfordernder Prozesse des Herzens. Fortschr Röntgenstr 1986; 145: 519.

    Google Scholar 

  12. Godwin JD, Herfkens RJ, Skiöldebrand CG, Brundage BC, Schiller NB, Lipton MJ. Detection of intraventricular thrombi by computed tomography. Radiology 1981; 138: 717.

    PubMed  Google Scholar 

  13. Hahn N, Lackner K, Eichelkraut W, Axelrad A, Große-Hering M, Reichert D, Schüler N, Uexküll V. Die Computertomographie der Herzens. Technik zur numerischen Bewertung der Perfusion ischämischer Myokardbezirke. Experimentelle Grundlagen. Fortschr Röntgenstr 1985; 142: 610.

    Google Scholar 

  14. Adams DF, Hessel SJ, Judy PF, Stein JA, Abrams HL. Computed tomography of the normal and infarcted myocardium. Amer J Roentgenol 1976; 126: 786.

    Google Scholar 

  15. Hessel SJ, Adams DF, Judy PF, Fischbein MC, Abrams HL. Detection of myocardial ischemia in vitro by computed tomography. Radiology 1978; 127: 413.

    PubMed  Google Scholar 

  16. Lipton MJ, Brundage BH, Doherty PW, Herfkens R, Berninger WH, Redington RW, Chatterjee K, Carlsson E. Contrast medium enhanced computed tomography for evaluation ischemic heart disease. Cardiovas Med 1979; 4: 1219.

    Google Scholar 

  17. Brundage BH, Lipton MJ, Herfkens RJ, Berninger WH, Redington RW, Chatterjee K, Carlsson E. Detection of patent coronary bypass grafts by computed tomography. Circulation 1980; 61: 826.

    PubMed  Google Scholar 

  18. Heuser L, Lackner K, Hauser H. Validität der Computertomographie bei der Darstellungoffener und verschlossener aortokoronarer Venenbrücken (ACVB). Fortschr Röntgenstr 1982; 137: 619.

    Google Scholar 

  19. Doppmann JL, Rienmüller R, Lissner J, Cyran J, Bolte HD, Strauer BE, Hellwig H. Computed tomography in constrictive pericardial disease. J Comput Assist Tomogr 1981; 5: 1.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institut für Röntgendiagnostik, Universität Würzburg, Luitpoldkrankenhaus, D-8700, Würzburg, BRD

    K. Lackner, P. Landwehr & P. Thurn

Authors
  1. K. Lackner
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Landwehr
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P. Thurn
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lackner, K., Landwehr, P. & Thurn, P. Conventional computerized tomography of the heart. Int J Cardiac Imag 3, 39–45 (1988). https://doi.org/10.1007/BF01801643

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01801643

Key words

Search

Navigation