Abstract
Computed Tomography (CT) plays an important role in the evaluation of diseases of the right heart, both congenital and acquired. Advantages of CT include its wide availability, rapid turnaround time, good spatial and temporal resolutions, multi-planar reconstruction capabilities and wide field-of-view. Disadvantages of CT include the use of potentially nephrotoxic contrast media and ionizing radiation. In this chapter, we review the comprehensive role of CT in the evaluation of right heart, including techniques, protocols and pathologies.
Keywords
CT Heart Right heart ARVD Congenital Tumor Cardiomyopathy InfarctionReferences
- 1.Cury RC, Abbara S, Achenbach S, et al. CAD-RADS(TM) coronary artery disease – reporting and data system. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT), the American College of Radiology (ACR) and the North American Society for Cardiovascular Imaging (NASCI). Endorsed by the American College of Cardiology. J Cardiovasc Comput Tomogr. 2016;10(4):269–81.CrossRefPubMedGoogle Scholar
- 2.Rajiah P, Abbara S. Radiation exposure from medical imaging must not be taken out of context. Trends Cardiovasc Med. 2016;26(1):66–7.CrossRefPubMedGoogle Scholar
- 3.ACR Manual on contrast media. https://www.acr.org/~/media/37D84428BF1D4E1B9A3A2918DA9E27A3.pdf
- 4.Machida H, Tanaka I, Fukui R, et al. Current and novel imaging techniques in coronary CT. Radiographics. 2015;35(4):991–1010.CrossRefPubMedGoogle Scholar
- 5.Abbara S, Blanke P, Maroules CD, et al. SCCT guidelines for the performance and acquisition of coronary computed tomographic angiography: a report of the society of Cardiovascular Computed Tomography Guidelines Committee: endorsed by the North American Society for Cardiovascular Imaging (NASCI). J Cardiovasc Comput Tomogr. 2016;10(6):435–49.CrossRefPubMedGoogle Scholar
- 6.Rajiah P, Saboo SS, Abbara S. Role of CT in congenital heart disease. Curr Treat Options Cardiovasc Med. 2017;19(1):2.CrossRefPubMedPubMedCentralGoogle Scholar
- 7.Cody DD, Mahesh M. AAPM/RSNA physics tutorial for residents: technologic advances in multidetector CT with a focus on cardiac imaging. Radiographics. 2007;27(6):1829–37.CrossRefPubMedGoogle Scholar
- 8.Bogaard K, van der Zant FM, Knol RJJ, Reinders S, Krul MMG, van Rossum AC, et al. High-pitch prospective ECG-triggered helical coronary computed tomography angiography in clinical practice: image quality and radiation dose. Int J Cardiovasc Imaging. 2015;31(1):125–33.CrossRefPubMedGoogle Scholar
- 9.McCollough CH, Leng S, Yu L, Fletcher JG. Dual- and multi-energy CT: principles, technical approaches, and clinical applications. Radiology. 2015;276(3):637–53.CrossRefPubMedPubMedCentralGoogle Scholar
- 10.Kalisz K, Halliburton S, Abbara S, et al. Update on cardiovascular applications of multienergetic CT. Radiographics. 2017;37:1955–74.CrossRefPubMedGoogle Scholar
- 11.Rajiah P, Saboo SS, Abbara S. Role of CT in congenital heart disease. Curr Treat Options Cardiovasc Med. 2017;19(1):6.CrossRefPubMedGoogle Scholar
- 12.Han BK, Rigsby CK, Hlavacek A, et al. Computed tomography in patients with congenital heart disease part 1: rationale and utility. An expert consensus document of the society of cardiovascular computed tomography (SCCT): endorsed by the Society of Pediatric radiology (SPR) and North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr. 2015;9(6):475–92.CrossRefPubMedGoogle Scholar
- 13.Han BK, Rigsby CK, Hlavacek A, et al. Computed tomography in patients with congenital heart disease part 2: technical recommendations: an expert consensus document of the society of cardiovascular computed tomography (SCCT): endorsed by the Society of Pediatric radiology (SPR) and North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr. 2015;9(6):493–513.CrossRefPubMedGoogle Scholar
- 14.Leipsic J, Abbara S, Achenbach S, et al. SCCT guidelines for the interpretation and reporting of coronary CT angiography: a report of the Society of Cardiovascular Computed Tomography Guidelines Committee. J Cardiovasc Comput Tomogr. 2014;8(5):342–58.CrossRefPubMedGoogle Scholar
- 15.Raman SP, Johnson PT, Deshmukh S, Mahesh M, Grant KL, Fishman EK. CT dose reduction applications: available tools on the latest generation of CT scanners. J Am Coll Radiol. 2013;10(1):37–41. https://doi.org/10.1016/j.jacr.2012.06.025.CrossRefPubMedGoogle Scholar
- 16.Halliburton S, Tanabe Y, Partovi S, Rajiah P. The role of advanced reconstruction algorithms in cardiac CT. Cardiovasc Diagn Ther. 2017;7(5):527–38.CrossRefPubMedPubMedCentralGoogle Scholar
- 17.Halliburton SS, Abbara S, Chen MY, Gentry R, Mahesh M, Raff GL, et al. SCCT guidelines on radiation dose and dose-optimization strategies in cardiovascular CT. J Cardiovasc Comput Tomogr. 2011;5(4):198–224.CrossRefPubMedPubMedCentralGoogle Scholar
- 18.O’Brien JP, Srichai MB, Hecht EM, Kim DC, Jacobs JE. Anatomy of the heart at multidetector CT: what the radiologist needs to know. Radiographics. 2007;27(6):1569–82.CrossRefPubMedPubMedCentralGoogle Scholar
- 19.Akcay M, Bilen ES, Bilge M, Durmaz T, Kurt M. Prominent crista terminalis: as an anatomic structure leading to atrial arrhythmias and mimicking right atrial mass. J Am Soc Echocardiogr. 2007;20(2):197.e9–10.CrossRefGoogle Scholar
- 20.Laura DM, Donnino R, Kim EE, Benenstein R, Freedberg RS, Saric M. Lipomatous atrial Septal hypertrophy: a review of its anatomy, pathophysiology, multimodality imaging, and relevance to percutaneous interventions. J Am Soc Echocardiogr. 2016;29(8):717–23.CrossRefPubMedGoogle Scholar
- 21.Gad A, Mannan J, Chhabra M, Zhang XXY, Narula P, Hoang D. Prominent eustachian valve in newborns: a report of four cases. AJP Rep. 2016;6(1):e33–7.PubMedGoogle Scholar
- 22.Hwang SH, Oh Y-W. Assessment of cor triatriatum dexter and giant eustachian valve with cardiac magnetic resonance. Circulation. 2014;130(19):1727–9.CrossRefPubMedGoogle Scholar
- 23.Castaner E, Gallardo X, Ballesteros E, et al. CT diagnosis of chronic pulmonary thromboembolism. Radiographics. 2009;29:31–53.CrossRefPubMedGoogle Scholar
- 24.Kirsch J, Brown RKJ, Henry TS, et al. Expert panels on cardiac and thoracic imaging, ACR appropriateness criteria® acute chest pain-suspected pulmonary embolism. J Am Coll Radiol. 2017;14(5S):S2–S12.CrossRefPubMedGoogle Scholar
- 25.Schoepf UJ, Costello P. CT angiography for diagnosis of pulmonary embolism: state of the art. Radiology. 2004;230(2):329–37.CrossRefPubMedGoogle Scholar
- 26.Rossi SE, Goodman PC, Franquet T. Non thrombotic pulmonary emboli. Am J Roentgenol. 2000;174(6):1499–508.CrossRefGoogle Scholar
- 27.Pena E, Dennie C, Veinot J, et al. Pulmonary hypertension: how the radiologist can help. Radiographics. 2012;32:9–32.CrossRefPubMedGoogle Scholar
- 28.Ameli-Renani S, Rahman F, Nair A, et al. Dual-energy CT for imaging of pulmonary hypertension: challenges and opportunities. Radiographics. 2014;34(7):1769–89.CrossRefPubMedGoogle Scholar
- 29.Kalisz K, Rajiah P. Computed tomography of cardiomyopathies. Cardiovasc Diagn Ther. 2017;7(5):539–56.CrossRefPubMedPubMedCentralGoogle Scholar
- 30.Rajiah P, Kanne JP, Kalahasti V, Schoenhagen P. Computed tomography of cardiac and pericardiac masses. J Cardiovasc Comput Tomogr. 2011;5(1):16–29.CrossRefPubMedGoogle Scholar
- 31.Pham N, Zaitoun H, Mohammed TL, et al. Complications of aortic valve surgery: manifestations at CT and MR imaging. Radiographics. 2012;32:1873–92.CrossRefPubMedGoogle Scholar
Copyright information
© Springer International Publishing AG, part of Springer Nature 2018