Abstract
Medical imaging has revolutionised the practice of diagnostic medicine since Wilhelm Röntgen’s discovery of X-rays in 1895. The profound impact of conventional medical imaging on diagnostic medicine is currently being replicated in the domain of clinical research, where quantitative imaging methods provide a powerful and versatile tool for the investigation of disease aetiology, measurement of disease progression and assessment of response to therapy/intervention. Quantitative imaging also holds immense promise as a method for risk assessment, prognosis and treatment stratification.
Cardiovascular imaging in particular is a vast and still rapidly evolving field, with a seemingly endless number of methods and applications. Imaging has become central not only to the diagnosis, management and monitoring of cardiovascular disease but is also the basis of many life-saving interventions. Cardiovascular diseases affect all parts of the body, and their evaluation can necessitate imaging of large organs such as the heart and aorta down to the microcirculation where imaging of the microvasculature in the form of tissue perfusion can be crucial. Specialist imaging techniques aimed at investigating every part of the cardiovascular system have been developed and refined, but there is no single modality that comprehensively evaluates all aspects of vascular disease in all body regions.
The aim of this chapter is to present the reader with a general introduction to imaging and a roadmap that can be used to explore this field more fully, guided by particular clinical and research interests. For a comprehensive overview of cardiovascular imaging techniques and applications, the reader is directed to The European Society of Cardiology Textbook of Cardiovascular Imaging (Zamorano et al. The ESC textbook of cardiovascular imaging. Oxford University Press; 2015.). A brief overview of selected cardiovascular imaging techniques is presented to illustrate the range of available methods and applications and is not intended to be exhaustive or comprehensive. A section on cardiovascular applications of magnetic resonance imaging (MRI) is preceded by a short primer on the basic technical and practical aspects of MRI.
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Radjenovic, A., Roditi, G. (2019). Clinical Cardiovascular Imaging. In: Touyz, R., Delles, C. (eds) Textbook of Vascular Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-16481-2_7
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DOI: https://doi.org/10.1007/978-3-030-16481-2_7
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