Integrated Cardiothoracic Imaging with MDCT by Martine Rémy-Jardin, Jacques Remy, Albert L. Baert

By Martine Rémy-Jardin, Jacques Remy, Albert L. Baert

The improvement of quickly scanning concepts and ultrahigh temporal answer, that are hired for either ECG-gated and nongated examinations of the chest, has made built-in cardiothoracic imaging a fact. This well timed, well-illustrated ebook, written by means of well-known specialists within the box, addresses the various parts of this topic. the 1st and moment components speak about the technological history and the cardiac and coronary artery anatomy and body structure, whereas the 3rd half examines heart–lung physiological and healing interactions. The fourth half, which varieties the most physique of the ebook, examines intimately many of the medical functions of built-in cardiothoracic imaging, together with cardiac problems of thoracic issues, thoracic effects of cardiac illnesses, ambiguous symptomatology, and asymptomatic cardiac illnesses. A central target of the publication is to illustrate that normal radiologists can perform screening for cardiac and coronary artery lesions in at-risk populations scanned as a result of breathing symptoms.

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Example text

In the best case, when the patient’s heart beat and the rotation of the MDCT scanner are optimally de-synchronized, the half-scan segment can be divided into N sub-segments of equal lengths, each of which requires an acquisition time of 1/(2N) times the gantry rotation time within the same relative heart phase. Generally, depending on the relation of rotation time and patient’s heart rate, temporal resolution is not constant, but varies between one half and 1/(2N) times the gantry rotation time for MDCT.

A simple coordinate transformation relates the two sets of variables Fig. 3. Geometry of CT-data acquisition. A modern CT scanner acquires data in “fan beam geometry,” characterized by the projection angle D and by the fan angle E within a projection. Another set of variables serving the same purpose is T and b. b denotes the distance of a ray from the iso-center. T and b are the coordinates of a ray in “parallel geometry” T D  E b = RF sin E (1) RF is the distance from the focus to the iso-center.

Med Phys 25:2417–2431 Kachelrieß M, Ulzheimer S, Kalender WA (2000) Electrocardiogram-correlated image reconstruction from subsecond multi-row spiral CT scans of the heart. Med Phys 27:1881–1902 Kachelrieß M, Sennst DA, Maxlmoser W, Kalender WA (2002) Kymogram detection and Kymogram-correlated image reconstruction from subsecond spiral computed tomography scans of the heart. Med Phys 29:1489–1503 Knez A, Becker CR, Leber A, Ohnesorge B, Becker A, White C, Haberl R, Reiser MF, Steinbeck G (2001) Usefulness of multislice spiral computed tomography angiography for determination of coronary artery stenoses.

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