Contents -- Contributors -- 1 Cardiovascular CT Angiography: Concepts Important to Image Acquisition and Reconstruction -- 1.1 Concepts for Image Acquisition -- 1.2 Preview Scans -- 1.3 Image Reconstruction and Analysis -- 1.4 Clinical Data with Coronary Artery Calcification -- 1.4.1 Risk Stratification in Asymptomatic Patients -- 1.5 Coronary Calcium -- Basis and Background -- 1.6 Coronary Artery Calcification and Obstructive Disease -- 1.6.1 Prediction of Events in Asymptomatic Persons using Coronary Calcium -- 1.7 Clinical Pearls for Coronary Calcium Assessment -- 2 Cardiovascular CT Imaging: Essentials for Clinical Practice -- 2.1 Patient Selection and Indications for Coronary CTA -- 2.2 Patient Preparation -- 2.3 IV Placement -- 2.4 Hydration Policy -- 2.5 Pre-Procedure Patient Medication -- 2.6 Contrast Issues -- 2.7 Conclusion -- 3 Cardiovascular Calcium: Assessment and Impact of Interventions -- 3.1 Imaging Pearls -- 4 Assessment of Cardiac Function -- 4.1 Introduction -- 4.2 Nomenclature -- 4.3 Methods -- 4.4 Ventricular Anatomy and Function -- 4.5 Chamber Measurements -- 4.6 Indications/Appropriateness -- 4.7 Conclusions -- 4.8 Imaging Pearls -- 5 CTA as an IVUS Equivalent: Plaque Characterization and Percutaneous Coronary Intervention -- 5.1 Quantitative CTA -- 5.2 Plaque Characterization -- 5.3 CTA-Guided PCI -- 5.3.1 Clinical Paradigm -- 5.4 Optimal Stent Deployment -- 5.5 Conclusions -- 5.6 Imaging Pearls -- 6 Coronary Angiography of Native Vessels -- 6.1 Spatial Resolution -- 6.2 Coronary CTA for Identification of Native Vessel Coronary Stenoses -- 6.3 Limitations Specific to Coronary CTA -- 6.4 Imaging Pearls -- 7 Coronary CT Angiography after Percutaneous Coronary Intervention -- 7.1 Introduction -- 7.2 Current State of the Literature -- 7.3 Strengths and Limitations -- Indications and Contraindications.

7.4 Comparison to Other Modalities -- 7.5 Future Directions -- 7.6 Imaging Pearls -- 7.6.1 Patient Preparation -- 7.6.2 Opacification and Scanning -- 7.6.3 Image Reconstruction -- 7.6.4 Interpretation -- 7.6.5 Pitfalls -- 8 Coronary Angiography After Surgical Revascularization -- 8.1 Imaging Pearls -- 9 Perfusion and Delayed Enhancement Imaging -- 9.1 Overview -- 9.2 MDCT for Detection of Myocardial Fibrosis and Viability -- 9.3 Ischemia Detection by MDCT -- 9.4 Imaging Pearls: Delayed Enhancement -- 9.5 Imaging Pearls: Ischemia -- 10 Cardiac SPECT and PET: Complementary Roles with Cardiac CT -- 10.1 Introduction -- 10.2 Imaging for Prevention -- 10.3 Imaging for Diagnosis -- 10.4 Imaging for Intervention -- 10.5 Imaging Pearls -- 10.5.1 Imaging for Prevention -- 10.5.2 Imaging for Diagnosis -- 10.5.3 Imaging for Intervention -- 11 CCT Imaging: Cardiac Electrophysiology Applications -- 11.1 Cardiovascular Substrates Associated with Sudden Cardiac Death -- 11.2 Electrophysiologic Mapping and Radiofrequency Catheter Ablation -- 11.2.1 Atrial Fibrillation Ablation -- 11.3 Cardiac Resynchronization Therapy -- 11.4 Imaging Pearls -- 11.4.1 General -- 11.4.2 Sudden Death Substrates -- 11.4.3 Atrial Fibrillation Ablation -- 11.4.4 Resynchronization Therapy -- 12 Pericardial/Myocardial Disease Processes -- 12.1 Introduction -- 12.2 CT Imaging of Myocardial Disease -- 12.3 CT Imaging of Pericardial Disease -- 12.4 Imaging Pearls -- 13 Assessment of Cardiac and Thoracic Masses -- 13.1 Subject Overview -- 13.2 Interpreting Cardiac Masses -- 13.3 Clinical Pearls -- 14 Computed Tomography Evaluation in Valvular Heart Disease -- 14.1 Introduction -- 14.2 General Considerations -- 14.3 Specific Valvular Abnormalities -- 14.3.1 Aortic Stenosis -- 14.3.2 Aortic Regurgitation -- 14.3.3 Mitral Stenosis -- 14.3.4 Mitral Regurgitation.

14.3.5 Infective Endocarditis -- 14.3.6 Prosthetic Valves -- 14.3.7 Imaging Pearls -- 15 The Aorta and Great Vessels -- 15.1 Introduction -- 15.2 Normal Anatomy -- 15.3 Diseases of the Aorta -- 15.3.1 Aortic Aneurysm -- 15.3.2 Aortic Dissection -- 15.3.3 Atherosclerosis -- 15.4 Disease of the Great Vessels -- 15.5 Imaging Pearls -- 15.5.1 Carotid Artery Disease -- 15.5.2 Aortic Atherosclerosis -- 15.5.3 Aortic Dissection -- 15.5.4 Aortic Aneurysm -- 16 Adult Congenital Heart Disease -- 16.1 Clinical Pearls -- 17 Cardiovascular CT: Assessment of the Lower Extremity Vasculature -- 17.1 Alternative Anatomic Test: MRA -- 17.2 Alternative Anatomic Test: DSA -- 17.3 Indications (Lower extremity MDCTA) [ 15 ] -- 17.4 Contraindications -- 17.5 Scan Preparation: -- 17.6 Image interpretation -- 17.7 Dataset Reconstruction -- 17.8 Software Techniques for Interpretation -- 18 Imaging Decisions: Cardiovascular CT Versus Cardiovascular MR -- 18.1 Patient Selection and Preparation -- 18.2 Characterization of Cardiovascular Substrates -- 18.3 Imaging Pearls -- 19 Radiation Safety: Radiation Dosimetry and CT Dose Reduction Techniques -- 19.1 Introduction -- 19.2 Fundamentals of Radiation Dosimetry -- 19.2.1 Absorbed Dose -- 19.2.2 Equivalent Dose -- 19.2.3 Effective Dose -- 19.2.4 CT Dosimetry -- 19.2.5 CTDI -- 19.2.6 Dose-Length Product -- 19.2.7 The Effective Dose from CT -- 19.2.8 CT Dose Reduction Techniques -- 19.2.9 Dose Optimization Objectives -- 19.2.10 AEC Guided by Image Noise -- 19.2.11 AEC Guided by Reference Image -- 19.2.12 AEC Guided by Reference mAs -- 19.2.13 Computed Tomography of the Heart -- 19.3 Conclusion -- 20 Competency, Appropriateness, and Quality in Cardiovascular CT -- 20.1 Appropriateness and Quality -- 20.2 Certification and Laboratory Accreditation -- 21 Cardiac Anatomy by Computed Tomographic Imaging -- 21.0 Abbreviations.

Index.