By Monvadi B. Srichai MD, Visit Amazon's David P. Naidich Page, search results, Learn about Author Central, David P. Naidich, , W. Richard Webb MD, Nestor L. Muller, Ioannis Vlahos MB BS BSc, Glenn A. Krinsky MD
The completely revised, up to date Fourth version of this vintage reference presents authoritative, present directions on chest imaging utilizing state of the art applied sciences, together with multidetector CT, MRI, puppy, and built-in CT-PET scanning. This variation incorporates a brand-new bankruptcy on cardiac imaging. huge descriptions of using puppy were additional to the chapters on lung melanoma, focal lung sickness, and the pleura, chest wall, and diaphragm. additionally integrated are contemporary PIOPED II findings at the function of CT angiography and CT venography in detecting pulmonary embolism. Complementing the textual content are 2,300 CT, MR, and puppy scans made at the latest-generation scanners.
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Extra resources for Computed Tomography and Magnetic Resonance of the Thorax
Hence, preclinical detection of inducible myocardial ischemia is an important feature of noninvasive imaging in the diagnosis of coronary artery disease. Additionally, in the setting of recent ischemia or chronic ischemia, regional myocardial function may become depressed, resulting in stunned (transient dysfunction) or hibernating (prolonged dysfunction) states without overt myocardial infarction. Because stunned or hibernating myocardium may normalize after revascularization of the involved regions, as opposed to regions with myocardial infarction, the distinction between these myocardial states is an important one (71–73).
An increase in systolic wall thickening greater than 2 mm during dobutamine infusion has been shown to be a reliable marker for post-revascularization improvement in function (90). Overall, dobutamine MR demonstrates high specificity with slightly lower sensitivity for assessment of contractile reserve, with a mean sensitivity of 73% (50% to 89%) and a mean specificity of 83% (70% to 95%) (83). Hypoperfused regions on resting first pass perfusion studies have also been used to assess myocardial viability.
Basal anterior 7. mid anterior 2. basal anteroseptal 8. mid anteroseptal 3. basal inferoseptal 9. mid inferoseptal 4. basal inferior 10. mid inferior 5. basal inferolateral 11. mid inferolateral 6. basal anterolateral 12. mid anterolateral inferior anterior 13 lateral 14 septal 3 9 6 12 16 15 inferior Short Axis (SA) 13. apical anterior 14. apical septal 15. apical inferior 16. apical lateral 17. apex Apical Vertical Long Axis (VLA) (2 Chamber) Figure 1-22 Seventeen-segment model of the left ventricular myocardium.
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