By Stuart J. Hutchison
At times the indications of pericardial ailment akin to fever, chest discomfort, and shortness of breath are non-specific, making a correct prognosis a not easy activity. Now, you could notice and deal with pericardial disorder in time to save lots of many extra sufferers. This identify within the brand-new scientific Diagnostic Imaging Atlas sequence will give you authoritative advice from a well known heart specialist and imaging specialist approximately whilst and the way to accomplish the newest diagnostic imaging checks, interpret the implications, and successfully deal with the emergency. specified discussions of sizzling themes, full-color illustrations, and a DVD of procedural videos, animations, and downloadable photo libraries assist you supply quickly, acceptable therapy for every hard case you face.Offers distinct recommendation on while and the way to monitor for the main widely used yet usually difficult-to-diagnose pericardial ailments that will help you increase care and bring up survival premiums. Discusses the most well liked issues in pericardial ailment, together with imaging of the pericardium . pericarditis. pericardial effusions . pericardial tamponade . pericardial constriction . lots and encasement of the pericardium . pneumopericardium . and extra that assist you quick diagnose the non-specific signs linked to pericardial affliction. offers forty nine totally illustrated case displays with instructing issues that make details effortless to appreciate and digest.Addresses the benefits and barriers of chest radiology, transthoracic and transesophageal echocardiography, cardiac CT, MR, angiography, and nuclear cardiology options so that you can quick be sure the simplest imaging approach.Includes assisting proof and present AHA/ACC guidance for extra exact interpretations of your imaging findings.Uses a constant, easy-to-follow bankruptcy layout that comes with subject evaluation, an summary of imaging/diagnostic ideas, and case-based examples to make reference easy.Provides greater than four hundred full-color illustrations for professional visible counsel. encompasses a bonus DVD containing a hundred hundred movies of thoughts and animations that exhibit you what to appear for and the way to continue in addition to downloadable photo libraries to be used in digital displays.
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Extra info for Pericardial Diseases: Clinical Diagnostic Imaging Atlas
Example text
The CMR SSFP image and the non–contrast-enhanced CT image are from the same patient and are approximately commensurate. The considerable calcification in the atrioventricular groove is fairly inapparent by CMR imaging but strikingly obvious by CT scanning. Figure 3-50. CMR SSFP short-axis images in diastole (LEFT) and systole (RIGHT). In systole, myopericardial separation occurs, projecting the parietal pericardium more distinctly away from the myocardium. 40 IMAGING OF THE PERICARDIUM more obvious in systole, as myopericardial separation occurs (Fig.
As well, the parietal pericardium is thickened, as is the visceral pericardium. The CT image (MIDDLE) shows layered pericardial thickening and suggests pericardial fluid, as one layer of the thickening has the same appearance as the pleural effusion. The CMR SSFP image (RIGHT) is quite convincing that there is pericardial fluid inferiorly and has delineated the pericardial layers nicely. The field of view of the echocardiographic image is very limited, but the cardiac detail is good. 46 PERICARDIAL DISEASES: CLINICAL DIAGNOSTIC IMAGING ATLAS Figure 3-62.
An attribute of SSFP sequences is the ability to assess the heart through the cardiac cycle; this may reveal septal motions consistent with constrictive pericardial compression and free wall collapse consistent with pericardial fluid (tamponade) compression. With cine SSFP imaging, the parietal pericardium becomes Text continued on p. 41. IMAGING OF THE PERICARDIUM 37 Figure 3-37. Constrictive pericarditis. Contrast-enhanced chest CT. The pericardium is thickened, and there is a layer of low attenuation and high attenuation.