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Books > Medicine > Clinical & internal medicine > Cardiovascular medicine
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Cardiovascular Imaging (Hardcover, 1996 ed.)
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Cardiovascular Imaging (Hardcover, 1996 ed.)
Series: Developments in Cardiovascular Medicine, 186
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In the past, coronary arteriography was the only modality available
to provide high quality images of the coronary anatomy.
Quantitative coronary arteriography (QCA) was developed,
implemented, validated and extensively applied to obtain accurate
and reproducible data about coronary morphology and the functional
significance of coronary obstructions. Over the last few years
extensive basic technological research supported by clinical
investigations has created competing modalities to visualize
coronary morphology and the associated perfusion of the myocardial
muscle. Currently, the following modalities are available: X-ray
coronary arteriography, intracoronary ultrasound, contrast- and
stress-echocardiography, angioscopy, nuclear cardiology, magnetic
resonance imaging, and cine and spiral CT imaging. For all these
imaging modalities, the application of dedicated quantitative
analytical software packages enables the evaluation of the imaging
studies in a more accurate, reliable, and reproducible manner.
These extensions and achievements have resulted in improved
diagnostics and subsequently in improved patient care. Particularly
in patients with ischaemic heart disease, major progress has been
made to detect coronary artery disease in an early phase of the
disease process, to follow the atherosclerotic changes in the
coronary arteries, to establish the functional and metabolic
consequences of the luminal obstructions, and accurately to assess
the results of interventional therapy. Aside from all these
high-tech developments in cardiac imaging techniques, the
transition from the analogue to the digital world has been going on
for some time now. For the future, it has been predicted that the
CD-R will be the exchange medium for cardiac images and DICOM-3 the
standard file format. This has been a major achievement in the
field of standardization activities. Since these developments will
have a major impact on the way images will be stored, reviewed and
exchanged in the near future, an important part of this book has
been dedicated to DICOM and the filmless catheterization
laboratory. Cardiovascular Imaging will assist cardiologists,
radiologists, nuclear medicine physicians, image processing
specialists, physicists, basic scientists, and fellows in training
for these specialties to understand the most recent achievements in
cardiac imaging techniques and their impact on cardiovascular
medicine.
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