This book provides essential information regarding incidental cardiovascular findings on routine computed tomography (CT). Routine chest CT is currently one of the most performed imaging studies in clinical practice as well as in emergency or elective settings for various indications. Before the development of multi-slice CT, the heart was overlooked on chest CT by radiologists owing to the non-diagnostic heart image quality caused by several artifacts affecting the heart. Recent advances in CT technology, however, allow currently acceptable image quality to analyze the heart and vessels without the need for electrocardiogram gating. Several studies and guidelines have demonstrated and emphasized the importance of detecting and reporting incidental cardiovascular findings on routine chest CT, which may encompass a wide spectrum of conditions ranging from benign anatomical variations or curiosity regarding both benign and malignant discoveries to life-threatening outcomes that may require urgent therapy.
This book includes descriptions of common artifacts, practical advice and tips for depicting incidental cardiovascular findings and discusses current guidelines for their management. Chapters describe common and uncommon incidental findings, through more than 300 detailed, high-quality images. It serves as a quick, one stop reference tool and ideal guide for general radiologists and other physicians involved in cardiovascular care, including cardiologists and cardiothoracic surgeons.
Introduction and Overview.- Normal Cardiac Anatomy on Routine Non-Gated
Chest Ct, Systematic Approach, and Images Analysis.- Pericardial and
Epicardial Bnormalities.- Coronary Arteries, Aorta/Pulmonary Arteries and
Breast Arteries.- Myocardium and Heart Chambers.- Valvular Abnormalities.-
Congenital Heart Diseases and Shunts.- Cardiac and Pericardial Masses.-
Postoperative Cardiac Findings and Cardiac Devices.- Cardiac Trauma.
Dr. René E. Kanza, MD, PhD, is a Clinical Associate Professor of Radiology at the Faculty of Medicine, Sherbrooke University, and a Staff radiologist at Chicoutimi Hospital, Quebec, Canada. He also serves as Co-Director of the Cardiac MRI section and as Director of radiology teaching and clerkship at Chicoutimi Hospital. Dr. Kanza is a board-certified radiologist with fellowship training in Cardiac CT and MRI. He earned his PhD from the Department of Radiology, Ehime University Graduate School of Medicine, Japan, an internationally recognized leader in cardiac imaging and analysis, under the guidance of Professor Teruhito Mochizuki, a pioneer in advanced cardiac imaging. His research focuses on the development and validation of advanced medical imaging techniques or tools for the early and accurate diagnosis of cardiac and chest diseases, as well as in reporting imaging features of rare or unknown diseases. Dr René Kanza is the lead author of Segmental lung Torsion, the first world description and report of spontaneous segmental lung torsion diagnosed by CT, published in Radiology: Cardiothoracic Imaging, a prestigious journal of the Radiological Society of North America (RSNA).
