In recent years there have been tremendous advances in cardiac imaging techniques covering the complete spectrum from echocardiography, nuclear cardiology, magnetic resonance imaging to contrast angiography. With respect to these noninvasive and invasive cardiac imaging modalities, marked technological developments have allowed the cardiologist to visualize the myocardium in a far more refined manner than conventional imaging was capable of. Echocardiography has extended its domain with intravascular ultrasound, cardiovascular nuclear imaging has added positron emission tomography to its line of research, magnetic resonance imaging has been broadened with magnetic resonance angiography and spectroscopy, and finally contrast angiograp hy has widened its scope with excellent quantitation programs. For all these imaging modalities it is true that the application of dedicated quantitative analytic software packages enables the evaluation of the imaging studies in a more accurate, reliable, and reproducible manner. It goes without saying that these extensions and achievements have resulted in improved diagnostics and subsequently in improved patient care. Particularly in patients with ischemic 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 to accurately assess the results of interventional therapy.

Klappentext

The book is based on a joint symposium organized by the Departments of Cardiology, Diagnostic Radiology and Nuclear Medicine of the University Hospital Leiden and the Cleveland Clinical International Center. Both centers have a long-standing reputation in the various aspects of cardiac imaging techniques and in their clinical applications. Faculty members from each of the two centers have written reviews in those areas in which they have extensive experience, selecting advances in imaging techniques in ischemic heart disease as the central topic. All major imaging techniques are addressed: echocardiography, cardiovascular nuclear medicine, magnetic resonance, and contrast angiography. All chapters are written with the appropriate technique as well as the specific disease in mind. Recent developments in the field mean that the diagnosis of ischemic heart disease has become more accurate, with an inherent improvement in patient management. The book will aid the physician to differentiate and recognize the viability of the myocardium in ischemic heart disease; an essential step in choosing therapeutic modalities. Audience: All cardiologists, radiologists, nuclear medicine physicians, physicists and basic scientists who wish to stay up to date in this exciting field.

Inhalt
Current Status of Myocardial Perfusion Scintigraphy.- Use of Positron Emission Tomography for the Diagnosis and Evaluation of Ischemic Heart Disease.- Magnetic Resonance Coronary Angiography.- Noninvasive Imaging of Coronary Artery Anomalies. Present Angiographie Criteria and Role of Additional Techniques, Especially Fast Gradient Echo Magnetic Resonance Imaging.- Left Ventricular Function by Stress MR Imaging. Animal Studies using Dobutamine.- Spectroscopy of the Human Heart: Techniques, Limitations and Opportunities.- Current Status of Stress Echocardiography for the Diagnosis of Myocardial Ischemia and Viability.- Contrast Ultrasound for Assessment of Myocardial Perfusion: Promise and Pitfalls.- Intravascular Ultrasound. Possibilities of Image Enhancement by Signal Processing.- Clinical Aspects of Intravascular Ultrasound.- Evolution of Quantitative Coronary Arteriography.