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Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
Cardiac ct how i do it september 2011
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Cardiac ct how i do it september 2011

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CT cardiac …

CT cardiac
coronary
how to read
coronairsclerosis
atherosclerosis
radiology

Published in: Health & Medicine
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  • 1. Coronary CT How I do it
  • 2.  
  • 3. Patient selection <ul><li>Risk factors </li></ul><ul><li>Medium - high risk -> angio suite </li></ul><ul><li>Low - medium -> CT (exclude disease) </li></ul>
  • 4. Patient selection <ul><li>Pre-op evaluation </li></ul><ul><li>Post CABG </li></ul>
  • 5. Calcium score <ul><li>Risk calculation (MESA %) </li></ul><ul><li>Check RCA motion </li></ul><ul><li>1 minute </li></ul><ul><li>Stop if zero or high </li></ul>
  • 6. Pro / retrospective <ul><li>Prospective - SAS - lower dose </li></ul><ul><ul><li>sharper image </li></ul></ul><ul><li>Retrospective - higher dose </li></ul><ul><ul><li>function / motion </li></ul></ul>
  • 7.  
  • 8. Checklist <ul><li>Skin / breast </li></ul><ul><li>Bone </li></ul><ul><li>Lung </li></ul><ul><li>Mediastinum </li></ul><ul><li>Abdomen </li></ul>
  • 9. Checklist <ul><li>Skin / breast - mass </li></ul><ul><li>Bone - fracture / lesion </li></ul><ul><li>Lung - node </li></ul><ul><li>Mediastinum - hernia </li></ul><ul><li>Abdomen - organs, mesentery, fluid </li></ul><ul><li>Heart </li></ul>
  • 10. Breast / skin - Biopsy Harish, Radiographics 2007
  • 11. Bone - MRI radiology.casereports.net radiopaedia
  • 12. Lung <ul><li><4mm = 0% </li></ul><ul><li>4-7mm = 1% </li></ul><ul><li>>8mm = 15% </li></ul><ul><li>>20mm = 75% </li></ul>Stacy, Radiographics 2010
  • 13. Fleischner < 8 mm <ul><li>Solitary node </li></ul><ul><li>New </li></ul><ul><li>No history of cancer </li></ul><ul><li>Smoker? </li></ul><ul><li>CT: 6 / 12 … months </li></ul>
  • 14.  
  • 15. Mediastinum <ul><li>Hernia </li></ul>Pickhardt, AJR 2011
  • 16. Mediastinum <ul><li>Lymph node </li></ul>Koyama, Radiographics 2004
  • 17. Abdomen <ul><li>Mesentery </li></ul>Lucey, Radiographics 2005
  • 18. Abdomen <ul><li>Fluid </li></ul>Lucey, Radiographics 2005
  • 19.  
  • 20.  
  • 21. Go with the flow <ul><li>VC - RA - RV - PA </li></ul><ul><li>PV - LA - LV - Aorta </li></ul>
  • 22. Heart 1 <ul><li>Vena cava - reflow </li></ul><ul><li>RA - abnormal pulmonary vein / ASD </li></ul><ul><li>RV - VSD </li></ul><ul><li>PA - enlarged, embolus </li></ul>
  • 23. Vena cava <ul><li>Reflow </li></ul>Hani, AJR 2002
  • 24. Martinez - Jimenez, Radiographics 2010
  • 25.  
  • 26.  
  • 27.  
  • 28. Martinez - Jimenez, Radiographics 2010 Left vena cava to LA
  • 29. Right Atrium <ul><li>ASD </li></ul>emedicine
  • 30. Right Ventricle <ul><li>VSD </li></ul>Khanna, AJR 2004
  • 31. Pulmonary artery <ul><li>Embolism </li></ul>Wittram, Radiographics 2004
  • 32. Pulmonary artery <ul><li>Embolism </li></ul>Wittram, Radiographics 2004
  • 33. Pulmonary artery <ul><li>Embolism </li></ul>Wittram, Radiographics 2004
  • 34. Heart 2 <ul><li>Pulmonary veins - stenosis / anomaly </li></ul><ul><li>LA - thrombus (auriculum) </li></ul><ul><li>LV - infarct, aneurysm </li></ul><ul><li>Aorta - diameter </li></ul><ul><li>Valves - mass, calcium </li></ul><ul><li>Pericardium - fluid, thick </li></ul>
  • 35. Pulmonary vein <ul><li>Stenosis </li></ul>Cronin, AJR 2004
  • 36. Pulmonary vein <ul><li>Stenosis </li></ul>Cronin, AJR 2004
  • 37. Pulmonary vein <ul><li>PV to VC </li></ul>Cronin, AJR 2004
  • 38. Pulmonary vein <ul><li>PV to VC </li></ul>Cronin, AJR 2004
  • 39. Left Atrium <ul><li>Membrane </li></ul>Dillman, AJR 2009
  • 40. Left Atrium <ul><li>Membrane </li></ul>Dillman, AJR 2009
  • 41. Left Atrium <ul><li>Thrombus </li></ul>Dillman, AJR 2009 <ul><li>Myxoma </li></ul>
  • 42. Left Ventricle <ul><li>Aneurysm </li></ul>Bruzzi, AJR 2006
  • 43. Left Ventricle <ul><li>Thrombus </li></ul>Bruzzi, AJR 2006
  • 44. Aorta <ul><li>Diameter </li></ul><ul><li>Wall </li></ul>Cronin, AJR 2004
  • 45. Aorta <ul><li>Diameter </li></ul><ul><li>Wall </li></ul>Cronin, AJR 2004
  • 46. Valves - normal Aortic valve Vogel, Radiographics 2006
  • 47. Bicuspid Aortic valve Vogel, Radiographics 2006
  • 48. Calcified Pannus Vogel, Radiographics 2006
  • 49. Calcified Pannus Vogel, Radiographics 2006
  • 50. Pericardium <ul><li>Thin </li></ul>Wang, Radiographics 2003
  • 51. Pericardium <ul><li>Thin </li></ul>Wang, Radiographics 2003
  • 52. Pericardium <ul><li>Fluid </li></ul>Wang, Radiographics 2003
  • 53. Pericardium <ul><li>Fluid </li></ul>Wang, Radiographics 2003
  • 54. Coronary
  • 55. Coronary <ul><li>Anatomy </li></ul><ul><li>Dominance (inferior wall) </li></ul><ul><li>RCA </li></ul><ul><li>LM </li></ul><ul><li>LAD </li></ul><ul><li>CX </li></ul>
  • 56. LAD RCA Cx
  • 57. Normal Sundaram, AJR 2009
  • 58. Malignant Sundaram, AJR 2009
  • 59. Malignant Sundaram, AJR 2009 A P
  • 60. Benign Sundaram, AJR 2009
  • 61. Bridging Sundaram, AJR 2009
  • 62.  
  • 63. LAD - septum RCA - inferior CX - lateral Vascular territory
  • 64. LAD RCA CX
  • 65. LAD RCA CX
  • 66. LAD RCA CX
  • 67.  

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