Biomedical subjects
Publications and source records attributed to B Fender.
Contrast medium-enhanced ultrafast computed tomography has sufficient spatial and temporal resolution to permit imaging of the mitral and aortic valves. The conventional transaxial planar scan projection is not adequate for this purpose. This communication describes the planar configurations and technique required to image the mitral and aortic valves by ultrafast computed tomography.
Dynamic imaging by a new ultrafast computed tomography scanner of a patient with chronic calcified pericardial constriction is presented. Images of the heart throughout the cardiac cycle demonstrate compression of the right ventricle by calcified pericardium. Hemodynamic data was derived from the scan study to support the diagnosis of pericardial constriction, which was confirmed on cardiac catheterization.
Comparison was made between contrast enhanced cine computed tomography (Cine/CT) and echocardiography in the imaging of the mitral valve in 14 patients. The mitral valve was seen in all 14 patients by Cine/CT using a new long axis view. There was agreement with echocardiography in 12 patients. Abnormalities in mitral valve movement were detected by Cine/CT. Left atrial size and contraction was measured by Cine/CT with a difference in left atrial ejection fraction observed between 13 patients with no evidence of mitral disease and 3 patients with mitral disease.
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