cardiac radiology
TRANSCRIPT
BASIC CARDIAC RADIOLOGY BASIC CARDIAC RADIOLOGY
ObjectivesObjectives
Understand available Understand available imaging modalitiesimaging modalities
CXR Diagnostic approachCXR Diagnostic approach UnknownsUnknowns
Imaging modalitiesImaging modalities Radiography Echocardiography Nuclear Medicine Computed tomography Magnetic resonance imaging Angiography
Source Undetermined Source Undetermined
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Sources Undetermined (All)
Source Undetermined Source Undetermined
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•Need to evaluate Need to evaluate
1. morphology1. morphology
2. physiology2. physiology
Diagnostic ApproachDiagnostic Approach
Normal Normal Cardiac Cardiac
ContoursContours
normal frontal viewnormal frontal view
L
MV
AV
Source UndeterminedGray’s Anatomy, wordpress
AV
MV
normal lateral viewnormal lateral view
Source Undetermined
Patrick Lynch, wikimedia commons
Abnormal Abnormal Cardiac Cardiac
ContoursContours
Enlarged Enlarged Right AtriumRight Atrium
Source Undetermined
Source Undetermined
Enlarged Enlarged Right VentricleRight Ventricle
Source Undetermined
Source Undetermined
Enlarged Enlarged Right VentricleRight Ventricle(lateral CXR)(lateral CXR)
Source Undetermined
Source Undetermined
Enlarged Enlarged Left AtriumLeft Atrium
Source Undetermined
Source Undetermined
Enlarged Enlarged Left AtriumLeft Atrium
calcified calcified mitral mitral
annulusannulus
Source Undetermined
Source Undetermined
Enlarged Enlarged Left VentricleLeft Ventricle
Source Undetermined
Source Undetermined
Enlarged Enlarged Left VentricleLeft Ventricle
IVCIVC
Source Undetermined Source Undetermined
• Pulmonary Blood FlowPulmonary Blood Flow
• Pulmonary Artery PressurePulmonary Artery Pressure
•Capillary Wedge PressureCapillary Wedge Pressure
Chest RadiographChest RadiographCardiovascular PhysiologyCardiovascular Physiology
Pulmonary Pulmonary Blood FlowBlood Flow
Normal Flow PatternSource Undetermined
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Source: Undetermined
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Normal Flow -Increased FlowSource Undetermined Source Undetermined
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Normal Flow Decreased FlowSource Undetermined Source Undetermined
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Normal Flow Pulmonary Hypertension
Source Undetermined Source Undetermined
Source Undetermined
Lung WaterLung Waterpulmonary edemapulmonary edemaWedge pressureWedge pressure
Normal Flow RedistributionSource Undetermined Source Undetermined
Source Undetermined
Secondary Pulmonary Secondary Pulmonary LobuleLobule polyhedral shapepolyhedral shape center: center:
artery, bronchus, artery, bronchus, lymphaticslymphatics periphery: periphery:
» veins, lymphaticsveins, lymphatics borders:borders:» interlobular septainterlobular septa » 0.1 mm thick, 1-2 cm 0.1 mm thick, 1-2 cm longlong
1 - 2.5 cm in size 1 - 2.5 cm in size 3 - 12 acini3 - 12 acini
interlobular septa – Kerley B lines on CXRinterlobular septa – Kerley B lines on CXR
Source Undetermined
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UNKNOWNS
54 year old with dyspnea on exertion54 year old with dyspnea on exertion
a) mitral valve diseaseb) atrial septal defectc) primary PHTNd) pulmonary edema
Source Undetermined Source Undetermined
54 year old with dyspnea on exertion54 year old with dyspnea on exertion
a) mitral valve diseaseb) atrial septal defectc) primary PHTNd) pulmonary edema
Source Undetermined Source Undetermined
24 year-old with heart murmur
a) pulmonic stenosis
b) ASD
c) fluid overload
d) primary PHTN
Source Undetermined
24 year-old with heart murmur
a) pulmonic stenosis
b) ASD
c) fluid overload
d) primary PHTN
Source Undetermined
ObjectivesObjectives
Understand available Understand available imaging modalitiesimaging modalities
CXR Diagnostic approachCXR Diagnostic approach UnknownsUnknowns
Special thanks to Philip N. Cascade, M.D. Cardiothoracic Radiology, University of
Michigan
Additional Source Informationfor more information see: http://open.umich.edu/wiki/CitationPolicy
Slide 6: Sources UndeterminedSlide 7: Source UndeterminedSlide 8: Sources UndeterminedSlide 9: Sources UndeterminedSlide 10: Sources UndeterminedSlide 11: Sources UndeterminedSlide 14: Source Undetermined; Gray’s Anatomy, racquel68 wordpress, http://racquel68.wordpress.com/2007/03/13/next-term/Slide 15: Source Undetermined; Patrick Lynch, Wikimedia Commons, http://commons.wikimedia.org/wiki/File:Heart_right_anterior_oblique_diagrams.svg, CC:BY 2.5, http://creativecommons.org/licenses/by/2.5/deed.enSlide 17: Sources UndeterminedSlide 18: Sources UndeterminedSlide 19: Sources UndeterminedSlide 20: Sources UndeterminedSlide 21: Sources UndeterminedSlide 22: Sources UndeterminedSlide 23: Source UndeterminedSlide 26: Source UndeterminedSlide 27: Source UndeterminedSlide 28: Source UndeterminedSlide 29: Sources UndeterminedSlide 30: Source UndeterminedSlide 31: Sources UndeterminedSlide 32: Source UndeterminedSlide 33: Sources UndeterminedSlide 34: Source UndeterminedSlide 36: Sources UndeterminedSlide 37: Source UndeterminedSlide 38: Source UndeterminedSlide 39: Sources UndeterminedSlide 40: Sources UndeterminedSlide 41: Source UndeterminedSlide 42: Sources UndeterminedSlide 44: Sources UndeterminedSlide 45: Sources UndeterminedSlide 46: Source UndeterminedSlide 47: Source Undetermined