Transcript
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Cardiovascular Imaging Part I:Visualizing Cardiac Anatomy

Vincent Brinkman, MDDivision of CardiologyThe Ohio State UniversityCollege of Medicine

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Objectives

Be able to identify the cardiac chambers, valves, aorta, pulmonary arteries on chest x-ray, echocardiogram, CT and MRI.

Gain familiarity with these cardiovascular imaging techniques.

Note: All of the Cardiac Medical Illustrations were adapted from Patrick J. Lynch and C. Carl Jaffe, (Yale University, 2006) and used under their Creative Commons license.

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Cardiovascular Imaging

“The Doctor,” Sir Samuel Luke Fildes

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Chest x-ray

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PA Chest X-ray

Right Atrium

Right Ventricle

Pulmonary Artery

Left Atrium

Left Ventricle

Aorta

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PA Chest X-ray

LV

LA

Aorta

RA

Right Pulmonary

Arteries

Left Pulmonary

Artery

SVC

IVC

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Lateral Chest X-ray

Right Atrium

Right Ventricle

Pulmonary Artery

Left Atrium

Left Ventricle

Aorta

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Lateral Chest X-ray

RV

LVLA

AortaPA

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Echocardiography

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Echocardiogram Windows

Parasternal

Apical

Suprasternal

Subcostal

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Imaging Conventions

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Imaging Conventions

Leading Edge

Leading Edge

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Parasternal Long Axis View

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Parasternal Long Axis

Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

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Parasternal Long Axis

Right VentricleSeptum

Left Ventricle

Mitral Valve

Aortic Valve

Left Atrium

Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

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Parasternal Short Axis View

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Parasternal Short Axis

Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

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Parasternal Short Axis

Left Ventricle

Right Ventricle

Papillary Muscles

Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

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Parasternal Short Axis

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Parasternal Short Axis

Right Ventricle

Right Atrium

Left Atrium

Pulmonic Valve

Tricuspid Valve

Aortic Valve

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Apical 4 Chamber View

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Apical 4 Chamber

Illustrations: Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

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Apical 4 Chamber

Left Ventricle

Left Atrium

Mitral Valve

Right Ventricle

Right Atrium

Tricuspid Valve

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Apical Views

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Apical Long Axis

Apex

Apex

Apex

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Subcostal View

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Subcostal and Apical 4 Chamber ViewApical

Subcostal

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Cardiac MRI

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Imaging Planes

Left VentricleRight Ventricle

Where the left atrium should be

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Cardiac MRI – Horizontal Long Axis

Anterior

Posterior

Right Left

Right Ventricle

Right Atrium

Tricuspid Valve

Left Ventricle

Left Atrium

Mitral Valve

Pulmonary Veins

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Cardiac MRI – 3 Chamber (or Long Axis)

Anterior Chest

Patient’s Head

Left Ventricle

RIghtVentricle

Mitral Valve

Aortic Valve

Left Atrium

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Cardiac MRI – Short Axis

Anterior Chest

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Cardiac Imaging - Summary

Cardiac imaging is useful to image structure and visualize the anatomy of both normal and abnormal structures.

The next several slides are a quiz to assess your basic understanding of cardiac imaging.

In our next talk, we will discuss how these techniques can be used to diagnose heart conditions and provide information into the hemodynamics of the heart.

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