具体描述
A systematic approach to understanding cardiac imaging for practicing radiologists. . Providing simple navigation through minimal text, abundant multi-modality images, and the use of icons, "Cases: Cardiac Imaging" offers you an efficient and systematic approach to understanding cardiac imaging. Designed for on-the-spot use, it presents 318 cases and approximately 2,000 images on issues ranging from normal anatomy to the full spectrum of cardiac disease; CT and MRI are both included, and a DVD with cine loops supplements the text. .
好的，为您呈现一本名为《Cardiovascular Dynamics: A Comprehensive Atlas of Echocardiography and Advanced Imaging》的图书简介。 Cardiovascular Dynamics: A Comprehensive Atlas of Echocardiography and Advanced Imaging Book Overview Cardiovascular Dynamics: A Comprehensive Atlas of Echocardiography and Advanced Imaging is an exhaustive, practical guide designed for cardiologists, cardiovascular fellows, sonographers, and advanced medical imaging professionals. This volume moves beyond foundational knowledge, delving deeply into the complex, real-world applications of state-of-the-art cardiovascular imaging modalities. It serves as an indispensable reference, bridging the gap between theoretical pathophysiology and high-resolution diagnostic interpretation across the spectrum of structural heart disease, functional assessment, and advanced procedural guidance. This atlas is meticulously structured to provide not just static images, but dynamic insights into cardiac function, integrating principles of hemodynamics, biomechanics, and clinical correlation. It emphasizes pattern recognition and the systematic interpretation of complex datasets derived from multi-modality sources. Core Content and Structure The book is organized into five principal sections, progressing logically from fundamental principles to the most complex clinical scenarios. Each chapter is heavily populated with high-fidelity, annotated image sets, supplementary procedural videos (accessible via integrated online resources), and detailed case studies illustrating diagnostic pitfalls and pearls. Part I: Foundations of Cardiovascular Functional Assessment This section establishes the bedrock for quantitative analysis, moving beyond simple qualitative grading. 1. Advanced Echocardiographic Physics and Optimization: A detailed examination of transducer technology, signal processing, and artifact mitigation specific to high-frame-rate imaging (e.g., X-plane, 3D acquisition optimization). Focus is placed on maximizing image quality in challenging patient populations (e.g., obesity, COPD). 2. Hemodynamic Principles in Imaging: A deep dive into the quantitative application of the continuity equation, pressure half-time analysis, and flow convergence. This chapter provides a rigorous framework for calculating cardiac output, regurgitant volumes, and pressure gradients across stenotic lesions, grounded in fluid dynamics. 3. Strain Imaging and Speckle Tracking Echocardiography (STE): This is a cornerstone of the atlas. It offers comprehensive protocols for acquiring, processing, and interpreting global and regional myocardial strain (Global Longitudinal Strain - GLS, Global Radial Strain - GRS, Global Circumferential Strain - GCS). Detailed correlation charts translate strain values into clinically relevant prognostic information for various cardiomyopathies, ischemia, and infiltrative diseases. Part II: Valvular Heart Disease: Assessment and Intervention Guidance This section provides the definitive imaging roadmap for managing valvular pathology, critical for structural heart disease interventionists. 1. Mitral Valve Assessment Beyond 2D: Extensive coverage of utilizing 3D echo for accurate assessment of P1/P2/A1 scallops, quantitative assessment of eccentric jets, and precise measurement of the mitral annulus for planning transcatheter edge-to-edge repair (TEER). Includes detailed algorithms for evaluating functional vs. degenerative mitral regurgitation. 2. Aortic Stenosis: Severity and Prognostic Implications: Focuses on optimizing Doppler alignment (POA calculations), handling low-gradient severe AS (using stress echo and myocardial work indices), and navigating image acquisition for prosthetic valve surveillance, including recognizing pannus formation versus thrombosis. 3. Tricuspid and Pulmonary Valve Disease: Dedicated chapters address the complexities of the right heart, including advanced techniques for quantifying tricuspid regurgitation severity (e.g., Vena Cava assessment, quantification of effective regurgitant orifice area) and management of pulmonary hypertension severity estimation through invasive correlation. 4. Imaging Guidance for Transcatheter Valve Procedures (TAVI/TMVR/TRILUS): Step-by-step imaging protocols for pre-procedural sizing, intra-procedural navigation, and immediate post-deployment assessment. Emphasis is placed on identifying peri-valvular leak (PVL) mechanisms and quantification. Part III: Cardiomyopathies and Myocardial Disease This section dedicates significant space to non-ischemic cardiomyopathies, integrating conventional echo with Tissue Doppler Imaging (TDI) and Tissue Characterization. 1. Hypertrophic Cardiomyopathy (HCM) and Septal Assessment: Detailed analysis of outflow tract gradients, dynamic obstruction measurement, and planning for septal reduction therapy (Alcohol Septal Ablation vs. Surgical Myectomy), utilizing contrast echo for precise assessment of scar burden. 2. Infiltrative Diseases (Amyloidosis and Fabry Disease): Emphasis on tissue characterization techniques, including Mid-Wall Fibrosis assessment via Late Gadolinium Enhancement (LGE) Cardiac Magnetic Resonance (CMR) correlation, and characteristic findings on strain and global echo patterns (e.g., speckle pattern in cardiac amyloid). 3. Myocardial Viability and Post-Infarct Remodeling: Integration of functional echo with SPECT and CMR for assessing hibernating myocardium, quantifying regional wall motion abnormalities relative to perfusion territories, and predicting adverse remodeling post-MI. Part IV: Advanced Modalities and Procedural Applications This segment covers imaging integration in complex scenarios, highlighting advanced CT and MRI applications as adjuncts or primary diagnostic tools. 1. Cardiac Computed Tomography (CT) for Anatomy and Stenosis: Comprehensive atlas of CT coronary angiography (CTCA) interpretation, focusing on plaque characterization (vulnerable plaque features) and quantitative assessment of aortic and mitral annular dimensions derived from CT for TAVR/TMVR planning. 2. Cardiac Magnetic Resonance (CMR) Protocols and Interpretation: A thorough review of CMR sequences (T1 mapping, T2 mapping, LGE) essential for tissue characterization, edema detection, and definitive scar burden quantification, emphasizing when CMR supersedes echocardiography. 3. Intracardiac Echocardiography (ICE) and Transesophageal Echocardiography (TEE) in EP and Structural Procedures: Detailed imaging planes and interpretation guides for complex electrophysiology mapping (substrate identification) and percutaneous closure device deployment (e.g., LAA occlusion, ASD/PFO closure), focusing on visualization challenges unique to these contexts. Part V: Systemic Disease and Uncommon Presentations The final section addresses cardiovascular involvement in systemic disorders and critical care scenarios. 1. Pulmonary Hypertension and Right Ventricular Failure: Standardized methods for estimating pulmonary artery pressures using Doppler, assessment of RV functional reserve (TAPSE, S' velocity), and detailed visualization of inter-ventricular septal bowing indicative of acute or chronic RV pressure overload. 2. Cardiovascular Impact of Systemic Illnesses: Imaging findings in conditions such as severe autoimmune disorders, critical illness (sepsis, shock), and chemotherapy-induced cardiotoxicity. Includes protocols for rapid, goal-directed echo in the Intensive Care Unit (ICU). 3. Congenital Heart Disease in Adults (ACHD) Imaging: A survey of common adult congenital lesions (e.g., Eisenmenger physiology, repaired ASDs/VSDs), emphasizing the unique hemodynamic challenges and the role of 3D imaging in assessing baffle flow and residual shunts. Distinctive Features Multimodality Integration: Seamlessly merges findings from standard 2D/Doppler echo, strain analysis, 3D echo, TEE, ICE, CT, and CMR, presenting diagnostic pathways where multiple modalities inform the final conclusion. Procedural Focus: Includes dedicated imaging decision trees and technical guidance relevant for interventionists, linking imaging parameters directly to procedural success and complication avoidance. Case-Based Learning: Each major concept is reinforced with detailed, annotated case studies illustrating subtle findings and differential diagnoses encountered in high-volume clinical practice. High-Resolution Visuals: Features over 1,500 original, color-annotated diagnostic images and schematic diagrams crafted by expert echocardiographers and interventional cardiologists. Cardiovascular Dynamics is intended as a comprehensive, benchside reference designed not merely to teach what the images look like, but how to extract the maximum physiological and prognostic information from every acquisition. It is the essential text for mastering the modern language of cardiovascular assessment.
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