U. Joseph Schoepf – författare

This book is a comprehensive and richly-illustrated guide to cardiac CT, its current state, applications, and future directions. While the first edition of this text focused on what was then a novel instrument looking for application, this edition comes at a time where a wealth of guideline-driven, robust, and beneficial clinical applications have evolved that are enabled by an enormous and ever growing field of technology. Accordingly, the focus of the text has shifted from a technology-centric to a more patient-centric appraisal. While the specifications and capabilities of the CT system itself remain front and center as the basis for diagnostic success, much of the benefit derived from cardiac CT today comes from avant-garde technologies enabling enhanced visualization, quantitative imaging, and functional assessment, along with exciting deep learning, and artificial intelligence applications. Cardiac CT is no longer a mere tool for non-invasive coronary artery stenosis detectionin the chest pain diagnostic algorithms; cardiac CT has proven its value for uses as diverse as personalized cardiovascular risk stratification, prediction, and management, diagnosing lesion-specific ischemia, guiding minimally invasive structural heart disease therapy, and planning cardiovascular surgery, among many others. This second edition is an authoritative guide and reference for both novices and experts in the medical imaging sciences who have an interest in cardiac CT.

The aim of this book is fourfold: to describe the basic principles of Dual Energy CT (DECT) imaging, to explain how post-processing is utilized, to critically appraise the strengths and weaknesses of the technique in oncologic imaging, and above all, to demonstrate the contribution of DECT in the management of oncologic patients. Information is provided on the practice and interpretation of DECT and its impact on clinical decision making in a variety of oncological settings, including tumors of the head and neck, lung, liver, pancreas, gastrointestinal system, kidney, and musculoskeletal system.

DECT is an innovative imaging technique in which the application of two distinct energy settings provides a transition from density-based image to spectral imaging.

As detailed in this book, DECT acquisition allows the simultaneous generation of multiple datasets which enable the radiologist to address varied diagnostic problems in oncologic imaging using a multiparametric approach, having clear advantages in tumor detection, lesion characterization and evaluation of treatment response.

Since the first edition of this book was published in 2004, computed tomography has seen groundbreaking technical innovations that have transformed the field of thoracic imaging and opened novel possibilities for the detection of thoracic pathologies. This book highlights cutting-edge thoracic applications of CT imaging in the context of these technical innovations and discusses the latest opportunities, with critical appraisal of challenges and controversies. All topics are covered by renowned international experts. Chapters from the original edition have been thoroughly updated to reflect the state of the art in technology and scientific evidence, and new contributions included on recent developments such as dual-energy CT and CT imaging in patients with acute chest pain. The book is abundantly illustrated with high-quality images and illustrations.

With the advent of multidetector-row technology, excitement has returned to computed tomography. It is now possible to image faster and with better resolution than ever before; more importantly, the development of sophisticated image acquisition techniques has permitted the use of CT imaging in areas previously thought to lie beyond its scope. The knowledge, experience, and vision of a host of renowned international experts in cutting-edge thoracic applications of multidetector-row CT are condensed within this book. The result is a critical, comprehensive review of the novel opportunities, but also the new challenges, brought about by the development of ever-faster CT acquisition techniques.

Recent research has identified the assessment of myocardial perfusion and viability as another promising CT application for the comprehensive diagnosis of coronary heart disease. In this book, the first to be devoted to this novel application of CT, leading experts from across the world present up-to-date information and consider future directions. After short sections outlining the state of the art in the traditional applications of CT to image structure and function, the full range of CT techniques that may be employed to evaluate the myocardial blood supply are discussed in detail. Similarly, diverse CT approaches for the assessment of myocardial viability are described, with careful consideration of the available experimental and clinical evidence and the role of quantitative imaging. Protocol recommendations that will be of invaluable practical assistance are also provided.