Cardiovascular Imaging

1. Front Matter

   Pages i-xxi

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2. Major Advances in Interventional Cardiology

   1. The changing role of high speed rotational atherectomy in the present and future practice of coronary intervention

      • Simon H. Stertzer, Eugene V. Pomerantsev, Jonas A. Metz, Peter J. Fitzgerald, Paul G. Yock

      Pages 1-13

   2. The AVE Micro Stents™

      • Simon H. Stertzer, Eugene V. Pomerantsev

      Pages 15-30

   3. Non-surgical septum reduction in hypertrophic cardiomyopathy

      • Charles Knight, Ulrich Sigwart

      Pages 31-37

3. Coronary Quantitation by QCA and Intracoronary Ultrasound (ICUS)

   1. State of the Art in Quantitative Coronary Arteriography as of 1996

      • Johan H. C. Reiber, Lars R. Schiemanck, Pieter M. J. Van Der Zwet, Bob Goedhart, Gerhard Koning, Martin Lammertsma et al.

      Pages 39-56

   2. 3-D Coronary angiography for quantitative analysis of coronary morphology

      • Helmut Oswald, Andreas Wahle, Ernst Wellnhofer, Eckart Fleck

      Pages 57-78

   3. State of the art in ICUS quantitation

      • Li Wenguang, Bom Nicolaas, Clemens Von Birgelen, Ton F. W. Van Der Steen, Chris L. De Korte, J. Elma Gussenhoven et al.

      Pages 79-92

4. Regression/Progression of CAD and Cardiovascular Imaging

   1. Imaging atherosclerosis: lesion vs. lumen

      • Michael V. Mcconnell, Peter Ganz, Richard T. Lee, Andrew P. Selwyn, Peter Libby

      Pages 93-107

   2. An overview of fluvastatin clinical trials

      • Ad Van Boven, Pascal Pfister

      Pages 109-118

   3. Lessons learned from angiographic coronary atherosclerosis trials

      • J. Wouter Jukema, Albert V. G. Bruschke, Johan H. C. Reiber

      Pages 119-132

   4. Regression/progression in women: the estrogen angiographic trials

      • David M. Herrington

      Pages 133-143

   5. Is peripheral B-mode ultrasound a substitute for coronary arteriography?

      • J. Eric de Groot, J. Wouter Jukema, Alexander D. Montauban van Swijndregt, A. D. J. van Boven, Aeilko H. Zwinderman, Rob G. A. Ackerstaff et al.

      Pages 145-156

5. DICOM and The Filmless Catheterization Laboratory

   1. The digital catheterization Laboratory - is it Practical Today?

      • Jack T. Cusma, Thomas M. Bashore

      Pages 157-170

   2. The Role of DICOM in the digital catheterization laboratory

      • Bob Goedhart, Johan H. C. Reiber

      Pages 171-184

   3. Philips CD-Medical — A new era in digital cardiac review, exchange and archiving

      • Kitty Vreeswijk

      Pages 185-192

   4. Status of the GE approach to the digital catheterization laboratory

      • John F. Nealon

      Pages 193-200

   5. Requirements for cardiac interchange media and the adoption of recordable CD

      • Paul B. Condit, Gerry Pelanek, Terence Rourke

      Pages 201-209

   6. Status of the Camtronics approach to the digital catheterization laboratory

      • Thomas E. Kennedy, Eugene W. Bergholz

      Pages 211-219

   7. The approach at the German Heart Institute in Berlin - the BERMED - System

      • Eckart Fleck, Helmut Oswald

      Pages 221-232

   8. Archival systems for cineangiographic film replacement

      • David R. Holmes Jr., Merrill A. Wondrow, Kirk N. Garratt, Malcolm R. Bell

      Pages 233-241

In the past, coronary arteriography was the only modality available to provide high quality images of the coronary anatomy. Quantitative coronary arteriography (QCA) was developed, implemented, validated and extensively applied to obtain accurate and reproducible data about coronary morphology and the functional significance of coronary obstructions. Over the last few years extensive basic technological research supported by clinical investigations has created competing modalities to visualize coronary morphology and the associated perfusion of the myocardial muscle. Currently, the following modalities are available: X-ray coronary arteriography, intracoronary ultrasound, contrast- and stress-echocardiography, angioscopy, nuclear cardiology, magnetic resonance imaging, and cine and spiral CT imaging.
For all these imaging modalities, the application of dedicated quantitative analytical software packages enables the evaluation of the imaging studies in a more accurate, reliable, and reproducible manner. These extensions and achievements have resulted in improved diagnostics and subsequently in improved patient care. Particularly in patients with ischaemic heart disease, major progress has been made to detect coronary artery disease in an early phase of the disease process, to follow the atherosclerotic changes in the coronary arteries, to establish the functional and metabolic consequences of the luminal obstructions, and accurately to assess the results of interventional therapy.
Aside from all these high-tech developments in cardiac imaging techniques, the transition from the analogue to the digital world has been going on for some time now. For the future, it has been predicted that the CD-R will be the exchange medium for cardiac images and DICOM-3 the standard file format. This has been a major achievement in the field of standardization activities. Since these developments will have a major impact on the way images willbe stored, reviewed and exchanged in the near future, an important part of this book has been dedicated to DICOM and the filmless catheterization laboratory.
Cardiovascular Imaging will assist cardiologists, radiologists, nuclear medicine physicians, image processing specialists, physicists, basic scientists, and fellows in training for these specialties to understand the most recent achievements in cardiac imaging techniques and their impact on cardiovascular medicine.

• Stent
• cardiovascular
• computed tomography (CT)
• diagnostics
• ultrasound

• Laboratory for Clinical and Experimental Image Processing (LKEB), Department of Diagnostic Radiology and Nuclear Medicine, Department of Cardiology, Leiden University Hospital, The Netherlands

  Johan H. C. Reiber

• Interuniversity Cardiology Institute of the Netherlands (ICIN), Utrecht, The Netherlands

  Johan H. C. Reiber, Ernst E. Wall

• Department of Cardiology, Leiden University Hospital, The Netherlands

  Ernst E. Wall

Policies and ethics