Feuchtner Gudrun
Department of Radiology, Innsbruck Medical University, 6020 Innsbruck, Austria.
Scientifica (Cairo). 2013;2013:270579. doi: 10.1155/2013/270579. Epub 2013 Dec 29.
This paper describes "how to" examine cardiac valves with computed tomography, the normal, diseased valves, and prosthetic valves. A review of current scientific literature is provided. Firstly, technical basics, "how to" perform and optimize a multislice CT scan and "how to" interpret valves on CT images are outlined. Then, diagnostic imaging of the entire spectrum of specific valvular disease by CT, including prosthetic heart valves, is highlighted. The last part gives a guide "how to" use CT for planning of transcatheter aortic valve implantation (TAVI), an emerging effective treatment option for patients with severe aortic stenosis. A special focus is placed on clinical applications of cardiac CT in the context of valvular disease.
本文介绍了如何使用计算机断层扫描检查心脏瓣膜,包括正常瓣膜、病变瓣膜和人工瓣膜。文中还提供了当前科学文献的综述。首先,概述了技术基础,即如何进行和优化多层CT扫描以及如何解读CT图像上的瓣膜。然后,重点介绍了通过CT对包括人工心脏瓣膜在内的特定瓣膜疾病全谱进行的诊断成像。最后一部分给出了如何使用CT来规划经导管主动脉瓣植入术(TAVI)的指南,TAVI是一种针对严重主动脉瓣狭窄患者的新兴有效治疗选择。特别关注心脏CT在瓣膜疾病背景下的临床应用。