Multimodality imaging in interventional cardiology

Multimodality and hybrid imaging combine various imaging modalities to enhance diagnostic accuracy and improve clinical outcomes. Dr. Delgado and colleagues review the use of multiple novel imaging techniques to evaluate plaque burden and stability in patients with coronary artery disease, target ca...

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Published inNature reviews cardiology Vol. 9; no. 6; pp. 333 - 346
Main Authors van der Hoeven, Bas L., Schalij, Martin J., Delgado, Victoria
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 01.06.2012
Nature Publishing Group
Subjects
692/699/75/230
692/699/75/593/15
692/700/1421
692/700/565/2776
Animals
Cardiac Catheterization
Cardiac Imaging
Cardiac Resynchronization Therapy - methods
Cardiac Surgery
Cardiology
Cardiovascular diseases
Care and treatment
Coronary Angiography
Coronary Artery Disease - diagnosis
Demographic aspects
Diagnosis
Diagnostic imaging
Diagnostic Imaging - methods
Heart Diseases - diagnosis
Heart Diseases - therapy
Heart Failure - diagnosis
Heart Failure - therapy
Heart Valve Prosthesis Implantation - methods
Humans
Image Interpretation, Computer-Assisted
Magnetic Resonance Imaging
Magnetic Resonance Imaging, Interventional
Medicine
Medicine & Public Health
Methods
Molecular Imaging
Multimodal Imaging
Positron-Emission Tomography
Predictive Value of Tests
Prognosis
Radiography, Interventional
review-article
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
Ultrasonography, Interventional
Netherlands
Online AccessGet full text

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Abstract Multimodality and hybrid imaging combine various imaging modalities to enhance diagnostic accuracy and improve clinical outcomes. Dr. Delgado and colleagues review the use of multiple novel imaging techniques to evaluate plaque burden and stability in patients with coronary artery disease, target cardiac resynchronization therapy in patients with heart failure, and guide transcatheter procedures in patients with valvular heart disease. 'Multimodality' imaging—the side-by-side interpretation of data obtained from various noninvasive imaging techniques, such as echocardiography, radionuclide techniques, multidetector CT (MDCT), and MRI—allows anatomical, morphological, and functional data to be combined, increases diagnostic accuracy, and improves the efficacy of cardiovascular interventions and clinical outcomes. During the past decade, advances in software and hardware have allowed co-registration of various imaging modalities, resulting in cardiac 'hybrid' or 'fusion' imaging. In this Review, we discuss the roles of both multimodality and hybrid imaging in three broad areas of cardiology—coronary artery disease (CAD), heart failure, and valvular heart disease. In the evaluation of CAD, integration of either single-photon emission computed tomography (SPECT) or PET with CT coronary angiography provides both morphological and functional data in a single procedure. Accordingly, the functional consequences (myocardial hypoperfusion on SPECT or PET) of anatomical pathology (coronary anatomy on MDCT or MRI) can be assessed. Co-registration of PET and MRI data sets to provide cellular and molecular information on plaque composition and stability is now possible. Furthermore, novel imaging modalities have been implemented to guide electrophysiological and transcatheter-based procedures, such as cardiac resynchronization therapy (an established treatment for patients with heart failure), and transcatheter valve repair or replacement procedures. Key Points Multimodality imaging has a central role in the clinical management of patients with cardiovascular diseases Cardiac hybrid imaging has become feasible and available in various clinical scenarios and has important implications for clinical decision-making For patients with an intermediate likelihood of having coronary artery disease, single-photon emission computed tomography–CT and PET–CT might become first-line imaging tools to detect flow-limiting coronary artery stenosis In electrophysiology, cardiac multimodality imaging has a central role to guide and improve the efficacy of several procedures, such as device implantation for cardiac resynchronization therapy Emerging transcatheter valve implantation or repair procedures demand high-resolution imaging techniques to plan and guide the interventions accurately
AbstractList 'Multimodality' imaging--the side-by-side interpretation of data obtained from various noninvasive imaging techniques, such as echocardiography, radionuclide techniques, multidetector CT (MDCT), and MRI --allows anatomical, morphological, and functional data to be combined, increases diagnostic accuracy, and improves the efficacy of cardiovascular interventions and clinical outcomes. During the past decade, advances in software and hardware have allowed co-registration of various imaging modalities, resulting in cardiac 'hybrid' or 'fusion' imaging. In this Review, we discuss the roles of both multimodality and hybrid imaging in three broad areas of cardiology--coronary artery disease (CAD), heart failure, and valvular heart disease. In the evaluation of CAD, integration of either single-photon emission computed tomography (SPECT) or PET with CT coronary angiography provides both morphological and functional data in a single procedure. Accordingly, the functional consequences (myocardial hypoperfusion on SPECT or PET) of anatomical pathology (coronary anatomy on MDCT or MRI) can be assessed. Co-registration of PET and MRI data sets to provide cellular and molecular information on plaque composition and stability is now possible. Furthermore, novel imaging modalities have been implemented to guide electrophysiological and transcatheter-based procedures, such as cardiac resynchronization therapy (an established treatment for patients with heart failure), and transcatheter valve repair or replacement procedures.
Multimodality and hybrid imaging combine various imaging modalities to enhance diagnostic accuracy and improve clinical outcomes. Dr. Delgado and colleagues review the use of multiple novel imaging techniques to evaluate plaque burden and stability in patients with coronary artery disease, target cardiac resynchronization therapy in patients with heart failure, and guide transcatheter procedures in patients with valvular heart disease. 'Multimodality' imaging—the side-by-side interpretation of data obtained from various noninvasive imaging techniques, such as echocardiography, radionuclide techniques, multidetector CT (MDCT), and MRI—allows anatomical, morphological, and functional data to be combined, increases diagnostic accuracy, and improves the efficacy of cardiovascular interventions and clinical outcomes. During the past decade, advances in software and hardware have allowed co-registration of various imaging modalities, resulting in cardiac 'hybrid' or 'fusion' imaging. In this Review, we discuss the roles of both multimodality and hybrid imaging in three broad areas of cardiology—coronary artery disease (CAD), heart failure, and valvular heart disease. In the evaluation of CAD, integration of either single-photon emission computed tomography (SPECT) or PET with CT coronary angiography provides both morphological and functional data in a single procedure. Accordingly, the functional consequences (myocardial hypoperfusion on SPECT or PET) of anatomical pathology (coronary anatomy on MDCT or MRI) can be assessed. Co-registration of PET and MRI data sets to provide cellular and molecular information on plaque composition and stability is now possible. Furthermore, novel imaging modalities have been implemented to guide electrophysiological and transcatheter-based procedures, such as cardiac resynchronization therapy (an established treatment for patients with heart failure), and transcatheter valve repair or replacement procedures. Key Points Multimodality imaging has a central role in the clinical management of patients with cardiovascular diseases Cardiac hybrid imaging has become feasible and available in various clinical scenarios and has important implications for clinical decision-making For patients with an intermediate likelihood of having coronary artery disease, single-photon emission computed tomography–CT and PET–CT might become first-line imaging tools to detect flow-limiting coronary artery stenosis In electrophysiology, cardiac multimodality imaging has a central role to guide and improve the efficacy of several procedures, such as device implantation for cardiac resynchronization therapy Emerging transcatheter valve implantation or repair procedures demand high-resolution imaging techniques to plan and guide the interventions accurately
'Multimodality' imaging--the side-by-side interpretation of data obtained from various noninvasive imaging techniques, such as echocardiography, radionuclide techniques, multidetector CT (MDCT), and MRI --allows anatomical, morphological, and functional data to be combined, increases diagnostic accuracy, and improves the efficacy of cardiovascular interventions and clinical outcomes. During the past decade, advances in software and hardware have allowed co-registration of various imaging modalities, resulting in cardiac 'hybrid' or 'fusion' imaging. In this Review, we discuss the roles of both multimodality and hybrid imaging in three broad areas of cardiology--coronary artery disease (CAD), heart failure, and valvular heart disease. In the evaluation of CAD, integration of either single-photon emission computed tomography (SPECT) or PET with CT coronary angiography provides both morphological and functional data in a single procedure. Accordingly, the functional consequences (myocardial hypoperfusion on SPECT or PET) of anatomical pathology (coronary anatomy on MDCT or MRI) can be assessed. Co-registration of PET and MRI data sets to provide cellular and molecular information on plaque composition and stability is now possible. Furthermore, novel imaging modalities have been implemented to guide electrophysiological and transcatheter-based procedures, such as cardiac resynchronization therapy (an established treatment for patients with heart failure), and transcatheter valve repair or replacement procedures. published online 14 February 2012; doi: 10.1038/nrcardio.2012.14
Audience Academic
Author Delgado, Victoria
van der Hoeven, Bas L.
Schalij, Martin J.
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  fullname: Delgado, Victoria
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  organization: Department of Cardiology, Leiden University Medical Center
BackLink https://www.ncbi.nlm.nih.gov/pubmed/22330612$$D View this record in MEDLINE/PubMed
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Snippet Multimodality and hybrid imaging combine various imaging modalities to enhance diagnostic accuracy and improve clinical outcomes. Dr. Delgado and colleagues...
'Multimodality' imaging--the side-by-side interpretation of data obtained from various noninvasive imaging techniques, such as echocardiography, radionuclide...
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SubjectTerms 692/699/75/230
692/699/75/593/15
692/700/1421
692/700/565/2776
Animals
Cardiac Catheterization
Cardiac Imaging
Cardiac Resynchronization Therapy - methods
Cardiac Surgery
Cardiology
Cardiovascular diseases
Care and treatment
Coronary Angiography
Coronary Artery Disease - diagnosis
Demographic aspects
Diagnosis
Diagnostic imaging
Diagnostic Imaging - methods
Heart Diseases - diagnosis
Heart Diseases - therapy
Heart Failure - diagnosis
Heart Failure - therapy
Heart Valve Prosthesis Implantation - methods
Humans
Image Interpretation, Computer-Assisted
Magnetic Resonance Imaging
Magnetic Resonance Imaging, Interventional
Medicine
Medicine & Public Health
Methods
Molecular Imaging
Multimodal Imaging
Positron-Emission Tomography
Predictive Value of Tests
Prognosis
Radiography, Interventional
review-article
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
Ultrasonography, Interventional
Title Multimodality imaging in interventional cardiology
URI https://link.springer.com/article/10.1038/nrcardio.2012.14
https://www.ncbi.nlm.nih.gov/pubmed/22330612
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https://search.proquest.com/docview/1015756658
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