Imaging the right heart: the use of integrated multimodality imaging
Open Access
- 8 March 2012
- journal article
- review article
- Published by Oxford University Press (OUP) in European Heart Journal
- Vol. 33 (8), 949-960
- https://doi.org/10.1093/eurheartj/ehr490
Abstract
During recent years, right ventricular (RV) structure and function have been found to be an important determinant of outcome in different cardiovascular and also pulmonary diseases. Currently, echocardiography and cardiac magnetic resonance (CMR) imaging are the two imaging modalities most commonly used to visualize the RV. Most structural abnormalities of the RV can be reliably described by echocardiography but due its complex geometrical shape, echocardiographic assessment of RV function is more challenging. Newer promising echocardiographic techniques are emerging but lack of validation and limited normal reference data influence their routine clinical application. Cardiac magnetic resonance is generally considered the clinical reference technique due to its unlimited imaging planes, superior image resolution, and three-dimensional volumetric rendering. The accuracy and reliability of CMR measurements make it the ideal tool for serial examinations of RV function. Multidetector computed tomography (MDCT) plays an important role in the diagnosis of pulmonary emboli but can also be used for assessing RV ischaemic disease or as an alternative for CMR if contra-indicated. Radionuclide techniques have become more obsolete in the current era. The different imaging modalities should be considered complimentary and each plays a role for different indications.Keywords
This publication has 134 references indexed in Scilit:
- Test-Retest Variability of Volumetric Right Ventricular Measurements Using Real-Time Three-Dimensional EchocardiographyJournal of the American Society of Echocardiography, 2011
- Recommendations for Quantification Methods During the Performance of a Pediatric Echocardiogram: A Report From the Pediatric Measurements Writing Group of the American Society of Echocardiography Pediatric and Congenital Heart Disease CouncilJournal of the American Society of Echocardiography, 2010
- Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: Proposed Modification of the Task Force CriteriaEuropean Heart Journal, 2010
- Accuracy of guideline recommendations for two-dimensional quantification of the right ventricle by echocardiographyThe International Journal of Cardiovascular Imaging, 2008
- Contraction Pattern of the Systemic Right VentricleJournal of the American College of Cardiology, 2007
- Left Ventricular Form and Function Revisited: Applied Translational Science to Cardiovascular Ultrasound ImagingJournal of the American Society of Echocardiography, 2007
- Contrast-enhanced magnetic resonance angiography of the great arteries in patients with congenital heart disease: an accurate tool for planning catheter-guided interventionsThe International Journal of Cardiovascular Imaging, 2005
- Evidence of adverse ventricular interdependence in patients with atrial septal defectsThe American Journal of Cardiology, 2004
- Interstudy reproducibility of right ventricular volumes, function, and mass with cardiovascular magnetic resonanceAmerican Heart Journal, 2004
- Clinical application of the conductance catheter technique in the adult human right ventricleInternational Journal of Cardiology, 1997