tailieunhanh - Ebook Clinical cardiac MRI (2nd edition): Part 2

(BQ) Part 2 book "Clinical cardiac MRI" presents the following contents: Pulmonary hypertension, heart failure and heart transplantation, pericardial disease, cardiac masses, valvular heart disease, coronary artery diseases, imaging of great vessels, MR guided cardiac catheterization, cardiovascular modeling, general conclusions | Pulmonary Hypertension Shahin Moledina and Vivek Muthurangu Contents 1 Introduction. Clinical Pulmonary Hypertension. Epidemiology. Symptoms. Treatment Strategies. Role of Imaging in Pulmonary Hypertension. 2 Cine Imaging. Volumetry and Mass . Interventricular Septal Configuration . Vascular Distension . 3 Flow Assessment. Great Vessel Flow. Atrioventricular Flow . 4 MR Angiography. Thromboembolic Pulmonary Hypertension . Non-Embolic Disease . 5 Late Gadolinium Imaging. 6 Whole-Heart 3D SSFP. 7 Computed Tomography. 8 Conclusion. 9 Key Points. References. S. Moledina UCL Centre for Cardiovascular Imaging and Great Ormond Street Hospital for Children London WC1N 3JH UK V. Muthurangu Cardio-respiratory Unit Great Ormond Street Hospital for Children London WC1N 3JH UK e-mail 355 356 356 356 356 356 357 357 358 359 359 360 361 361 361 362 362 362 363 363 364 364 Abstract In this chapter the basics of MRI physics will be addressed. It will start with an overview of MR signal generation and relaxation. Then the concept of magnetization preparation will be explored in the context of cardiac imaging. The next sections will address the physics behind spatial encoding and motion compensation. Finally specific cardiac MRI sequences will be discussed including a discussion of optimization. By the end of the chapter the reader should have a better understanding of basic MRI physics and a greater ability to optimise sequences. 1 Introduction Pulmonary hypertension PH encompasses a collection of conditions all characterized by elevated blood pressure in the pulmonary arteries. Although they have differing etiologies they share similarities in their symptoms and prognosis. Disease severity is largely driven by the extent pulmonary arterial involvement traditionally expressed in terms of pressure or vascular resistance and the effect this has on right ventricular RV function. Thus assessment of the pulmonary .

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