tailieunhanh - Ebook Clinically oriented pulmonary imaging: Part 2

(BQ) Part 2 book "Clinically oriented pulmonary imaging" presents the following contents: Imaging of pulmonary hypertension, obstructive pulmonary diseases, imaging of airway disease, idiopathic interstitial pneumonias, occupational lung disease, hemoptysis, image guided thoracic interventions,. | Imaging of Pulmonary Hypertension Mark L. Schiebler James Runo Leif Jensen and Christopher J. Francois 9 Abstract Pulmonary hypertension PH is a silent disease with many causes that comes to clinical attention late in its course. There are indirect features of PH found on noninvasive imaging studies but the diagnosis of this disease and its therapeutic management still require right heart catheterization with pressure measurements of the pulmonary artery. In general with chronic PH the main pulmonary artery is enlarged there is tapering of the peripheral pulmonary arteries there is decreased vessel compliance from muscular hypertrophy of the arterial walls and there is reduced pulmonary blood flow. This is accompanied by changes in the right heart including right ventricular RV hypertrophy RV enlargement RV dysfunction and tricuspid regurgitation. In the acute setting such as with massive pulmonary emboli the abrupt change in pulmonary arterial pressure has a dramatic effect on right heart contractility. The peak velocity of the tricuspid regurgitation jet as measured by echocardiography orMRI is loosely correlated with pulmonary arterial pressure. Untreated PH results in a rapid clinical decline with death frequently occurring within 3 years of diagnosis. Even with treatment the mean survival time is still less than 4 years. M. L. Schiebler C. J. Francois Department of Radiology University of Wisconsin School of Medicine and Public Health 600 Highland Avenue Madison WI 53792 USA e-mail mschiebler@ J. Runo Department of Pulmonary and Critical Care Medicine University of Wisconsin School of Medicine and Public Health 5252 MFCB 1685 Highland Avenue Madison WI53705-2281 USA L. Jensen Diagnostic Radiology E3 366 Clinical Science Center University of Wisconsin-Madison 600 Highland Avenue Madison WI 53792-3252 USA J. P. Kanne ed. Clinically Oriented Pulmonary Imaging Respiratory Medicine DOI 978-1-61779-542-8_9 Humana Press a part of Springer Science

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