Clinical Application and Research Progress of Cardiac Imaging

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 383

Special Issue Editor


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Guest Editor
Department of Radiology, Medical University Graz, Graz, Austria
Interests: MR; magnetic resonance angiography and venography; DSA; cardiac imaging; CTA; myocardial scintigraphy

Special Issue Information

Dear Colleagues,

Cardiac imaging plays a crucial role in the diagnosis and treatment of various cardiovascular diseases. This Special Issue will collect recent papers detailing the developments in and clinical application of cardiovascular imaging techniques, including magnetic resonance imaging/angiography (MRI, MRA, and MRV); coronary angiography (CTA), such as cardiac CT; ultrasound; positron emission tomography (PET- CT); myocardial scintigraphy; and chest X-ray.

MRI is a non-invasive imaging technique that provides detailed information about the cardiac structure and function. Its advanced features, such as 4D flow, in addition to MRA/MRV, cine imaging, and late gadolinium enhancement, facilitate the accurate assessment of myocardial viability, myocardial infarction, and cardiomyopathy, including valves, aorta, pulmonary arteries, and veins, with a special focus on planning and following the minimal invasive therapy options. CT imaging, especially coronary CTA, has revolutionized the assessment of coronary artery disease. The high spatial resolution of CTA enables the visualization of coronary arteries and detection of atherosclerotic plaques, which simplifies risk stratification and guides treatment decisions. Ultrasound remains a modality widely used to quickly assess cardiac morphology, function, and valvular abnormalities. Its portability, real-time imaging approach, and Doppler capabilities make it an indispensable tool for carrying out bedside assessment and point-of-care diagnosis. PET and CT fusion imaging have shown promising results in cardiac applications that provide metabolic and anatomical information via a single examination, though, unfortunately, they cannot operate without generating radiation. Myocardial scintigraphy, when performed using radioactive tracers, provides functional information about myocardial blood flow and viability, as well as patients for whom there are contraindications related to MR, because of incompatible metallic implants. This approach helps us to detect risk stratification in patients with ischemia, infarction, and coronary artery disease. Chest X-rays continue to be used as a follow-up tool, as they enable quick detection of cardiac and lung abnormalities after therapy on hospital wards. However, heart-specific findings obtained using X-rays are limited compared to those of other imaging modalities.

In conclusion, cardiac imaging techniques, including MRI/ MRA/MRV, CT, CTA, ultrasound, PET CT, myocardial scintigraphy, and chest X-ray, have made remarkable progress in the diagnosis and treatment planning of various cardiovascular diseases. Authors are invited to submit papers for publication in this Special Issue that discuss recent developments in clinical research that could potentially minimize or avoid radiation and iodinated contrast media, as well as the practice of cardiac imaging technology. Original research articles and comments regarding the future direction of research are also welcome.

Dr. Manuela Adelinde Aschauer
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cardiovascular diseases
  • cardiac imaging
  • cardiovascular magnetic resonance imaging and angiogrphy (MR, MRA)
  • coronary CT angiography
  • cardiac computed tomography
  • cardiac ultrasound
  • myocardial szintigraphy
  • PET
  • CT
  • chest X-ray

Published Papers (1 paper)

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Research

13 pages, 5740 KiB  
Article
Casting Light on The Hidden Prevalence: A Novel Perspective on Hypoplastic Coronary Artery Disease
by Alexandra-Simona Zamfir, Cristian Stătescu, Radu Andy Sascău, Grigore Tinică, Carmen Lăcrămioara Zamfir, Tudor-Andrei Cernomaz, Raluca Ozana Chistol, Daniela Boișteanu and Anca Sava
J. Clin. Med. 2024, 13(9), 2555; https://doi.org/10.3390/jcm13092555 - 26 Apr 2024
Viewed by 228
Abstract
Background and Objectives: Coronary artery anomalies (CAAs) represent a group of rare cardiac abnormalities with an incidence of up to 1.2%. The aim of this retrospective study was to conduct a comprehensive epidemiological assessment of the prevalence of hypoplastic coronary arteries using coronary [...] Read more.
Background and Objectives: Coronary artery anomalies (CAAs) represent a group of rare cardiac abnormalities with an incidence of up to 1.2%. The aim of this retrospective study was to conduct a comprehensive epidemiological assessment of the prevalence of hypoplastic coronary arteries using coronary computed tomography angiography (CCTA) in patients with diagnosed CAAs and individuals presenting with cardiovascular manifestations in the north-eastern region of Romania. This study was motivated by the limited investigation of the CAAs conducted in this area. Methods: We analyzed data collected from 12,758 coronary computed tomography angiography (CCTA) records available at the “Prof. Dr. George I.M. Georgescu” Cardiovascular Diseases Institute, spanning the years 2012 to 2022. Results: Among 350 individuals with CAAs (2.7% of the total cohort), 71 patients (20.3% of the anomaly presenting group and 0.5% of the entire CCTA cohort) exhibited at least one hypoplastic coronary artery. The mean age of individuals diagnosed with hypoplastic coronary artery disease (HCAD) was 61 years, while the age distribution among them ranged from 22 to 84 years. Nearly equal cases of right and left dominance (33 and 31, respectively) were observed, with only 7 cases of co-dominance. Conclusions: HCAD may be considered underexplored in current published research, despite its potentially significant implications ranging to an increased risk of sudden cardiac arrest. The specific prevalence of HCAD among CAAs might be higher than previously reported, possibly reflecting better diagnostic accuracy of CCTA over classic coronary imaging. The absence of standard diagnostic and therapeutic protocols for HCAD underscores the necessity of a personalized approach for such cases. Full article
(This article belongs to the Special Issue Clinical Application and Research Progress of Cardiac Imaging)
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