Multimodality Imaging in Ischemic Chronic Cardiomyopathy

Giuseppe Muscogiuri; Marco Guglielmo; Alessandra Serra; Marco Gatti; Valentina Volpato; Uwe Joseph Schoepf; Luca Saba; Riccardo Cau; Riccardo Faletti; Liam J. McGill; Carlo Nicola De Cecco; Gianluca Pontone; Serena Dell’Aversana; Sandro Sironi

doi:10.3390/jimaging8020035

Journal of Imaging (Feb 2022)

Multimodality Imaging in Ischemic Chronic Cardiomyopathy

Giuseppe Muscogiuri,
Marco Guglielmo,
Alessandra Serra,
Marco Gatti,
Valentina Volpato,
Uwe Joseph Schoepf,
Luca Saba,
Riccardo Cau,
Riccardo Faletti,
Liam J. McGill,
Carlo Nicola De Cecco,
Gianluca Pontone,
Serena Dell’Aversana,
Sandro Sironi

Affiliations

Giuseppe Muscogiuri: Department of Radiology, Istituto Auxologico Italiano IRCCS, San Luca Hospital, University Milano Bicocca, 20149 Milan, Italy
Marco Guglielmo: Department of Cardiology, Division of Heart and Lungs, Utrecht University, Utrecht University Medical Center, 3584 Utrecht, The Netherlands
Alessandra Serra: Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari-Polo di Monserrato, 09042 Cagliari, Italy
Marco Gatti: Radiology Unit, Department of Surgical Sciences, University of Turin, 10124 Turin, Italy
Valentina Volpato: Department of Cardiac, Neurological and Metabolic Sciences, Istituto Auxologico Italiano IRCCS, San Luca Hospital, University Milano Bicocca, 20149 Milan, Italy
Uwe Joseph Schoepf: Department of Radiology and Radiological Science, MUSC Ashley River Tower, Medical University of South Carolina, 25 Courtenay Dr, Charleston, SC 29425, USA
Luca Saba: Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari-Polo di Monserrato, 09042 Cagliari, Italy
Riccardo Cau: Department of Radiology, Azienda Ospedaliero Universitaria (A.O.U.), di Cagliari-Polo di Monserrato, 09042 Cagliari, Italy
Riccardo Faletti: Radiology Unit, Department of Surgical Sciences, University of Turin, 10124 Turin, Italy
Liam J. McGill: Department of Radiology and Radiological Science, MUSC Ashley River Tower, Medical University of South Carolina, 25 Courtenay Dr, Charleston, SC 29425, USA
Carlo Nicola De Cecco: Division of Cardiothoracic Imaging, Nuclear Medicine and Molecular Imaging, Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA 30322, USA
Gianluca Pontone: Centro Cardiologico Monzino IRCCS, 20138 Milan, Italy
Serena Dell’Aversana: Department of Radiology, Ospedale S. Maria Delle Grazie—ASL Napoli 2 Nord, 80078 Pozzuoli, Italy
Sandro Sironi: School of Medicine and Post Graduate School of Diagnostic Radiology, University of Milano-Bicocca, 20126 Milan, Italy

DOI: https://doi.org/10.3390/jimaging8020035
Journal volume & issue: Vol. 8, no. 2
p. 35

Abstract

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Ischemic chronic cardiomyopathy (ICC) is still one of the most common cardiac diseases leading to the development of myocardial ischemia, infarction, or heart failure. The application of several imaging modalities can provide information regarding coronary anatomy, coronary artery disease, myocardial ischemia and tissue characterization. In particular, coronary computed tomography angiography (CCTA) can provide information regarding coronary plaque stenosis, its composition, and the possible evaluation of myocardial ischemia using fractional flow reserve CT or CT perfusion. Cardiac magnetic resonance (CMR) can be used to evaluate cardiac function as well as the presence of ischemia. In addition, CMR can be used to characterize the myocardial tissue of hibernated or infarcted myocardium. Echocardiography is the most widely used technique to achieve information regarding function and myocardial wall motion abnormalities during myocardial ischemia. Nuclear medicine can be used to evaluate perfusion in both qualitative and quantitative assessment. In this review we aim to provide an overview regarding the different noninvasive imaging techniques for the evaluation of ICC, providing information ranging from the anatomical assessment of coronary artery arteries to the assessment of ischemic myocardium and myocardial infarction. In particular this review is going to show the different noninvasive approaches based on the specific clinical history of patients with ICC.

Published in Journal of Imaging

ISSN: 2313-433X (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Technology: Photography; Medicine: Medicine (General): Computer applications to medicine. Medical informatics; Science: Mathematics: Instruments and machines: Electronic computers. Computer science
Website: http://www.mdpi.com/journal/jimaging

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