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Diagnosis of Cardiac Diseases

For decades, non-invasive cardiac assessment has been at the center of interest. Non-invasive imaging modalities, such as MSCT, MRI, SPECT, PET, and echocardiography, provide valuable cardiac information, and all have been used to measure cardiac morphology, function, perfusion, viability of myocardium, and coronary anatomy for clinical management and research. The last decade brought major…

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Tissue Doppler Imaging of the Fetal Heart

In the last 25 years, fetal echocardiography has become established as an integral component of prenatal medicine. Structural heart defects are found in approx. 0.8% of all foetuses. They are consequently comparatively frequent and head the list of isolated fetal organ malformations. Routine screening of the four-chamber view and the outflow tract allows the experienced investigator to detect…

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Sonography in Renal Disease

Ultrasound examination of the renal tract is one of the primary imaging methods to verify the presence of urinary obstruction, calculi, neoplasms, and other focal findings. This short article summarises important aspects of sonography for some typical renal abnormalities without claiming to be a comprehensive treatment. Since sonography is frequently nonspecific, clinical laboratory findings are…

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Central Patient Admissions - the new Task and Challenge for Ultrasound

In Germany, a comprehensive reimbursement system designed around Diagnosis Related Groups (DRGs) was introduced following the Health Reform Act of 2000. The previous method of payment, wherein the number of treatment days was multiplied by the amount allowed per treatment day, was discarded. The new DRG-based payment system requires the optimization of patient treatment, from admission to…

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Stroke Imaging: The Procedure in Practice

In the past, native computed tomography of the neurocranium (CCT) was often the only procedure to diagnose a stroke. Technical limitations of previous generations of scanners made their use impractical for complementary methods of visualising blood vessels or for perfusion imaging. With the introduction of multi-slice spiral CT these technical limitations disappeared and both perfusion CT (PCT)…

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Stroke Imaging: Foundations and Strategy

Diagnostic imaging is of particular value in investigating ischaemic cerebrovascular accidents since, due to the rapid progression of cell destruction in the region of the cerebral infarction, the radiologist is faced with urgent questions regarding a possible procedure. These questions may be answered particularly well using computed tomography (CT). The following article provides an overview…

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CT Perfusion of the Brain

CT assisted dynamic perfusion imaging (perfusion CT, PCT) has evolved in recent years with the introduction of the multi-slice spiral technique, the use of study protocols with lower injection rates and improved evaluation programmes.

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Dyssynchrony Imaging

Dyssynchrony Imaging (DI), Toshiba's novel Doppler technology, is used as a quantitative clinical tool for rapid assessment of dyssynchrony in patients with suspected myomechanical dysfunction. From the parasternal short axis view, DI is applied by Toshiba's exclusive “angle-correction” technology and in apical views by standard Doppler imaging. Thus, DI permits evaluation of virtually all…

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What's your prediction for MR? 'Expect the unexpected'

Since April, there's been a new man at GE Healthcare´s global MRI division; its new Vice President and General Manager is James E Davis. Meike Lerner caught up with him during the International Society for Magnetic Resonance in Medicine Congress, held recently in Berlin

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Tissue elasticity reveals tumours

When equally compressed, the tissue and structure of tumours and inflammations are harder than normal tissue. Hitachi explains that, taking advantage of these alterations, the sono-elastography technique conducts real-time measurements of elasticity ratios during minor pressure to the breast, using conventional ultrasound transducers.

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