Imaging the Right Heart-Pulmonary Circulation Unit: The Role of MRI and Computed Tomography

Santo Dellegrottaglie¹, Ellen Ostenfeld², Javier Sanz³, Alessandra Scatteia⁴, Pasquale Perrone-Filardi⁵, Eduardo Bossone⁶

Affiliations

¹ Division of Cardiology, Ospedale Accreditato Villa dei Fiori, Acerra, Naples 80011, Italy; Zena and Michael A. Wiener Cardiovascular Institute, Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. Electronic address: sandel74@hotmail.com.
² Department of Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund 22185, Sweden; Clinical Physiology, Skåne University Hospital, Lund University, Lund 22185, Sweden.
³ Zena and Michael A. Wiener Cardiovascular Institute, Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
⁴ Division of Cardiology, Ospedale Accreditato Villa dei Fiori, Acerra, Naples 80011, Italy.
⁵ Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples 80131, Italy.
⁶ Heart Department, Cardiology Division, "Cava de' Tirreni and Amalfi Coast" Hospital, University of Salerno, Salerno 84013, Italy.

PMID: 29966635
DOI: 10.1016/j.hfc.2018.03.004

Review

Imaging the Right Heart-Pulmonary Circulation Unit: The Role of MRI and Computed Tomography

Santo Dellegrottaglie et al. Heart Fail Clin. 2018 Jul.

. 2018 Jul;14(3):377-391.

doi: 10.1016/j.hfc.2018.03.004.

Authors

Santo Dellegrottaglie¹, Ellen Ostenfeld², Javier Sanz³, Alessandra Scatteia⁴, Pasquale Perrone-Filardi⁵, Eduardo Bossone⁶

Affiliations

¹ Division of Cardiology, Ospedale Accreditato Villa dei Fiori, Acerra, Naples 80011, Italy; Zena and Michael A. Wiener Cardiovascular Institute, Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. Electronic address: sandel74@hotmail.com.
² Department of Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund 22185, Sweden; Clinical Physiology, Skåne University Hospital, Lund University, Lund 22185, Sweden.
³ Zena and Michael A. Wiener Cardiovascular Institute, Marie-Josee and Henry R. Kravis Center for Cardiovascular Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
⁴ Division of Cardiology, Ospedale Accreditato Villa dei Fiori, Acerra, Naples 80011, Italy.
⁵ Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples 80131, Italy.
⁶ Heart Department, Cardiology Division, "Cava de' Tirreni and Amalfi Coast" Hospital, University of Salerno, Salerno 84013, Italy.

PMID: 29966635
DOI: 10.1016/j.hfc.2018.03.004

Abstract

The different components of the right heart pulmonary circulation unit can be investigated by MRI and computed tomography. MRI has clear advantages over echocardiography for accurate definition of right heart function and structure and to derive functional information regarding the pulmonary vasculature. Computed tomography is superior for the assessment of parenchymal and vascular pathologies of the lung with indications in the diagnostic work-up of pulmonary hypertension, but with more limited capability to evaluate right ventricular function and in deriving pulmonary hemodynamics. Recent technical developments with these imaging modalities could allow a better evaluation of the right heart pulmonary circulation unit.

Keywords: Cardiovascular MRI; Computed tomography; Pulmonary circulation; Pulmonary hypertension; Right ventricle.

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Imaging the Right Heart-Pulmonary Circulation Unit: The Role of MRI and Computed Tomography

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Imaging the Right Heart-Pulmonary Circulation Unit: The Role of MRI and Computed Tomography

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