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Wetscherek M, Rutschke W, Frank C, Stehning C, Lurz P, Grothoff M, Thiele H, Gutberlet M, Lücke C. High inter- and intra-observer agreement in mapping sequences compared to classical Lake Louise Criteria assessment of myocarditis by inexperienced observers. Clin Radiol 2020; 75:796.e17-796.e26. [DOI: 10.1016/j.crad.2020.05.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Accepted: 05/08/2020] [Indexed: 11/24/2022]
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Mehl S, Fröhlich M, Hausmann H, Plotkin M, Ruf J, Denecke T, Spors B, Grothoff M, Hetzer R, Felix R, Amthauer H, Gutberlet M. Determination of ventricular volumes in coronary artery disease. Nuklearmedizin 2018. [DOI: 10.1055/s-0038-1623936] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Summary
Aim: Comparison of two gated SPECT analysis tools – gated SPECT quantification (GSQ) and emory cardiac toolbox (ECT) – in patients with coronary artery disease (CAD) and severely impaired left ventricular function (preoperative: EF <35% by cardiac catheter). Patients, methods: A total of 56 gatedSPECT examinations (oneday hybrid-protocol with 201Tl-chloride for rest and 99mTcsestamibi for stress applied during low-dose dobutamine stress MR-examination; temporal resolution; 8 phases per cardiac cycle) were performed in 36 patients (31 preoperatively, 25 postoperatively) and compared with MRI in 48 cases. Left ventricular end-diastolic (LV-EDV) and end-systolic (LV-ESV) volumes as well as the left ventricular ejection fraction (LV-EF) were calculated. Results: The total volumetric assessment by both analysis algorithms (n = 56) showed good intraclass correlation coefficients preoperatively (n=31), but even better postoperatively (n=25). The mean reconstruction time was approximately 3 minutes (±2 SD) for GSQ and 15 minutes (±5 SD) for ECT. In comparison to MRI the results of both analysis tools also correlated well, but the agreement decreased in the presence of scared tissue. The mean LV-EF (MRI) preoperatively was 30.4%, in 6/36 patients above the values calculated from cardiac catheter, postoperatively 34.6%. Conclusion: Both gated SPECT analysis tools showed reliable volumetric assessments in high-risk patients with CAD and severely reduced LV-EF in comparison to MRI, with advantages for GSQ in terms of postprocessing time. However, for the calculation of LV-EF a markedly lower concordance with MR-results was observed for both methods depending on the presence of myocardial scars.
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Lücke C, Oppolzer B, Werner P, Foldyna B, Lurz P, Jochimsen T, Brenneis B, Lehmkuhl L, Sattler B, Grothoff M, Barthel H, Sabri O, Gutberlet M. Comparison of volumetric and functional parameters in simultaneous cardiac PET/MR: feasibility of volumetric assessment with residual activity from prior PET/CT. Eur Radiol 2017; 27:5146-5157. [PMID: 28631080 PMCID: PMC5674117 DOI: 10.1007/s00330-017-4896-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Revised: 04/24/2017] [Accepted: 05/12/2017] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To compare cardiac left ventricular (LV) parameters in simultaneously acquired hybrid fluorine-18-fluorodeoxyglucose ([18F] FDG) positron emission tomography/magnetic resonance imaging (PET/MRI) in patients with residual tracer activity of upstream PET/CT. METHODS Twenty-nine patients (23 men, age 58±17 years) underwent cardiac PET/MRI either directly after a non-cardiac PET/CT with homogenous cardiac [18F] FDG uptake (n=20) or for viability assessment (n=9). Gated cardiac [18F] FDG PET and cine MR sequences were acquired simultaneously and evaluated blinded to the cross-imaging results. Image quality (IQ), end-diastolic (LVEDV), end-systolic volume (LVESV), ejection fraction (LVEF) and myocardial mass (LVMM) were measured. Pearson correlation and intraclass correlation coefficient (ICC), regression and a Bland-Altman analysis were assessed. RESULTS Except LVMM, volumetric and functional LV parameters demonstrated high correlations (LVESV: r=0.97, LVEDV: r=0.95, LVEF: r=0.91, LVMM: r=0.87, each p<0.05), but wide limits of agreement (LOA) for LVEDV (-25.3-82.5ml); LVESV (-33.1-72.7ml); LVEF (-18.9-14.8%) and LVMM (-78.2-43.2g). Intra- and interobserver reliability were very high (ICC≥0.95) for all parameters, except for MR-LVEF (ICC=0.87). PET-IQ (0-3) was high (mean: 2.2±0.9) with significant influence on LVMM calculations only. CONCLUSION In simultaneously acquired cardiac PET/MRI data, LVEDV, LVESV and LVEF show good agreement. However, the agreement seems to be limited if cardiac PET/MRI follows PET/CT and only the residual activity is used. KEY POINTS • [ 18 F] FDG PET-MRI is feasible with residual [ 18 F] FDG activity in patients with homogenous cardiac uptake. • Cardiac volumes and function assessed by PET/MRI show good agreement. • LVEDV and LVESV are underestimated; PET overestimates LVMM and LVEF. • Cardiac PET and MRI data correlate better when acquired simultaneously than sequentially. • PET and MRI should not assess LV parameters interchangeably.
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Affiliation(s)
- C Lücke
- Department of Diagnostic and Interventional Radiology, University Leipzig - Heart Center, Strümpellstr. 39, 04289, Leipzig, Germany.
| | - B Oppolzer
- Department of Nuclear Medicine, University Hospital Leipzig, Leipzig, Germany
| | - P Werner
- Department of Nuclear Medicine, University Hospital Leipzig, Leipzig, Germany
| | - B Foldyna
- Department of Diagnostic and Interventional Radiology, University Leipzig - Heart Center, Strümpellstr. 39, 04289, Leipzig, Germany
- Cardiac MR PET CT Program, Massachusetts General Hospital - Harvard Medical School, Boston, MA, USA
| | - P Lurz
- Clinic for Internal Medicine/Cardiology, University Leipzig - Heart Center, Leipzig, Germany
| | - T Jochimsen
- Department of Nuclear Medicine, University Hospital Leipzig, Leipzig, Germany
| | - B Brenneis
- Department of Diagnostic and Interventional Radiology, University Leipzig - Heart Center, Strümpellstr. 39, 04289, Leipzig, Germany
| | - L Lehmkuhl
- Radiologische Klinik, Herz- und Gefäß-Klinik GmbH, Bad Neustadt, Germany
| | - B Sattler
- Department of Nuclear Medicine, University Hospital Leipzig, Leipzig, Germany
| | - M Grothoff
- Department of Diagnostic and Interventional Radiology, University Leipzig - Heart Center, Strümpellstr. 39, 04289, Leipzig, Germany
| | - H Barthel
- Department of Nuclear Medicine, University Hospital Leipzig, Leipzig, Germany
| | - O Sabri
- Department of Nuclear Medicine, University Hospital Leipzig, Leipzig, Germany
| | - M Gutberlet
- Department of Diagnostic and Interventional Radiology, University Leipzig - Heart Center, Strümpellstr. 39, 04289, Leipzig, Germany
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Lehmkuhl L, Fischer A, Andres C, Foldyna B, Lücke C, Grothoff M, Gutberlet M. Dynamische CT-Angiografie bei Patienten mit infrarenalem Bauchaortenaneurysma nach endovaskulärer Stentgraftimplantation (EVAR): Klinische Relevanz von Typ-II-Endoleaks im Langzeitverlauf. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Grothoff M. Fallbasierte Differenzialdiagnose: Akuter Infarkt, Myokarditis, TakoTsubo. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Lücke C, Rutschke W, Lurz P, Pershina E, Grothoff M, Stiermaier T, Foldyna B, Schuler G, Lehmkuhl L, Eitel I, Gutberlet M. Diagnostischer Wert von T1- und T2-Mapping zur Differenzialdiagnose bei akutem Koronarsyndrom. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Grothoff M. KHK: Ischämie. ROFO-FORTSCHR RONTG 2016. [DOI: 10.1055/s-0036-1581429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Grothoff M, Mende M, Gräfe D, Dähnert I, Kostelka M, Hoffmann J, Freyhardt P, Lehmkuhl L, Gutberlet M, Mahler A. Dimensions of the Ascending Aorta in Children and Adolescents with Repaired Tetralogy of Fallot Obtained by Cardiac Magnetic Resonance Angiography. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Burbelko M, Wagner HJ, Gutberlet M, Grothoff M. [Image-guided pain therapy. Sympathicolysis]. Radiologe 2015; 55:462-9. [PMID: 26063075 DOI: 10.1007/s00117-014-2802-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND In the autonomic nerve system most sympathetic neurons synapse peripherally in the ganglia of the sympathetic trunk. A reduction in sympathicotonia by partial elimination of these ganglia is a therapeutic approach that has been used for more than 100 years. In the early 1920s the first attempts at percutaneous sympathicolysis (SL) were carried out. Nowadays, minimally invasive image-guided SL has become an integral part of interventional radiology. Established indications for SL are hyperhidrosis, critical limb ischemia and the complex regional pain syndrome. METHODS The standard imaging guidance modality in SL is computed tomography (CT) which allows the exact placement of the puncture needle in the target area under visualization of the surrounding structures. Ethanol is normally used for chemical lysis, which predominantly eliminates the unmyelinated autonomic axons. In order to visualize the distribution of the ethanol during application, iodine-containing contrast medium is added. RESULTS The sympathetic nervous system (SNS) controls sweat secretion via the efferent neurons; therefore, effective therapy of idiopathic palmar, axillary and plantar hyperhidrosis can be achieved when SL is performed at the corresponding level of the sympathetic trunk. Furthermore, due to the vasomotor innervation of most blood vessels, by reduction of the sympathicotonus an atony of the smooth muscles and therefore vasodilatation occurs, which is used as a palliative therapeutic option in patients with critical limb ischemia. By elimination of the afferent sensory fibers this also results in pain relief. This principle is also used in the SL therapy of the complex regional pain syndrome. CONCLUSION After the introduction of CT guidance, major complications have become rare events. In addition to the usual risks of percutaneous interventions there are, however, a number of specific complications, such as syncope caused by irritation of cardiac sympathetic nerves in thoracic SL and ureteral injury in lumbar SL.
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Affiliation(s)
- M Burbelko
- Institut für Radiologie und Interventionelle Therapie, Vivantes Klinikum im Friedrichshain, Landsberger Allee 49, 10249, Berlin, Deutschland,
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Grothoff M. Aktuelle klinische Studien – was wissen wir? ROFO-FORTSCHR RONTG 2015. [DOI: 10.1055/s-0035-1550938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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von Aspern K, Foldyna B, Etz CD, Hoyer A, Girrbach F, Holzhey D, Lücke C, Grothoff M, Linke A, Mohr FW, Gutberlet M, Lehmkuhl L. Effective diameter of the aortic annulus prior to transcatheter aortic valve implantation: influence of area-based versus perimeter-based calculation. Int J Cardiovasc Imaging 2014; 31:163-9. [DOI: 10.1007/s10554-014-0527-4] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2014] [Accepted: 08/24/2014] [Indexed: 11/28/2022]
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Lücke C, Foldyna B, Andres C, Boehmer-Lasthaus S, Grothoff M, Nitzsche S, Gutberlet M, Lehmkuhl L. Post-processing in cardiovascular computed tomography: performance of a client server solution versus a stand-alone solution. ROFO-FORTSCHR RONTG 2014; 186:1111-21. [PMID: 25122171 DOI: 10.1055/s-0034-1366726] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
PURPOSE To compare the performance of server-based (CSS) versus stand-alone post-processing software (ES) for the evaluation of cardiovascular CT examinations (cvCT) and to determine the crucial steps. MATERIALS AND METHODS Data of 40 patients (20 patients for coronary artery evaluation and 20 patients prior to transcatheter aortic valve implantation [TAVI]) were evaluated by 5 radiologists with CSS and ES. Data acquisition was performed using a dual-source 128-row CT unit (SOMATOM Definition Flash, Siemens, Erlangen, Germany) and a 64-row CT unit (Brilliance 64, Philips, Hamburg, Germany). The following workflow was evaluated: Data loading, aorta and coronary segmentation, curved multiplanar reconstruction (cMPR) and 3 D volume rendering technique (3D-VRT), measuring of coronary artery stenosis and planimetry of the aortic annulus. The time requirement and subjective quality for the workflow were evaluated. RESULTS The coronary arteries as well as the TAVI data could be evaluated significantly faster with CSS (5.5 ± 2.9 min and 8.2 ± 4.0 min, respectively) than with ES (13.9 ± 5.2 min and 15.2 ± 10.9 min, respectively, p ≤ 0.01). Segmentation of the aorta (CSS: 1.9 ± 2.0 min, ES: 3.7 ± 3.3 min), generating cMPR of coronaries (CSS: 0.5 ± 0.2 min, ES: 5.1 ± 2.6 min), aorta and iliac vessels (CSS: 0.5 ± 0.4 min and 0.4 ± 0.4 min, respectively, ES: 1.6 ± 0.7 min and 2.8 ± 3 min, respectively) could be performed significantly faster with CSS than with ES with higher quality of cMPR, measuring of coronary stenosis and 3D-VRT (p < 0.05). CONCLUSION Evaluation of cvCT can be accomplished significantly faster and better with CSS than with ES. The segmentation remains the most time-consuming workflow step, so optimization of segmentation algorithms could improve performance even further.
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Affiliation(s)
- C Lücke
- Diagnostic and Interventional Radiology, University Leipzig - Heart Centre, Leipzig
| | - B Foldyna
- Diagnostic and Interventional Radiology, University Leipzig - Heart Centre, Leipzig
| | - C Andres
- Diagnostic and Interventional Radiology, University Leipzig - Heart Centre, Leipzig
| | | | - M Grothoff
- Diagnostic and Interventional Radiology, University Leipzig - Heart Centre, Leipzig
| | - S Nitzsche
- Diagnostic and Interventional Radiology, University Leipzig - Heart Centre, Leipzig
| | - M Gutberlet
- Diagnostic and Interventional Radiology, University Leipzig - Heart Centre, Leipzig
| | - L Lehmkuhl
- Diagnostic and Interventional Radiology, University Leipzig - Heart Centre, Leipzig
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Lücke C, Rutschke W, Frank C, Lurz P, Grothoff M, Eitel I, Thiele H, Lehmkuhl L, Gutberlet M. Interobservervariabilität von T1- und T2-Mapping Sequenzen der kardialen MRT bei Patienten mit klinischem Verdacht auf Myokarditis. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lehmkuhl L, Schaaf S, Foldyna B, Lücke C, Andres C, Aspern KV, Grothoff M, Gutberlet M. Prädiktoren für aortale Größenzunahmen. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lücke C, Hermeling T, Desch S, Eitel I, Grothoff M, Thiele H, Gutberlet M. Evaluation von T1 und T2 Mapping beim akuten Koronarsyndrom. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Grothoff M. Was bedeutet LGE für die Prognose. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Grothoff M, Piorkowski C, Sommer P, Hindricks G, Lehmkuhl L, Gutberlet M. MRI-guided Electrophysiological Interventions in Swine using Active Tracking and passive Catheter Visualization. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Preim U, Sommer P, Hoffmann J, Kehrmann J, Lehmkuhl L, Daehnert I, Gutberlet M, Grothoff M. Delayed Enhancement Bildgebung mit einer modernen PSIR-Sequenz bei Patienten mit korrigierter Fallot-Tetralogie. ROFO-FORTSCHR RONTG 2014. [DOI: 10.1055/s-0034-1372879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Etz C, Haunschild J, Luehr M, Hoyer A, Girrbach F, von Aspern K, Grothoff M, Gutberlet M, Misfeld M, Mohr FW. Bicuspidalization of the native tricuspid Aortic Valve: A new experimental model to isolate the effect of altered 'Flow-Architecture' on Ascending/Root Disease. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lurz P, Eitel I, Klieme B, Luecke C, de Waha S, Desch S, Fuernau G, Klingel K, Kandolf R, Grothoff M, Schuler G, Gutberlet M, Thiele H. The potential additional diagnostic value of assessing for pericardial effusion on cardiac magnetic resonance imaging in patients with suspected myocarditis. Eur Heart J Cardiovasc Imaging 2013; 15:643-50. [DOI: 10.1093/ehjci/jet267] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
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Lehmkuhl L, Foldyna B, Haensig M, von Aspern K, Lücke C, Andres C, Grothoff M, Riese F, Nitzsche S, Holzhey D, Linke A, Mohr FW, Gutberlet M. Role of preprocedural computed tomography in transcatheter aortic valve implantation. ROFO-FORTSCHR RONTG 2013; 185:941-949. [PMID: 24490256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
UNLABELLED Transcatheter aortic valve implantation (TAVI) is currently considered an acceptable alternative for the treatment of patients with severe aortic stenosis and a high perioperative risk or a contraindication for open surgery. The benefit of TAVI significantly outweighs the risk of the procedure in patients requiring treatment that are not suitable for open surgery, and leads to a lower mortality in the one-year follow-up. The absence of a direct view of the aortic root and valve remains a challenge for the transcatheter approach. While direct inspection of the aortic valve during open surgery allows an adequate prosthesis choice, it is crucial for TAVI to know the individual anatomical details prior to the procedure in order to assure adequate planning of the procedure and proper prosthesis choice and patient selection. Among the imaging modalities available for the evaluation of patients prior to TAVI, computed tomography (CT) plays a central role in patient selection. CT reliably visualizes the dimensions of the aortic root and allows a proper choice of the prosthesis size. The morphology of the access path and relevant comorbidities can be assessed. The present review summarizes the current state of knowledge regarding the value of CT in the evaluation of patients prior to TAVI. CT plays a central role in patient selection and planning prior to TAVI. CT reliably detects the dimensions of the aortic root including the size of the aortic annulus, the degree of valve calcification and the morphology of the access routes. KEY POINTS CT plays a central role in patient selection and planning prior to TAVI. CT reliably detects the dimensions of the aortic root including the size of the aortic annulus, the degree of valve calcification and the morphology of the access routes. CT provides a more accurate measurement of the aortic annulus than 2D TEE and CT is the only imaging modality that allows a risk assessment for paravalvular leakages based on the calcification of the aortic valve.
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Lehmkuhl L, Foldyna B, Haensig M, von Aspern K, Lücke C, Andres C, Grothoff M, Riese F, Nitzsche S, Holzhey D, Linke A, Mohr FW, Gutberlet M. Role of Preprocedural Computed Tomography in Transcatheter Aortic Valve Implantation. ROFO-FORTSCHR RONTG 2013; 184:941-9. [DOI: 10.1055/s-0033-1350416] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- L. Lehmkuhl
- Dept. of Interventional and Diagnostic Radiology, University of Leipzig - Heart Center, Leipzig
| | - B. Foldyna
- Dept. of Interventional and Diagnostic Radiology, University of Leipzig - Heart Center, Leipzig
| | - M. Haensig
- Clinic for Cardiac Surgery, University of Leipzig - Heart Center, Leipzig
| | - K. von Aspern
- Clinic for Cardiac Surgery, University of Leipzig - Heart Center, Leipzig
| | - C. Lücke
- Dept. of Interventional and Diagnostic Radiology, University of Leipzig - Heart Center, Leipzig
| | - C. Andres
- Dept. of Interventional and Diagnostic Radiology, University of Leipzig - Heart Center, Leipzig
| | - M. Grothoff
- Dept. of Interventional and Diagnostic Radiology, University of Leipzig - Heart Center, Leipzig
| | - F. Riese
- Dept. of Interventional and Diagnostic Radiology, University of Leipzig - Heart Center, Leipzig
| | - S. Nitzsche
- Dept. of Interventional and Diagnostic Radiology, University of Leipzig - Heart Center, Leipzig
| | - D. Holzhey
- Clinic for Cardiac Surgery, University of Leipzig - Heart Center, Leipzig
| | - A. Linke
- Dept. of Cardiology, University of Leipzig - Heart Center, Leipzig
| | - F.-W. Mohr
- Clinic for Cardiac Surgery, University of Leipzig - Heart Center, Leipzig
| | - M. Gutberlet
- Dept. of Interventional and Diagnostic Radiology, University of Leipzig - Heart Center, Leipzig
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Affiliation(s)
- U Halm
- Park-Krankenhaus Leipzig, Klinik für Innere Medizin II, Leipzig, Germany.
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Gutberlet M, Lücke C, Krieghoff C, Hildebrand L, Lurz P, Steiner J, Adam J, Eitel I, Thiele H, Grothoff M, Lehmkuhl L. [MRI for myocarditis]. Radiologe 2013; 53:30-7. [PMID: 23338247 DOI: 10.1007/s00117-012-2385-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Cardiovascular magnetic resonance imaging (CMRI) has become the primary tool for the non-invasive assessment in patients with suspected myocarditis, especially after exclusion of acute coronary syndrome (ACS) for the differential diagnosis. Various MRI parameters are available which have different accuracies. Volumetric and functional ventricular assessment and the occurrence of pericardial effusion alone demonstrate only a poor sensitivity and specificity. The calculation of the T2-ratio (edema assessment), the early or global relative myocardial enhancement (gRE) and the late gadolinium enhancement (LGE), which represents irreversibly injured myocardium, are more specific parameters. All MRI parameters demonstrate the best accuracy in infarct-like acute myocarditis, whereas in chronic myocarditis sensitivity and specificity are less accurate. Therefore, a multisequential (at least two out of three parameters are positive) approach is recommended. The assessment of the value of newer, more quantitative MRI sequences, such as T1 and T2-mapping is still under investigation.
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Affiliation(s)
- M Gutberlet
- Abteilung für Diagnostische und Interventionelle Radiologie, Herzzentrum, Universität Leipzig, Deutschland.
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Grothoff M, Tille M, Lehmkuhl L, Luecke C, Thiele H, Riese F, Nitzsche S, Gutberlet M. MRT Analyse des rechtsventrikulären Remodellings nach ST-Hebungsinfarkt. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Preim U, Hause F, Lehmkuhl L, Preim B, Greiser A, Grothoff M, Gutberlet M. Vergleich von 4D und 2D Phasenkontrast-Flussmessungen der großen mediastinalen Gefäße im MRT. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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27
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Grothoff M. Vergrößerte Vorhöfe. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1345904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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28
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Lücke C, Werner P, Grothoff M, Eitel I, Sabri O, Gutberlet M. Vergleich der Funktionsanalyse von synchron akquirierten Hybrid-PET-MRT-Daten. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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29
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Grothoff M. Komplikationen und follow-up. ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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30
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Foldyna B, Lücke C, Hänsig M, Holzhey DM, Andres C, Grothoff M, Mohr FW, Gutberlet M, Lehmkuhl L. Perioperative Komplikationen beim transapikalen Aortenklappenersatz (TA-AVI): Einfluss des anatomischen Winkels zwischen linksventrikulärer Längsachse und Ausflusstrakt in der Computertomografie (CT). ROFO-FORTSCHR RONTG 2013. [DOI: 10.1055/s-0033-1346475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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31
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Gutberlet M, Lücke C, Krieghoff C, Hildebrand L, Lurz P, Steiner J, Adam J, Eitel I, Thiele H, Grothoff M, Lehmkuhl L. Erratum zu: MRT bei Myokarditis. Radiologe 2013. [DOI: 10.1007/s00117-013-2487-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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32
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Grothoff M. Rechtsventrikuläre Dilatation - Untersuchungsprotokolle und Differentialdiagnosen. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1310674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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33
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Grothoff M. Die Rolle der MRT beim akuten Myokardinfarkt. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1310974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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34
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Andres C, Lehmkuhl L, Lücke C, Foldyna B, Schaaf S, Grothoff M, Nitzsche S, Scheinert D, Schmidt A, Gutberlet M. Post-EVAR Follow-Up infrarenaler Aortenaneurysmen mittels dynamischer CT-Angiographie (dCTA): Klinische Relevanz der neu detektierten Endoleaks. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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35
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Grothoff M, Sommer P, Eitel C, Lehmkuhl L, Piorkowski C, Hindricks G, Gutberlet M. Erste klinische Erfahrungen mit dem IMRICOR-MR-EP System: Magnetresonanztomographisch gesteuerte elektrophysiologische Intervention. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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36
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Foldyna BF, Lücke C, Aspern KV, Hänsig M, Schaaf S, Andres C, Grothoff M, Nitzsche S, Gutberlet M, Lehmkuhl L. Computertomographische Evaluation möglicher intraproceduraler Obstruktionen der Koronarostien durch die native Aortenklappentaschen während transapikaler Aortenklappenimplantation. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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37
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Lücke C, Andres C, Foldyna B, Grothoff M, Nitzsche S, Lehmkuhl L, Gutberlet M. Workflowanalyse einer „stand alone“- versus Client-Server-basierten 3D-Nachverarbeitung EKG-getriggerter kardialer Bilddaten. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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38
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Preim U, Hoffmann J, Gutberlet M, Grothoff M. Late Enhancement MR-Bildgebung des rechten Systemventrikels zur Detektion myokardialer Narben bei Transposition der großen Arterien. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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39
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Lehmkuhl L, Linke B, Musayeva L, Lücke C, Andres C, Foldyna B, Grothoff M, Nitzsche S, Gutberlet M. Bildqualität in der kraniellen Computertomographie (CT): Iterative Rekonstruktion im Vergleich zur Filtered Back-Projection. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0032-1311107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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40
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Foldyna B, Lücke C, Aspern KV, Hänsig M, Schaaf S, Andres C, Grothoff M, Nitzsche S, Gutberlet M, Lehmkuhl L. Computertomographische Evaluation möglicher intraproceduraler Obstruktionen der Koronarostien durch die native Aortenklappentaschen während transapikaler Aortenklappenimplantation. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0031-1300886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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41
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Schaaf S, Foldyna B, Lücke C, Andres C, Aspern KV, Grothoff M, Nitzsche S, Gutberlet M, Lehmkuhl L. Abweichungen zwischen unterschiedlich basierten aortalen Expansionsraten in der CT. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0031-1300917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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42
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Preim U, Hoffmann J, Gutberlet M, Grothoff M. Late Enhancement MR-Bildgebung des rechten Systemventrikels bei Transposition der großen Arterien zur Detektion myokardialer Narben. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0031-1300868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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43
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Hildebrand L, Krieghoff C, Grothoff M, Lehmkuhl L, Lücke C, Andres C, Nitzsche S, Barten M, Mohr FW, Gutberlet M. Wertigkeit der MRT zur Beurteilung einer Abstoßungsreaktion nach Herztransplantation in Korrelation zur Endomyokardbiopsie (EMB). ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0031-1300857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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44
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Lücke C, Karthe D, Grothoff M, Lehmkuhl L, Andres C, Eitel I, Thiele H, Gutberlet M. Prävalenz und Variabilität von Late Gadolinium „Mid-wall“ Enhancement (MLE) in Abhängigkeit von Untersuchererfahrung, Bildqualität und zugrundeliegender Erkrankung. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0031-1300878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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45
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Lücke C, Foldyna B, Andres C, Grothoff M, Nitzsche S, Gutberlet M, Lehmkuhl L. Einfluss von EKG-Qualitäten auf die Strahlendosis der prospektiv getriggerten Computertomografie des Herzens. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0031-1300863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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46
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Grothoff M, Elpert C, Hoffmann J, Eitel I, de Waha S, Thiele H, Gutberlet M. Rechtsherzbeteiligung bei akutem Myokardinfarkt in der MRT. ROFO-FORTSCHR RONTG 2012. [DOI: 10.1055/s-0031-1300900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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47
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Gutberlet M, Grothoff M, Lehmkuhl L, Lücke C, Rosner C, Ulrich M, Scheinert D. Endovaskuläre Rhenium-188 Brachytherapie bei langstreckigen femoro-poplitealen In-Stent-/und Restenosen: 6-Monats Follow-Up. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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48
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Grothoff M, Elpert C, Hoffmann J, de Waha S, Eitel I, Thiele H, Gutberlet M. Rechtsherzbeteiligung bei akutem Myokardinfarkt in der MRT. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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49
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Nitzsche S, Woischnick T, Lücke C, Grothoff M, Lehmkuhl L, Piorkowski C, Hindricks G, Gutberlet M. Beurteilung des linksatrialen und linksventrikulären Remodeling mit Kardio-MRT nach Ablationsbehandlung von Vorhofflimmern. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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50
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Andres C, Lehmkuhl L, Lücke C, Krieghoff C, Hoffmann J, Foldyna B, Schaaf S, Grothoff M, Nitzsche S, Scheinert D, Gutberlet M. Endoleak-Detektion in der 4D-CT-Angiographie (4D-CTA) nach endovaskulärer Stentgraftimplantation bei infrarenalem Bauchaortenaneurysma (EVAR): KM-Dynamik und optimaler Untersuchungszeitpunkt. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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