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Kasamatsu A, Takaya T, Mori S, Kashio K, Takahashi H, Ito T, Takamine S, Fujiwara S, Nishii T, Kono AK, Shinke T, Hirata KI. Reconstruction of an extracardiac aortocoronary collateral and simulation of selective angiography with multidetector-row computed tomography. Circulation 2015; 131:e476-9. [PMID: 25986450 DOI: 10.1161/circulationaha.114.015137] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Akira Kasamatsu
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tomofumi Takaya
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan.
| | - Shumpei Mori
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Kazuhiro Kashio
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Hachidai Takahashi
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tatsuro Ito
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Sachiko Takamine
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Sei Fujiwara
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tatsuya Nishii
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Atsushi K Kono
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Toshiro Shinke
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Hirata
- From Division of Cardiovascular Medicine, Department of Internal Medicine (A.K., T.T., S.M., K.K., H.T., T.I., S.T., S.F., T.S., K.-i.H.) and Department of Radiology (T.N., A.K.K.), Kobe University Graduate School of Medicine, Kobe, Japan
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Mori S, Fukuzawa K, Takaya T, Takamine S, Ito T, Fujiwara S, Nishii T, Kono AK, Yoshida A, Hirata KI. Clinical cardiac structural anatomy reconstructed within the cardiac contour using multidetector-row computed tomography: The arrangement and location of the cardiac valves. Clin Anat 2015; 29:364-70. [DOI: 10.1002/ca.22549] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2015] [Revised: 03/18/2015] [Accepted: 03/23/2015] [Indexed: 11/12/2022]
Affiliation(s)
- Shumpei Mori
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Koji Fukuzawa
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Tomofumi Takaya
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Sachiko Takamine
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Tatsuro Ito
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Sei Fujiwara
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Tatsuya Nishii
- Department of Radiology; Kobe University Graduate School of Medicine; Kobe Japan
| | - Atsushi K. Kono
- Department of Radiology; Kobe University Graduate School of Medicine; Kobe Japan
| | - Akihiro Yoshida
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Ken-Ichi Hirata
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
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Mori S, Fukuzawa K, Takaya T, Takamine S, Ito T, Fujiwara S, Nishii T, Kono AK, Yoshida A, Hirata KI. Clinical cardiac structural anatomy reconstructed within the cardiac contour using multidetector-row computed tomography: Left ventricular outflow tract. Clin Anat 2015; 29:353-63. [PMID: 25974872 DOI: 10.1002/ca.22547] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Revised: 03/09/2015] [Accepted: 03/17/2015] [Indexed: 11/11/2022]
Abstract
The left ventricular outflow tract (LVOT) is a common site of idiopathic ventricular arrhythmia. Many electrocardiographic characteristics for predicting the origin of arrhythmia have been reported, and their prediction rates are clinically acceptable. Because these approaches are inductive, based on QRS-wave morphology during the arrhythmia and endocardial or epicardial pacing, three-dimensional anatomical accuracy in identifying the exact site of the catheter position is essential. However, fluoroscopic recognition and definition of the anatomy around the LVOT can vary among operators, and three-dimensional anatomical recognition within the cardiac contour is difficult because of the morphological complexity of the LVOT. Detailed knowledge about the three-dimensional fluoroscopic cardiac structural anatomy could help to reduce the need for contrast medium injection and radiation exposure, and to perform safe interventions. In this article, we present a series of structural images of the LVOT reconstructed in combination with the cardiac contour using multidetector-row computed tomography. We also discuss the clinical implications of these findings based on the accumulated insights of research pioneers.
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Affiliation(s)
- Shumpei Mori
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Koji Fukuzawa
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tomofumi Takaya
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Sachiko Takamine
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tatsuro Ito
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Sei Fujiwara
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Tatsuya Nishii
- Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Atsushi K Kono
- Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Akihiro Yoshida
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Ken-Ichi Hirata
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan
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Mori S, Fukuzawa K, Takaya T, Takamine S, Ito T, Kinugasa M, Shigeru M, Fujiwara S, Nishii T, Kono AK, Yoshida A, Hirata KI. Optimal angulations for obtaining an en face view of each coronary aortic sinus and the interventricular septum: Correlative anatomy around the left ventricular outflow tract. Clin Anat 2015; 28:494-505. [DOI: 10.1002/ca.22521] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2015] [Revised: 01/15/2015] [Accepted: 01/18/2015] [Indexed: 11/11/2022]
Affiliation(s)
- Shumpei Mori
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Koji Fukuzawa
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Tomofumi Takaya
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Sachiko Takamine
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Tatsuro Ito
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Mitsuo Kinugasa
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Mayumi Shigeru
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Sei Fujiwara
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Tatsuya Nishii
- Department of Radiology; Kobe University Graduate School of Medicine; Kobe Japan
| | - Atsushi K Kono
- Department of Radiology; Kobe University Graduate School of Medicine; Kobe Japan
| | - Akihiro Yoshida
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
| | - Ken-Ichi Hirata
- Division of Cardiovascular Medicine, Department of Internal Medicine; Kobe University Graduate School of Medicine; Kobe Japan
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Ito T, K Kono A, Takamine S, Shigeru M, Mori S, Takaya T, Fujiwara S, Nishii T, Shiotani H, Sugimura K, Hirata KI. A Comparison of Quantitative T2 Mapping on Cardiovascular Magnetic Resonance Imaging with Metaiodobenzylguanidine Scintigraphy and Left Ventricular Functional Recovery in Dilated Cardiomyopathy: A Retrospective Pilot Study. Intern Med 2015; 54:2121-8. [PMID: 26328635 DOI: 10.2169/internalmedicine.54.4493] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE Metaiodobenzylguanidine (MIBG) scintigraphy is used to assess heart failure (HF) severity and to predict cardiac functional recovery. Cardiovascular magnetic resonance (CMR) imaging has recently been used to diagnosis HF. We evaluated CMR T2 mapping and MIBG scintigraphy in dilated cardiomyopathy (DCM) patients. METHODS Consecutively, 22 DCM patients [aged 56.8 ± 13.4 years; 6 women and 16 men; left ventricular ejection fraction (LVEF), 31.9 ± 10.7%] who underwent T2 mapping and MIBG scintigraphy were retrospectively evaluated. Echocardiography results were recorded at baseline and the 6-month follow-up. Patients with an increased LVEF ≥15% between the 2 measures were considered to be responders. We measured each patient's T2 values and MIBG indices [the heart-to-mediastinum ratio (H/M) in the early phase, H/M in the delayed phase, and the washout rate (WOR)] at baseline. We compared these values between the 12 responders and 10 non-responders. RESULTS The mean T2 value for all patients was 64.5 ± 6.6 ms. The mean values of early H/M, delayed H/M, and WOR were 2.06 ± 0.25, 1.94 ± 0.35, and 43.5 ± 11.8%, respectively. The T2 values were found to correlate with MIBG indices (p<0.05 for all) and were lower in the responders than non-responders (61.4 vs. 68.1 ms, p=0.013). MIBG indices were not significantly different. CONCLUSION Our study shows that the T2 values correlated with the MIBG indices and were increased in non-responders. T2 mapping may be useful in assessing the cardiac function and functional recovery in DCM patients.
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Affiliation(s)
- Tatsuro Ito
- Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
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Takamine S, Fujiwara S, Shigeru M, Ito T, Kawai H, Shiotani H, Hirata KI. Relationship of decreased accumulation of (99m)Tc-tetrofosmin on myocardial single-photon emission computed tomography images between QRS duration in dilated cardiomyopathy patient with left bundle branch block. J Nucl Cardiol 2014; 21:1023-8. [PMID: 24942610 DOI: 10.1007/s12350-014-9923-3] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2014] [Revised: 05/09/2014] [Indexed: 11/26/2022]
Abstract
PURPOSE This study aimed to clarify the relationship between severity of conduction delay in the left ventricle and myocardial uptake of (99m)Tc-tetrofosmin (TF) in dilated cardiomyopathy (DCM) patients with left bundle branch block (LBBB). METHODS AND RESULTS Thirty-two DCM patients with LBBB underwent electrocardiography and (99m)Tc-TF myocardial single-photon emission computed tomography (SPECT). SPECT images were acquired at 30 min (early images) and 3 h (late images) after injection. We calculated the total defect score (TDS) using a 20-segment model with a 5-point scoring system. The TDS in early and late images was defined as the summed early score (SES) and summed late score (SLS), respectively. On early images, 29 of 32 patients (91%) had decreased tracer uptake in the septum. All patients showed a decreased tracer uptake in the septum on late images. A significant correlation was observed between TDS (both SES and SLS) and QRS duration, with SLS showing an excellent correlation (SES: r = 0.554, P < 0.001; SLS: r = 0.779, P < 0.0001). CONCLUSIONS These findings suggest that in DCM patients with LBBB, hypoperfusion and myocardial damage in the septum might occur in accordance with an increase in the QRS duration.
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Affiliation(s)
- Sachiko Takamine
- Division of Cardiovascular and Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan,
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Mori S, Yamashita T, Takaya T, Kinugasa M, Takamine S, Shigeru M, Ito T, Fujiwara S, Nishii T, Kono AK, Hirata KI. Association between the rotation and three-dimensional tortuosity of the proximal ascending aorta. Clin Anat 2014; 27:1200-11. [DOI: 10.1002/ca.22452] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Accepted: 07/17/2014] [Indexed: 11/06/2022]
Affiliation(s)
- Shumpei Mori
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Tomoya Yamashita
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Tomofumi Takaya
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Mitsuo Kinugasa
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Sachiko Takamine
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Mayumi Shigeru
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Tatsuro Ito
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Sei Fujiwara
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
| | - Tatsuya Nishii
- Department of Radiology; Kobe University Graduate School of Medicine; Kobe Japan
| | - Atsushi K. Kono
- Department of Radiology; Kobe University Graduate School of Medicine; Kobe Japan
| | - Ken-ichi Hirata
- Division of Cardiovascular Medicine; Department of Internal Medicine, Kobe University Graduate School of Medicine; Kobe Japan
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