Cardiac Radiology: A 100 Year Review

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Cardiac-Interventional Radiography: 1.00
Procedures: 1.00
Diagnostic and Conduction System Studies: 1.00

Computed Tomography: 1.00
Procedures: 1.00
Neck and Chest: 1.00

Outline

1. Introduction
2. early Stages of Cardiac Imaging (Pre-1950
3. Radiography, Fluoroscopy, and Orthodiagraphy
4. Roentgen Kymography
5. Cardiac Angiography
6. Coronary Arteriography
7. Applications of Cardiac Angiography in Specific Acquired and Congenital Heart Disease
8. Iodinated Contrast Media
9. Cardiac US
10. Nuclear Medicine Imaging
11. Cardiac CT
12. Coronary Calcifications
13. Coronary CT Angiography
14. Morphologic MR Imaging
15. Congenital Heart Disease
16. Ischemic Heart Disease
17. Myocardial Perfusion Imaging
18. Functional MR Imaging
19. Coronary MR Angiography

Objectives

Upon completion of this course, students will:

1. know which radiographic views were used to image the heart
2. know which patient orientation was used for roentgen cinematography
3. know what anatomy was depicted by using barium to fill the esophagus
4. be familiar with an early technique for recording heart motion
5. know the route for contrast administration for early cardiac angiography
6. be aware of a significant advancement in coronary arteriography
7. be aware of the potential cardiotoxicity of ionic iodinated contrast media
8. know the definition of ionicity
9. list some advanced US imaging techniques
10. recognize some nuclear medicine agents used for cardiac imaging
11. be aware of some of the lesions cardiac CT demonstrated in the early 80s
12. be able to compare prospectively and retrospectively gated CT techniques
13. know the advantages of coronary CT angiography
14. understand imaging techniques to demonstrate pericardial thickening
15. know a condition specific to constrictive pericarditis
16. be familiar with ways to help limit respiratory motion during MRI
17. be aware of the potential for patient burns with ECG equipment in MRI
18. be familiar with modalities used to image congenital heart disease
19. be familiar with MRI contrast media used for imaging ischemic heart disease
20. be familiar with capabilities of delayed enhancement MR imaging
21. know the advantages of parallel imaging in MRI
22. know when the breath hold should begin for MR perfusion imaging
23. understand why adenosine is given during MR stress perfusion
24. be familiar with the advantages of MR coronary angiography