(Circulation. 2000;102:1.)
© 2000 American Heart Association, Inc.
Cardiovascular News |
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Cardiovascular News
Meeting Highlights
Highlights of the 72nd Scientific Sessions of the American Heart Association
James J. Ferguson, MD
(Circulation. 2000;102:e1e5.)
Clinical Investigation and Reports
Coronary Artery Fly-Through Using Electron Beam Computed Tomography
Peter M.A. van Ooijen, MSc; Matthijs Oudkerk, MD, PhD; Robert J.M. van Geuns, MD; Benno J. Rensing, MD, PhD; Pim J. de Feyter, MD, PhD
BackgroundVirtual reality techniques have recently been introduced into clinical medicine. This study examines the possibility of coronary artery fly-through using a dataset obtained by noninvasive coronary angiography with contrast-enhanced electron-beam computed tomography.
Methods and ResultsTen patients were examined, and 40 to 60
transaxial tomograms (thickness, 1.5 mm; in-plane pixel
dimensions,
0.5x0.5 mm) were obtained after
intravenous contrast injection. The datasets were processed
on a graphics workstation using volume-rendering software. For
fly-throughs, the contrast-enhanced lumen was made transparent and
other tissue was made opaque. Then, key frames were selected in a path
through the vessel, with software interpolation of frames between key
frames. A typical movie contained 150 to 300 frames (10 to 15 key
frames). Fly-throughs of coronary bypass grafts (n=3), left
anterior descending arteries (LAD; n=6), and the intermediate branch
(n=1) were reconstructed. Coronary calcifications were seen in
3 patients. The fly-through of the intermediate branch, the bypass
grafts, and one of the LADs did not show any irregularities. In 2
cases, a stenosis was visible in the LAD; its presence was
confirmed by conventional coronary angiography.
ConclusionsRecent developments in fast-volume rendering using special-purpose hardware in combination with noninvasive coronary angiography with electron beam computed tomography have provided the possibility of performing coronary artery fly-throughs.
(Circulation. 2000;102:e6e10.)
Images in Cardiovascular Medicine
Pheochromocytoma-Induced Cardiomyopathy
Vamsi K. Mootha, MD; Jeremy Feldman, MD; Finn Mannting, MD; Gayle L. Winters, MD; Wendy Johnson, MD
(Circulation. 2000;102:e11e13.)
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