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Cardiac CT

by A. Laghi

The book Cardiac CT edited by Mark Dewey is a valuable work providing a complete technical and clinical overview of cardiac CT imaging. The approach is practical and the book is well organized, reflecting the extensive experience of the editor and the authors of the different chapters.
The reading of the book offers a clear vision of how to run a cardiac CT program. An example is chapter 2 where minimal technical requirements for CT scanners are discussed together with factors to consider when deciding to purchase a particular instrument; personnel requirements are also considered as are the latest guidelines of leading scientific societies, especially the American College of Radiology and the American College of Cardiology.
All the relevant steps of a cardiac CT study are described in the book, starting with a clear description of the anatomy and supported by an excellent iconography.

The key aspects needed to achieve an examination of excellent quality are explained clearly and in detail, and numerous tips and tricks are offered to the readers. In particular, I would mention the important information a radiologist can obtain from the chapter on patient preparation, describing the effects of different drugs on image quality. Extremely important is also the section dedicated to radiation exposure and the methods to be implemented to minimize the biological damage.
But the real practical value of the book is revealed by the chapters dedicated to the four major CT vendors, presenting their high-end cardiac CT scanners. In each of these chapters, the reader is offered a guided tour through the acquisition of a cardiac CT study on a particular instrument. Various protocols and imaging options are illustrated with the help of snapshots of different CT consoles.

Of particular interest, especially for novices, is the practical description of how to read and report a cardiac CT examination.
But the book is not limited to CT coronary angiography. It offers interesting technical and clinical information about cardiac anomalies, cardiac valves diseases and alterations in cardiac function.
Numerous examples from clinical practice are a fundamental completion to the notions presented in the earlier chapters and represent another added value of this book. Case presentations include images of excellent quality associated with catheter angiography and, in many cases, with myocardial scintigraphy.

Last, but not least, the final chapter offers an outlook to future technological and clinical developments of cardiac CT.
In conclusion, the authors should be congratulated for the excellent work made possible by their extensive personal experience in cardiac CT imaging. In my opinion, the book should be recommended to all those who intend to start practicing cardiac CT imaging, but it is also an important complement for those already familiar with this imaging modality who will be able to improve their diagnostic skills.

 
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