quarta-feira, janeiro 28, 2009
Eles estão chegando 2.
Cardiac Imaging.CT for Diagnosis and Surgical Planning for Patients With Endocarditis
Gudrun M. Feuchtner, Paul Stolzmann, Wolfgang Dichtl, Thomas Schertler, Johannes Bonatti, Hans Scheffel, Silvana Mueller, André Plass, Ludwig Mueller, Thomas Bartel, Florian Wolf, Hatem Alkadhi
. J Am Coll Cardiol, 2009; 53:436-444
Transesophageal echocardiography (TEE) is considered the reference imaging method for the diagnosis of infective endocarditis (IE) but has known limitations including operator-dependency and artifacts with metallic prosthetic valves. Feuchtner and colleagues reviewed the images of 37 patients with clinically suspected IE who had both multislice computed tomography (CT) and TEE; 29 of these subjects had definite IE and subsequently underwent surgery. CT correctly identified 96% of patients with valvular vegetations and 100% of patients with abscesses or pseudoaneurysms, but was not able to identify valvular perforations. Multislice CT can identify most valvular abnormalities in patients with IE, and might be useful for pre-operative planning or as an alternative to TEE.
A definição de imagem das novas tomografias chegou ao diagnóstico de endocardite. Ainda inferior ao transesofágico, mas sem dúvida superior ao transtorácico.
Parece que não terá fim, a Tomo vem forte e constante para dominar a área de imagem em cardiologia.