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Cardiovascular Imaging Part I:Visualizing Cardiac Anatomy
Vincent Brinkman, MD
Division of Cardiology
The Ohio State University
College of Medicine
Objectives
Be able to identify the cardiac chambers, valves, aorta, pulmonary arteries on chest x-ray, echocardiogram, CT and MRI.
Gain familiarity with these cardiovascular imaging techniques.
Note: All of the Cardiac Medical Illustrations were adapted from Patrick J. Lynch and C. Carl Jaffe, (Yale University, 2006) and used under their Creative Commons license.
Cardiovascular Imaging
“The Doctor,” Sir Samuel Luke Fildes
Chest x-ray
PA Chest X-ray
Right Atrium
Right Ventricle
Pulmonary Artery
Left Atrium
Left Ventricle
Aorta
PA Chest X-ray
LV
LA
Aorta
RA
Right Pulmonary
Arteries
Left Pulmonary
Artery
SVC
IVC
Lateral Chest X-ray
Right Atrium
Right Ventricle
Pulmonary Artery
Left Atrium
Left Ventricle
Aorta
Lateral Chest X-ray
RV
LVLA
Aorta
PA
Echocardiography
Echocardiogram Windows
Parasternal
Apical
Suprasternal
Subcostal
Imaging Conventions
Imaging Conventions
Leading Edge
Leading Edge
Parasternal Long Axis View
Parasternal Long Axis
Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons
Parasternal Long Axis
Right VentricleSeptum
Left Ventricle
Mitral Valve
Aortic Valve
Left Atrium
Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons
Parasternal Short Axis View
Parasternal Short Axis
Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons
Parasternal Short Axis
Left Ventricle
Right Ventricle
Papillary Muscles
Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons
Parasternal Short Axis
Parasternal Short Axis
Right Ventricle
Right Atrium
Left Atrium
Pulmonic Valve
Tricuspid Valve
Aortic Valve
Apical 4 Chamber View
Apical 4 Chamber
Illustrations: Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons
Apical 4 Chamber
Left Ventricle
Left Atrium
Mitral Valve
Right Ventricle
Right Atrium
Tricuspid Valve
Apical Views
Apical Long Axis
ApexApex
Apex
Subcostal View
Subcostal and Apical 4 Chamber ViewApical
Subcostal
Echo Windows
Cardiac MRI
Imaging Planes
Left VentricleRight Ventricle
Where the left atrium should be
Cardiac MRI – Horizontal Long Axis
Anterior
Posterior
Right Left
Right Ventricle
Right Atrium
Tricuspid Valve
Left Ventricle
Left Atrium
Mitral Valve
Pulmonary Veins
Cardiac MRI – 3 Chamber (or Long Axis)
Anterior Chest
Patient’s Head
Left Ventricle
RIght
Ventricle
Mitral Valve
Aortic Valve
Left Atrium
Cardiac MRI – Short Axis
Anterior Chest
Cardiac Imaging - Summary
Cardiac imaging is useful to image structure and visualize the anatomy of both normal and abnormal structures.
The next several slides are a quiz to assess your basic understanding of cardiac imaging.
In our next talk, we will discuss how these techniques can be used to diagnose heart conditions and provide information into the hemodynamics of the heart.
Cardiac Imaging 1 Quiz
The End…
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