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Published in: European Radiology 1/2007

01-01-2007 | Chest

Chronic thromboembolic pulmonary hypertension — assessment by magnetic resonance imaging

Authors: Karl-Friedrich Kreitner, R. Peter Kunz, Sebastian Ley, Katja Oberholzer, Daniel Neeb, Klaus K. Gast, Claus-Peter Heussel, Balthasar Eberle, Eckhard Mayer, Hans-Ulrich Kauczor, Christoph Düber

Published in: European Radiology | Issue 1/2007

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Abstract

Chronic thromboembolic pulmonary hypertension (CTEPH) is a severe disease that has been ignored for a long time. However, with the development of improved therapeutic modalities, cardiologists and thoracic surgeons have shown increasing interest in the diagnostic work-up of this entity. The diagnosis and management of chronic thromboembolic pulmonary hypertension require a multidisciplinary approach involving the specialties of pulmonary medicine, cardiology, radiology, anesthesiology and thoracic surgery. With this approach, pulmonary endarterectomy (PEA) can be performed with an acceptable mortality rate. This review article describes the developments in magnetic resonance (MR) imaging techniques for the diagnosis of chronic thromboembolic pulmonary hypertension. Techniques include contrast-enhanced MR angiography (ce-MRA), MR perfusion imaging, phase-contrast imaging of the great vessels, cine imaging of the heart and combined perfusion-ventilation MR imaging with hyperpolarized noble gases. It is anticipated that MR imaging will play a central role in the initial diagnosis and follow-up of patients with CTEPH.
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Metadata
Title
Chronic thromboembolic pulmonary hypertension — assessment by magnetic resonance imaging
Authors
Karl-Friedrich Kreitner
R. Peter Kunz
Sebastian Ley
Katja Oberholzer
Daniel Neeb
Klaus K. Gast
Claus-Peter Heussel
Balthasar Eberle
Eckhard Mayer
Hans-Ulrich Kauczor
Christoph Düber
Publication date
01-01-2007
Publisher
Springer-Verlag
Published in
European Radiology / Issue 1/2007
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-006-0327-x

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