Abstract
The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education
Highlights
In recent years there has been increasing interest in the non-invasive imaging of the aortic root and ascending aorta
While magnetic resonance (MR) imaging and echocardiography are traditionally the methods of choice in the evaluation of aortic valve dysfunction, several studies have demonstrated the ability of ECG-gated computed tomography (CT) studies to correctly assess both aortic valve stenosis and regurgitation (Fig. 6)
The influence of pericardial disease on diastolic function, or the functional significance of pericardial thickening are rarely assessable by CT, where this is rather comfortably done in echocardiography and cardiac magnetic resonance imaging (MRI)
Summary
In recent years there has been increasing interest in the non-invasive imaging of the aortic root and ascending aorta. While magnetic resonance (MR) imaging and echocardiography are traditionally the methods of choice in the evaluation of aortic valve dysfunction, several studies have demonstrated the ability of ECG-gated CT studies to correctly assess both aortic valve stenosis and regurgitation (Fig. 6). – Double-oblique reformatted cross-sectional contrastenhanced CT image in a 42-year-old man demonstrating the typical appearance of a bicuspid aortic valve. The cross-sectional reformatted contrast-enhanced CT image reveals three sinuses of Valsalva (asterisk), but only two cusps This functionally bicuspid appearance can be the end result of fusion between two cusps, in this case secondary to a decade-old valve infection. – A 65-year-old man with a hypoplastic left coronary cusp on a cross-sectional contrast-enhanced CT image through the aortic valve. The influence of pericardial disease on diastolic function, or the functional significance of pericardial thickening are rarely assessable by CT, where this is rather comfortably done in echocardiography and cardiac MRI
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