The Experts below are selected from a list of 294 Experts worldwide ranked by ideXlab platform

Leon Axel - One of the best experts on this subject based on the ideXlab platform.

  • Magnetic resonance imaging in the management of Pericardial Disease
    Current Treatment Options in Cardiovascular Medicine, 2005
    Co-Authors: Monvadi B. Srichai, Leon Axel
    Abstract:

    The pericardium, although seldom the primary cause of systemic illness, can be involved in almost every type of Disease. Pericardial involvement may be subtle and escape detection unless specifically sought, or it can overshadow features of the underlying systemic Disease. Suspected Pericardial Disease is usually initially evaluated with echocardiography. However, magnetic resonance imaging can offer additional valuable information. In addition to the excellent resolution and unlimited imaging planes available for visualization of the entire Pericardial sac, the wide field of view allows for evaluation of involvement of adjacent cardiac structures. Dynamic functional imaging and tissue characterization with and without contrast can further characterize Disease and provide information regarding concomitant myocardial Disease and effects on cardiac motion. The treatment of specific Pericardial conditions ultimately depends on the underlying Disease process. Magnetic resonance imaging can provide useful information to aid in diagnosis, management, and guidance of therapy for Pericardial Disease.

  • assessment of Pericardial Disease by magnetic resonance and computed tomography
    Journal of Magnetic Resonance Imaging, 2004
    Co-Authors: Leon Axel
    Abstract:

    Pericardial Disease and its consequences can be well shown with magnetic resonance imaging (MRI) and computed tomography (CT). Here I review the normal and pathologic anatomy and physiology of the pericardium, approaches to MRI and CT imaging of the pericardium, and some specific considerations in common conditions affecting the pericardium. J. Magn. Reson. Imaging 2004;19:816–826. © 2004 Wiley-Liss, Inc.

Jae K Oh - One of the best experts on this subject based on the ideXlab platform.

  • Spectrum of Pericardial Disease: part II.
    Expert review of cardiovascular therapy, 2020
    Co-Authors: Panupong Jiamsripong, Jae K Oh, Farouk Mookadam, Bijoy K Khandheria
    Abstract:

    Pericardial Disease is a common disorder seen in varying clinical settings, and may be the first manifestation of an underlying systemic Disease. In part I, we focused on the current knowledge and management of the more common Pericardial Diseases: acute pericarditis, Pericardial effusion, cardiac tamponade, chronic pericarditis and relapsing pericarditis. In part II, we will focus on the knowledge and management of Pericardial involvement in chylous Pericardial effusion cholesterol pericarditis, radiation pericarditis, Pericardial involvement in systemic inflammatory Diseases, autoreactive pericarditis, pericarditis in renal failure, Pericardial constriction and effusive constrictive pericarditis.

  • clinical utility of 18 f fdg pet ct in Pericardial Disease
    Current Cardiology Reports, 2019
    Co-Authors: Joon Young Choi, Jae K Oh, Sunga Chang
    Abstract:

    Identification of the etiology of Pericardial Disease is challenging because the accessibility to Pericardial fluid and tissue is limited and there is a relatively low yield of fluid and tissue analysis. Pericardial Disease is associated with various systemic Diseases and is frequently a first manifestation of other systemic Diseases. Detecting the cause of pericarditis and minimizing the subsequent inflammatory process can possibly prevent long-term complications. To review the clinical utility of [18F]-2-deoxy-2-fluoro-D-glucose positron emission tomography/computed tomography ([18F]FDG-PET/CT) in the diagnosis and treatment of Pericardial Disease. [18F]FDG-PET/CT can visualize the hypermetabolic tissues of both malignancy and inflammation. Distribution of [18F]FDG-PET/CT uptake can provide information for neoplastic Disease. If malignancy is ruled out, high uptake of pericardium is associated with active inflammation of the pericardium, and thus response to anti-inflammatory agents can also be predicted with [18F]FDG-PET/CT imaging. [18F]FDG-PET/CT can be helpful for diagnosing and establishing prognosis and for planning for anti-inflammatory treatment in Pericardial Disease.

  • mr imaging findings in 76 consecutive surgically proven cases of Pericardial Disease with ct and pathologic correlation
    International Journal of Cardiovascular Imaging, 2012
    Co-Authors: Phillip M Young, James F Glockner, Jae K Oh, Hartzell V Schaff, Eric E Williamson, Michael Morris, Philip A Araoz, Paul R Julsrud, William D Edwards, Jerome F Breen
    Abstract:

    To describe findings of patients with surgically confirmed Pericardial Disease on state of the art MR sequences. Retrospective review was performed for patients who underwent pericardiectomy and preoperative MR over a 5 year period ending in 2009. Patients’ records were reviewed to confirm the diagnosis of chronic recurrent pericarditis, constrictive pericarditis, or Pericardial tumor. MR imaging findings of Pericardial thickness, IVC diameter, presence or absence of Pericardial or pleural effusion, Pericardial edema, Pericardial enhancement, and septal “bounce” were recorded. Patients with constriction had a larger IVC diameter (3.1 ± 0.4 cm) than patients with recurrent pain and no constriction (2.0 ± 0.4 cm). Mean Pericardial thickness for the 16 patients with chronic recurrent pericarditis but no evidence of constriction was 4.8 ± 2.9 mm. Mean Pericardial thickness for patients with constriction was 9.2 ± 7.0 cm with calcification, and 4.6 ± 2.1 cm without calcification. 94% of patients with chronic recurrent pericarditis had gadolinium enhancement of the pericardium, while 76% of patients with constriction had Pericardial enhancement. Septal “bounce” was present in 19% of chronic recurrent pericarditis cases and 86% of constriction cases. 5 patients had a Pericardial neoplasm, 1 of which was not identified preoperatively. State of the art MR techniques can identify significant and distinct findings in patients with chronic recurrent pericarditis, constrictive pericarditis, and Pericardial tumors.

  • Pericardial Disease diagnosis and management
    Mayo Clinic Proceedings, 2010
    Co-Authors: Masud H Khandaker, Raul E Espinosa, Rick A Nishimura, Lawrence J Sinak, Sharonne N Hayes, Rowlens M Melduni, Jae K Oh
    Abstract:

    Pericardial Diseases can present clinically as acute pericarditis, Pericardial effusion, cardiac tamponade, and constrictive pericarditis. Patients can subsequently develop chronic or recurrent pericarditis. Structural abnormalities including congenitally absent pericardium and Pericardial cysts are usually asymptomatic and are uncommon. Clinicians are often faced with several diagnostic and management questions relating to the various Pericardial syndromes: What are the diagnostic criteria for the vast array of Pericardial Diseases? Which diagnostic tools should be used? Who requires hospitalization and who can be treated as an outpatient? Which medical management strategies have the best evidence base? When should corticosteroids be used? When should surgical pericardiectomy be considered? To identify relevant literature, we searched PubMed and MEDLINE using the keywords diagnosis, treatment, management, acute pericarditis, relapsing or recurrent pericarditis, Pericardial effusion, cardiac tamponade, constrictive pericarditis, and restrictive cardiomyopathy. Studies were selected on the basis of clinical relevance and the impact on clinical practice. This review represents the currently available evidence and the experiences from the Pericardial clinic at our institution to help guide the clinician in answering difficult diagnostic and management questions on Pericardial Diseases.

Raymond Y Kwong - One of the best experts on this subject based on the ideXlab platform.

  • the utility of cardiovascular magnetic resonance in constrictive Pericardial Disease
    Cardiology in Review, 2009
    Co-Authors: Vignendra Ariyarajah, Davinder S Jassal, Iain D C Kirkpatrick, Raymond Y Kwong
    Abstract:

    Cardiovascular magnetic resonance (CMR) has a high diagnostic accuracy for constrictive pericarditis (CP). CMR allows for high-resolution imaging of the pericardium and associated structures in any imaging plane compared with that provided by other imaging modalities. We briefly discuss the specific quantitative and qualitative CMR sequences that can be tailored to answer the clinical questions pertaining to CP, where the diagnostic yield has been proven when characteristic CMR features of CP are present. Such features allow for differentiation of CP from restrictive cardiomyopathy, where the clinical differentiation between the 2 can often be challenging.

  • assessing Pericardial Disease by cmr
    2008
    Co-Authors: Mouaz H Almallah, Raymond Y Kwong
    Abstract:

    The pericardium consists of the parietal and visceral layers separated by 15–30 mL of serous fluid. The serous visceral layer envelops the heart and several centimeters of the proximal great vessels, where it reflects to form the fibrotic, outer parietal layer. The normal pericardium serves such functions as reducing motion friction between the heart and surrounding structures, maintaining diastolic pressures by confining diastolic expansion of thin-walled cardiac chambers, constraining the bulk cardiac motion in the middle mediastinum, and limiting the spread of infection from the mediastinal structures. However, it is not necessary for normal cardiac function, as shown by patients with a surgically or congenitally absent pericardium.

Sunga Chang - One of the best experts on this subject based on the ideXlab platform.

  • clinical utility of 18 f fdg pet ct in Pericardial Disease
    Current Cardiology Reports, 2019
    Co-Authors: Joon Young Choi, Jae K Oh, Sunga Chang
    Abstract:

    Identification of the etiology of Pericardial Disease is challenging because the accessibility to Pericardial fluid and tissue is limited and there is a relatively low yield of fluid and tissue analysis. Pericardial Disease is associated with various systemic Diseases and is frequently a first manifestation of other systemic Diseases. Detecting the cause of pericarditis and minimizing the subsequent inflammatory process can possibly prevent long-term complications. To review the clinical utility of [18F]-2-deoxy-2-fluoro-D-glucose positron emission tomography/computed tomography ([18F]FDG-PET/CT) in the diagnosis and treatment of Pericardial Disease. [18F]FDG-PET/CT can visualize the hypermetabolic tissues of both malignancy and inflammation. Distribution of [18F]FDG-PET/CT uptake can provide information for neoplastic Disease. If malignancy is ruled out, high uptake of pericardium is associated with active inflammation of the pericardium, and thus response to anti-inflammatory agents can also be predicted with [18F]FDG-PET/CT imaging. [18F]FDG-PET/CT can be helpful for diagnosing and establishing prognosis and for planning for anti-inflammatory treatment in Pericardial Disease.

Charles B Higgins - One of the best experts on this subject based on the ideXlab platform.

  • CT and MR imaging of Pericardial Disease.
    Radiographics : a review publication of the Radiological Society of North America Inc, 2020
    Co-Authors: Zhen J Wang, Gautham P Reddy, Michael B Gotway, Steven W Hetts, Charles B Higgins
    Abstract:

    In the evaluation of Pericardial Disease, computed tomography (CT) and magnetic resonance (MR) imaging traditionally have been used as adjuncts to echocardiography. However, CT and MR imaging are particularly useful as sensitive and noninvasive methods for evaluating loculated or hemorrhagic Pericardial effusion, constrictive pericarditis, and Pericardial masses. Both CT and MR imaging provide excellent delineation of the Pericardial anatomy and can aid in the precise localization and characterization of various Pericardial lesions, including effusion, constrictive pericarditis and Pericardial thickening, Pericardial masses, and congenital anomalies such as partial or complete absence of the pericardium. Both modalities provide a larger field of view than does echocardiography, allowing the examination of the entire chest and detection of associated abnormalities in the mediastinum and lungs. Soft-tissue contrast on CT scans and MR images also is superior to that on echocardiograms. Given the many potential applications of these modalities in the evaluation of Pericardial Diseases, familiarity with the CT and MR imaging features of these Diseases is important.

  • ct and mr imaging of Pericardial Disease
    Radiographics, 2003
    Co-Authors: Zhen J Wang, Gautham P Reddy, Michael B Gotway, Steven W Hetts, Charles B Higgins
    Abstract:

    In the evaluation of Pericardial Disease, computed tomography (CT) and magnetic resonance (MR) imaging traditionally have been used as adjuncts to echocardiography. However, CT and MR imaging are particularly useful as sensitive and noninvasive methods for evaluating loculated or hemorrhagic Pericardial effusion, constrictive pericarditis, and Pericardial masses. Both CT and MR imaging provide excellent delineation of the Pericardial anatomy and can aid in the precise localization and characterization of various Pericardial lesions, including effusion, constrictive pericarditis and Pericardial thickening, Pericardial masses, and congenital anomalies such as partial or complete absence of the pericardium. Both modalities provide a larger field of view than does echocardiography, allowing the examination of the entire chest and detection of associated abnormalities in the mediastinum and lungs. Soft-tissue contrast on CT scans and MR images also is superior to that on echocardiograms. Given the many potenti...