Demeke Mekonnen, Claire B Ren, Jorge Mercado, Victoria Garcia-Ruiz, Reto Kurmann, Fabian Zürcher, Peter Krähenmann, Nassip Llerena, Pedro Torres, Thomas Pilgrim, Ernest Spitzer
{"title":"Echocardiographic nomograms in children living at high altitude according to sex.","authors":"Demeke Mekonnen, Claire B Ren, Jorge Mercado, Victoria Garcia-Ruiz, Reto Kurmann, Fabian Zürcher, Peter Krähenmann, Nassip Llerena, Pedro Torres, Thomas Pilgrim, Ernest Spitzer","doi":"10.1093/ehjimp/qyaf053","DOIUrl":"10.1093/ehjimp/qyaf053","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to establish 2D and M-mode echocardiographic reference values for cardiac chambers, outflow tracts, and great vessels for school children living at high altitudes, differentiated between males and females.</p><p><strong>Methods and results: </strong>This <i>post hoc</i> analysis included children with normal echocardiography from a cluster randomized cross-sectional survey of rheumatic heart disease among school children in Peru. The echocardiograms were acquired with a portable machine and the images were analysed centrally with a standardized methodology. Body surface area (BSA) was used as an independent variable to predict the mean values of echocardiographic measurements for both male and female groups. Reference values are presented on z-scores and nomograms based on sex. Propensity score matching was used to compare sexes. A total of 985 students aged 5-16 years were included. The Haycock formula provided the best fit and was used when presenting data as predicted values for a given BSA. The z-score and nomograms for all essential parameters of cardiac chambers, great vessels, and functional surrogates are presented based on sex. The majority of the parameters were significantly different per sex after propensity score matching.</p><p><strong>Conclusion: </strong>Normal reference values and nomograms of cardiac chambers, outflow tracts, and great arteries in healthy school children living at high altitudes based on sex were reported. These data partly addressed the existing gaps in paediatric echocardiographic nomograms.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf053"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jinyang Yu, Anders Austlid Taskén, Erik Andreas Rye Berg, Tomas Dybos Tannvik, Katrine Hordnes Slagsvold, Idar Kirkeby-Garstad, Bjørnar Grenne, Gabriel Kiss, Svend Aakhus
{"title":"Continuous three-dimensional transesophageal echocardiography and deep learning for perioperative monitoring of left ventricular longitudinal function.","authors":"Jinyang Yu, Anders Austlid Taskén, Erik Andreas Rye Berg, Tomas Dybos Tannvik, Katrine Hordnes Slagsvold, Idar Kirkeby-Garstad, Bjørnar Grenne, Gabriel Kiss, Svend Aakhus","doi":"10.1093/ehjimp/qyaf052","DOIUrl":"10.1093/ehjimp/qyaf052","url":null,"abstract":"<p><strong>Aims: </strong>Continuous monitoring of left ventricular (LV) function may improve cardiopulmonary management. Therefore, we have developed <i>3D autoMAPSE</i>, a novel method that combines 3D transesophageal echocardiography and deep learning to automatically measure mitral annular plane systolic excursion (MAPSE). We hypothesized that 3D autoMAPSE could provide continuous monitoring of LV function in perioperative patients.</p><p><strong>Methods and results: </strong>This prospective observational study included 50 adult intensive care patients after cardiac surgery. Single-beat full-volume 3D recordings were obtained every 5 min over a 120-min period using a hands-free method that simulated continuous monitoring with transesophageal echocardiography. Precision and agreement with manual MAPSE were determined by a test-retest study design during hemodynamic stability. Our results show that continuous monitoring by 3D autoMAPSE had excellent feasibility (99%). It analysed 10 cycles instantaneously (55 ± 15 s) with high precision (least significant change 1.6 mm). 3D autoMAPSE had adequate agreement with manual MAPSE (bias -1.4 mm, limits of agreement -4.0 to 1.2 mm). Continuous 3D autoMAPSE was associated with both N-terminal pro B-type natriuretic peptide (<i>rho</i> = -0.37, <i>P</i> = 0.008) and high-sensitivity troponin-T (<i>rho</i> = -0.28, <i>P</i> = 0.047). This association was slightly stronger than for LV ejection fraction or any other single echocardiographic measurement.</p><p><strong>Conclusion: </strong>3D autoMAPSE provided continuous monitoring of LV function in perioperative patients by obtaining highly feasible and precise measurements that agree with manual echocardiography and postoperative biomarkers. Thus, continuous 3D autoMAPSE may be an attractive complement to hemodynamic monitoring that can aid cardiopulmonary management.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf052"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohamed Elshibly, Simran Shergill, Kelly Parke, Charley Budgeon, Rachel England, Ciaran Grafton-Clarke, Fathelrahman Elshibly, Peter Kellman, Gerry P McCann, Jayanth R Arnold
{"title":"Standard breath-hold versus free-breathing real-time cine cardiac MRI-a prospective randomized comparison in patients with known or suspected cardiac disease.","authors":"Mohamed Elshibly, Simran Shergill, Kelly Parke, Charley Budgeon, Rachel England, Ciaran Grafton-Clarke, Fathelrahman Elshibly, Peter Kellman, Gerry P McCann, Jayanth R Arnold","doi":"10.1093/ehjimp/qyaf042","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf042","url":null,"abstract":"<p><strong>Aims: </strong>Cardiovascular magnetic resonance (CMR) is established as the reference standard for cardiac volumetric assessment. Despite the accuracy and robustness of steady-state free precession (SSFP) cine imaging, its use may prove challenging in patients with arrhythmia and in those who cannot perform repeated breath holds. An alternative solution may be a free-breathing electrocardiogram (ECG)-triggered, retro-gated, real-time cine sequence. This study sought to compare left ventricular volumetric, wall motion, and thickness assessment with both techniques.</p><p><strong>Methods and results: </strong>Consecutive patients with known or suspected cardiac disease referred for clinical CMR were studied at 3-Tesla. Participants underwent short-axis standard SSFP and real-time cine imaging in a randomized order within the same scan. Between sequence agreement and mean difference were compared for end-diastolic volume (EDV), end-systolic volume (ESV), stroke volume, ejection fraction (EF), left ventricular mass (LVM), maximal wall thickness (MWT), and wall motion score index (WMSi). Two hundred and two patients (mean age 61 ± 14 years, 51% male and 14% irregular rhythm) were studied. All left ventricular indices showed good-excellent agreement between the two methods [intraclass correlation coefficient (95% confidence interval), EDV 0.96 (0.95-0.97), ESV 0.96 (0.94-0.97), EF 0.85 (0.81-0.88), LVM 0.93 (0.91-0.95), MWT 0.80 (0.75-0.85), and WMSi 0.93 (0.91-0.95)].</p><p><strong>Conclusion: </strong>In patients with known or suspected cardiac disease, real-time cine imaging demonstrates good-excellent reproducibility of LV volumetric, wall thickness and resting wall motion assessment when compared with standard SSFP (Trial registration: NCT05221853).</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf042"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thank you to reviewers 2024.","authors":"","doi":"10.1093/ehjimp/qyaf004","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf004","url":null,"abstract":"","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf004"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carolina Donà, Noemi Pavo, Adriana Vinzens, Pimrapat Gebert, Dietrich Beitzke, Lukas Reider, Nidaa Mikail, Alexia Rossi, Katharina Mascherbauer, Susan Bengs, Achi Haider, Ronny R Buechel, Philipp E Bartko, Christian Loewe, Julia Mascherbauer, Christian Hengstenberg, Georg Goliasch, Max Paul Winter, Catherine Gebhard
{"title":"Quantification of perivascular adipose tissue attenuation does not add incremental prognostic value in patients undergoing transcatheter aortic valve implantation.","authors":"Carolina Donà, Noemi Pavo, Adriana Vinzens, Pimrapat Gebert, Dietrich Beitzke, Lukas Reider, Nidaa Mikail, Alexia Rossi, Katharina Mascherbauer, Susan Bengs, Achi Haider, Ronny R Buechel, Philipp E Bartko, Christian Loewe, Julia Mascherbauer, Christian Hengstenberg, Georg Goliasch, Max Paul Winter, Catherine Gebhard","doi":"10.1093/ehjimp/qyaf047","DOIUrl":"10.1093/ehjimp/qyaf047","url":null,"abstract":"<p><strong>Aims: </strong>Perivascular adipose tissue attenuation (PVAT) has emerged as a novel coronary computed tomography angiography (CCTA)-based biomarker predicting cardiovascular events by capturing inflammation around the coronary arteries. We assessed whether PVAT adds incremental prognostic value in patients undergoing transcatheter aortic valve implantation (TAVI).</p><p><strong>Methods and results: </strong>A total of 510 patients underwent CCTA imaging prior to TAVI between November 2015 and June 2020 at the Medical University of Vienna. PVAT was obtained from CCTA images and was measured around the right coronary artery [PVAT(RCA)] and the aortic valve [PVAT(valve)]. Following application of exclusion criteria, 372 patients [mean age 80.6 ± 6.8 years; 169 (45%) women] were analysed. Over a median follow-up of 3.0 (IQR 2.5-3.6) years, 52 (14%) individuals experienced a major adverse cardiovascular event (MACE, a composite of non-fatal stroke or myocardial infarction, cardiac death, or vascular intervention). Individuals exhibiting elevated PVAT[valve] displayed a heightened surgical risk according to European System for Cardiac Operative Risk Evaluation II, a lower body mass index, reduced left ventricular ejection fraction, prolonged hospitalization following TAVI, and elevated levels of circulating inflammatory markers compared with those in the low PVAT[valve] group (<i>P</i> < 0.05). However, neither PVAT[valve] nor PVAT[RCA] were independently associated with the occurrence of MACE in adjusted multi-variable analyses (PVAT[valve]: sub-distribution hazard ratio [SHR] 1.14, 95% CI:0.63-2.05, <i>P</i> = 0.672); PVAT[RCA]: SHR 1.16 [95% CI: 0.81-1.66], <i>P</i> = 0.417).</p><p><strong>Conclusion: </strong>Measuring PVAT around either the right coronary artery or the aortic valve does not provide additional prognostic value beyond established risk factors for the prediction of MACE in patients undergoing TAVI.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf047"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peerapon Kiatkittikul, Teemu Maaniitty, Sarah Bär, Takeru Nabeta, Jeroen J Bax, Antti Saraste, Juhani Knuuti
{"title":"Factors affecting the performance of a novel artificial intelligence-based coronary computed tomography-derived ischaemia algorithm.","authors":"Peerapon Kiatkittikul, Teemu Maaniitty, Sarah Bär, Takeru Nabeta, Jeroen J Bax, Antti Saraste, Juhani Knuuti","doi":"10.1093/ehjimp/qyaf033","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf033","url":null,"abstract":"<p><strong>Aims: </strong>AI-QCT<sub>ischaemia</sub> is an FDA-cleared novel artificial intelligence-guided method that utilizes features from coronary computed tomography angiography (CCTA) to predict myocardial ischaemia.</p><p><strong>Objective: </strong>To identify factors associated with discrepancy between AI-QCT<sub>ischaemia</sub> and positron emission tomography (PET) perfusion.</p><p><strong>Methods and results: </strong>Six hundred and sixty-two patients with suspected obstructive coronary artery disease (CAD) on CCTA and undergoing [<sup>15</sup>O]H<sub>2</sub>O PET were analysed using AI-QCT<sub>ischaemia</sub>. Multivariable logistic regression identified factors associated with discrepancy. Perfusion homogeneity was measured by relative flow reserve. A total of 209 (32%) patients showed discrepancies: 62 (9%) exhibited normal AI-QCT<sub>ischaemia</sub> but abnormal perfusion (false negative AI-QCT<sub>ischaemia</sub>), whereas 147 (22%) had abnormal AI-QCT<sub>ischaemia</sub> despite normal perfusion (false positive AI-QCT<sub>ischaemia</sub>). False positive AI-QCT<sub>ischaemia</sub> patients (vs. true positive) were more often females, older, with less typical angina, and less advanced CAD. In multivariable analysis, typical angina [OR 95% CI: 1.796 (1.015-3.179), <i>P</i> = 0.044], diameter stenosis per 1% increase [1.058 (1.036-1.080), <i>P</i> < 0.001], and percent atheroma volume per 1% increase [1.103 (1.051-1.158), <i>P</i> < 0.001] significantly predicted true positive, while age was inversely associated [0.955 (0.923-0.989), <i>P</i> = 0.010]. False-negative AI-QCT<sub>ischaemia</sub> patients (vs. true negative) were more often males, smokers, with less good CCTA image quality, and more advanced CAD. However, none was significant in multivariable analysis. Furthermore, false-negative AI-QCT<sub>ischaemia</sub> showed more homogenously reduced perfusion by relative flow reserve compared to true positive (median ± IQR: 0.68 ± 0.15 vs. 0.56 ± 0.23, <i>P</i> < 0.001) and 21 (34%) of false negative showed globally reduced perfusion.</p><p><strong>Conclusion: </strong>For abnormal AI-QCT<sub>ischaemia</sub>, younger age, typical angina, more severe stenosis, and more extensive atherosclerosis predicted abnormal PET perfusion. With false negative AI-QCT<sub>ischaemia</sub>, perfusion abnormalities were partly explained by microvascular disease.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"2 4","pages":"qyaf033"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John A Henry, Susannah M Black, Oliver G J Mitchell, Edward Richardson, Cameron Watson, Chris Hare, Pierre Le Page, Andrew R J Mitchell
{"title":"Coronary inflammation and AI-Risk scores from cardiovascular computed tomography: impact on risk prediction and clinical management in a real-world setting.","authors":"John A Henry, Susannah M Black, Oliver G J Mitchell, Edward Richardson, Cameron Watson, Chris Hare, Pierre Le Page, Andrew R J Mitchell","doi":"10.1093/ehjimp/qyaf031","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf031","url":null,"abstract":"<p><strong>Aims: </strong>Coronary computed tomography angiography (CCTA) is the primary investigation for stable chest pain. Despite approximately 80% of individuals undergoing CCTA not having obstructive coronary disease, this group contributes to two-thirds of major adverse cardiovascular events. Assessment of coronary inflammation using perivascular fat attenuation index (FAI) and AI-derived risk scores (AI-Risk) has demonstrated enhanced risk prediction beyond traditional clinical and CCTA parameters. We aimed to assess if FAI and AI-Risk alter risk prediction and clinical management in a real-world setting.</p><p><strong>Methods and results: </strong>Consecutive patients undergoing CCTA with FAI calculation and AI-Risk (CaRi-Heart®) at a single centre over a 3-year period were recruited. Conventional risk scores for non-fatal and fatal myocardial infarctions (QRISK3 and SCORE, respectively) were compared with AI-Risk. Clinical management decisions based on risk factors and CCTA results were recorded. FAI and AI-Risk scores were then provided and the resultant clinical management decision recorded. One hundred and sixty-four patients were included in the study (<i>n</i> = 164, male 78%, 56 years). Forty-eight per cent of the patients had no evidence of coronary artery disease (CAD) on CCTA, with 41% having non-obstructive CAD and 10% with potentially obstructive CAD. AI-Risk reclassified risk in 58% and 43% of patients compared with QRISK3 and SCORE, respectively. Clinical management was changed in 33% of patients following AI-Risk analysis.</p><p><strong>Conclusion: </strong>FAI and AI-Risk scores in a real-world setting changed risk prediction in around half of individuals and changed clinical management in around a third.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"2 4","pages":"qyaf031"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Current trends and challenges in the clinical use of cardiovascular magnetic resonance: a survey from the Italian Society of Cardiology.","authors":"Lorenzo Monti, Fabrizio Ricci, Andrea Baggiano, Andrea Barison, Nazario Carrabba, Stefano Figliozzi, Patrizia Pedrotti, Camilla Torlasco, Erika Tempo, Alessandro Giaj Levra, Stefania Paolillo, Gianfranco Sinagra, Pasquale Perrone Filardi, Ciro Indolfi, Santo Dellegrottaglie","doi":"10.1093/ehjimp/qyaf046","DOIUrl":"https://doi.org/10.1093/ehjimp/qyaf046","url":null,"abstract":"<p><strong>Aims: </strong>Challenges related to the use of cardiovascular magnetic resonance (CMR) remain a key issue to secure its full clinical impact. This survey aimed to assess the awareness of CMR clinical utility and to collect data on its local usage levels, operational barriers, and report efficacy, with the goal of identifying key obstacles to its effective implementation across Italy.</p><p><strong>Methods and results: </strong>The CMR Working Group of the Italian Society of Cardiology promoted an online survey targeting Italian physicians involved in direct care of patients with cardiovascular disease. The questionnaire was completed by 709 physicians, mostly working in public or university hospitals (75%); 27% were medical residents. Cardiomyopathies and myocarditis were identified as the most established clinical indications for CMR. 79% of respondents perceived underutilisation of CMR in their local settings, with waiting times exceeding 3 months in 42% of cases. Public hospitals were reported as the primary providers of CMR services (41%), with the majority of CMR reports signed exclusively by radiologists. Obstacles in obtaining clinically useful and effective CMR exams were frequent, with 69% of respondents often encountering issues. Need for an expert second opinion was reported by 27% of participants either often or always. Stress CMR was reported of limited access or unavailable by 79% of respondents.</p><p><strong>Conclusion: </strong>CMR is highly regarded for its clinical utility but underutilized due to operational barriers, mainly long waiting times and lack of specific competence. Perceived inadequacy in report quality is common and contributes to a consistent rate of second-opinion requests.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf046"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bryan Abadie, Riccardo Liga, Ronny Buechel, Andreas A Giannopoulos, María Nazarena Pizzi, Albert Roque, Ricardo Geronazzo, Fabien Hyafil, Juhani Knuuti, Antti Saraste, Riemer Slart, Paul Cremer, Richard Weinberg, Maria João Vidigal Ferreira, Alessia Gimelli, Wael Jaber
{"title":"Patient centric performance and interpretation of SPECT and SPECT/CT myocardial perfusion imaging: a clinical consensus statement of the European Association of Cardiovascular Imaging of the ESC.","authors":"Bryan Abadie, Riccardo Liga, Ronny Buechel, Andreas A Giannopoulos, María Nazarena Pizzi, Albert Roque, Ricardo Geronazzo, Fabien Hyafil, Juhani Knuuti, Antti Saraste, Riemer Slart, Paul Cremer, Richard Weinberg, Maria João Vidigal Ferreira, Alessia Gimelli, Wael Jaber","doi":"10.1093/ehjimp/qyaf043","DOIUrl":"10.1093/ehjimp/qyaf043","url":null,"abstract":"<p><p>The non-invasive assessment of ischaemic heart disease with myocardial perfusion imaging remains an integral part of modern cardiology. This modality has been used for decades, but improving technology has maintained its relevance today. This document describes the fundamentals of single-photon emission computed tomography, including stress protocols, tracer pharmacodynamics, camera settings and capabilities, post-acquisition processing, and clinical translation in an easy to read and highly pictorial manner to be applicable to not only healthcare providers of all levels, but patients as well.</p>","PeriodicalId":94317,"journal":{"name":"European heart journal. Imaging methods and practice","volume":"3 1","pages":"qyaf043"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}