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CARDIAC AND PULMONARY IMAGING<br />

Brett M. Elicker, MD, Chief<br />

Research Directions:<br />

n Cardiac CT angiography (CTA)<br />

• CTA assessment <strong>of</strong> coronary allograft vasculopathy after<br />

heart transplantation<br />

• Use <strong>of</strong> cardiac CTA for pre-surgical clearance<br />

• Use <strong>of</strong> cardiac CTA for definitive emergency room evaluation<br />

<strong>of</strong> atypical chest pain<br />

• Evaluation <strong>of</strong> coronary atherosclerosis in patients with HIV<br />

n Cardiac CT<br />

• Evaluation <strong>of</strong> pulmonary venous anatomy in atrial fibrillation<br />

• Characterization <strong>of</strong> myocardial ischemic injury by contrastenhanced<br />

MRI and CT<br />

n High-resolution CT<br />

• High-resolution CT diagnosis <strong>of</strong> lung disease<br />

• Clinical outcomes following negative CT for acute pulmonary<br />

embolism<br />

• Predictors <strong>of</strong> poor outcome in patients with acute PE diagnosed<br />

by helical CT<br />

n Cardiac MRI<br />

• Use <strong>of</strong> novel cardiac MRI techniques and computational<br />

modeling for the quantitative assessment <strong>of</strong> ventricular<br />

performance in congenital heart disease<br />

• Use <strong>of</strong> multidimensional flow techniques for quantitative<br />

assessment <strong>of</strong> flow dynamics in congenital heart disease<br />

• MRI to assess cardiac function after repair <strong>of</strong> tetralogy <strong>of</strong><br />

Fallot; correlation with clinical outcomes<br />

• MRI to assess cardiac function in the single ventricle<br />

patient after Fontan palliation; correlation with clinical<br />

outcomes<br />

• Endovascular therapy and hemodynamic assessment using<br />

MRI guidance<br />

Recent Key References:<br />

Hope MD, Dyverfeldt P, Acevedo-Bolton G, Wrenn J, Foster E,<br />

Tseng E, Saloner D. Post-stenotic dilation: Evaluation <strong>of</strong> ascending<br />

aortic dilation with 4D flow MR imaging. Int J Cardiol. 2011<br />

Sep 8. [Epub]<br />

Hope MD, Hope TA, Crook SE, Ordovas KG, Urbania TH, Alley<br />

MT, Higgins CB. 4D flow CMR in assessment <strong>of</strong> valve-related<br />

ascending aortic disease. JACC Cardiovasc <strong>Imaging</strong>. 2011<br />

Jul;4(7):781-7.<br />

Lee JS, Ryu JH, Elicker BM, Lydell CP, Jones KD, Wolters PJ, King<br />

Jr TE, Collard HR. Gastroesophageal Reflux Therapy is Associated<br />

with Longer Survival in Idiopathic Pulmonary Fibrosis. Am<br />

J Respir Crit Care Med. 2011 Jun 23. [Epub]<br />

Muzzarelli S, Ordovas KG, Cannavale G, Meadows AK, Higgins<br />

CB.Tetralogy <strong>of</strong> Fallot: impact <strong>of</strong> the excursion <strong>of</strong> the interventricular<br />

septum on left ventricular systolic function and fibrosis<br />

after surgical repair. <strong>Radiology</strong>. 2011 May;259(2):375-83.<br />

Muzzarelli S, Ordovas KG, Cannavale G, Naeger D, Michaels<br />

AD, Higgins CB. Potential <strong>of</strong> Delayed Gadolinium Enhancement<br />

Magnetic Resonance <strong>Imaging</strong> for Quantification <strong>of</strong> Reverse<br />

Remodeling <strong>of</strong> the Peri-Infarct Zone in Patients With Ischemic<br />

Cardiomyopathy Treated With Chronic Vasodilator Therapy:<br />

Initial Experience. J Thorac <strong>Imaging</strong>. 2011 May 5. [Epub]<br />

CARDIOVASCULAR IMAGING<br />

RESEARCH INTEREST GROUP<br />

Karen Ordovás, MD, Co-Director<br />

David Saloner, PhD, Co-Director<br />

The overall vision <strong>of</strong> the Cardiovascular <strong>Imaging</strong> RIG is to serve<br />

as a world leader in providing early diagnosis and improved<br />

outcomes for patients suffering from cardiovascular diseases.<br />

The CVRIG will develop evolving imaging technologies and<br />

apply currently used imaging methods to determine the etiology<br />

<strong>of</strong> cardiovascular conditions and to provide early diagnosis<br />

<strong>of</strong> cardiovascular diseases, with the ultimate goal <strong>of</strong> reducing<br />

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