quarta-feira, janeiro 28, 2009

Eles estão chegando 2.


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Cardiac Imaging.CT for Diagnosis and Surgical Planning for Patients With Endocarditis
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Gudrun M. Feuchtner, Paul Stolzmann, Wolfgang Dichtl, Thomas Schertler, Johannes Bonatti, Hans Scheffel, Silvana Mueller, André Plass, Ludwig Mueller, Thomas Bartel, Florian Wolf, Hatem Alkadhi
. J Am Coll Cardiol, 2009; 53:436-444

Transesophageal echocardiography (TEE) is considered the reference imaging method for the diagnosis of infective endocarditis (IE) but has known limitations including operator-dependency and artifacts with metallic prosthetic valves. Feuchtner and colleagues reviewed the images of 37 patients with clinically suspected IE who had both multislice computed tomography (CT) and TEE; 29 of these subjects had definite IE and subsequently underwent surgery. CT correctly identified 96% of patients with valvular vegetations and 100% of patients with abscesses or pseudoaneurysms, but was not able to identify valvular perforations. Multislice CT can identify most valvular abnormalities in patients with IE, and might be useful for pre-operative planning or as an alternative to TEE.
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A definição de imagem das novas tomografias chegou ao diagnóstico de endocardite. Ainda inferior ao transesofágico, mas sem dúvida superior ao transtorácico.
Parece que não terá fim, a Tomo vem forte e constante para dominar a área de imagem em cardiologia.

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