Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.

798 results found
Article

60/60 sign (echocardiography)

The 60/60 sign in echocardiography refers to the coexistence of a truncated right ventricular outflow tract acceleration time (AT <60 ms) with a pulmonary arterial systolic pressure (PASP) of less than 60 mmHg (but more than 30 mmHg). In the presence of right ventricular failure, it is consisten...
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Absent pulmonary valve syndrome

Absent pulmonary valve syndrome (APVS) also known as congenital absence of pulmonary valve or pulmonary valve agenesis is a rare cardiac outflow tract anomaly.  Pathology It is characterized by a completely absent or rudimentary pulmonary valve. It can be associated with aneurysmal dilatation ...
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ACC/AHA classification of coronary lesions

ACC/AHA classification of coronary lesions is a system used to classify coronary arterial calcific plaque burden. It is classified as type A discrete (<10 mm) concentric  nonangulated segment <45º smooth contour little or no calcification less than totally occlusive not ostial in locatio...
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Accessory left atrial appendage

An accessory left atrial appendage is a frequent fortuitous finding in cardiac imaging, encountered in ~10% of patients. They are more often seen as a small diverticular structure projecting from the right upper side of the left atrial wall. Differential diagnosis it must not be confused with ...
Article

Ace-of-spades sign (heart)

Ace-of-spades sign refers to the pathognomonic configuration of the left ventricle as seen in apical hypertrophic cardiomyopathy 1-3. It consists of marked ventricular wall thickening at the apex resulting in cavity narrowing at the apex with a relatively normal appearance of the mid-ventricula...
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Acute abdominal pain

Acute abdominal pain is a common acute presentation in clinical practice. It encompasses a very broad range of possible etiologies and diagnoses, and imaging is routinely employed as the primary investigative tool in its modern management. Terminology A subgroup of patients with acute abdomina...
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Acute coronary syndrome

Acute coronary syndrome (ACS) is a group of cardiac diagnoses along a spectrum of severity due to the interruption of coronary blood flow to the myocardium, which in decreasing severity are: ST elevation myocardial infarction (STEMI) non-ST elevation myocardial infarction (NSTEMI) unstable an...
Article

Acute right heart syndrome

Acute right heart syndrome (ARHS) is defined as a sudden deterioration in right ventricular (RV) function and failure of the RV to deliver adequate blood flow to the pulmonary circulation. This can result in systemic hypoperfusion. Pathology ARHS can occur in several settings 1 in the setting...
Article

Acyanotic congenital heart disease

Acyanotic congenital heart disease comprises numerous etiologies, which can be divided into those with increased pulmonary vascularity (pulmonary plethora) and those with normal vascularity: increased pulmonary vascularity ventricular septal defect (VSD) atrial septal defect (ASD) atrioventr...
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Adenosine

Adenosine is a vasodilating agent, which acts on the vascular smooth muscle surface and leads to vasodilation and a considerable increased vascular flow. NB: This article aims to give a summarized description of adenosine. For detailed and exact information please refer to the information and d...
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Agatston score

Agatston score is a semi-automated tool to calculate a score based on the extent of coronary artery calcification detected by an unenhanced low-dose CT scan, which is routinely performed in patients undergoing cardiac CT. Due to an extensive body of research, it allows for early risk stratificat...
Article

Ammonia (N-13)

13NH3 is a PET tracer used for studies of myocardial perfusion imaging. It is produced in a cyclotron by proton irradiation of the enriched water of the oxygen-16. Ammonia (N-13) is administered intravenously, at a dose of 10-20 mCi (370-740 Mbq) in adults; its physical half-life is 10 minutes. ...
Article

Anaphylaxis

Anaphylaxis (also known as anaphylactic shock or reaction) is an acute severe systemic type I hypersensitivity reaction, commonly presenting with urticaria/angioedema, hypotension and bronchial hyperreactivity. It may be fatal. Terminology Anaphylactoid reactions result from non-immune system ...
Article

Anatomy curriculum

The anatomy curriculum is one of our curriculum articles and aims to be a collection of articles that represent the core anatomy knowledge for radiologists and imaging specialists. General anatomy Neuroanatomy Head and neck anatomy Thoracic anatomy Abdominal and pelvic anatomy Spinal anat...
Article

Angina

Angina or angina pectoris is cardiac chest pain that occurs as the result of myocardial ischemia. Clinical presentation Angina is classically described as substernal chest discomfort that is of a typical quality and duration (heavy, tight, ‘bandlike’ pain that lasts for minutes at a time). Ang...
Article

Angiotensin converting enzyme

Angiotensin converting enzyme (ACE) is a central component of the renin-angiotensin system (RAS) which assists in blood pressure control by regulating the volume of fluids in the body. Normal individuals may have a small volume of the angiotensin converting enzyme circulating in their blood. M...
Article

Ankylosing spondylitis (cardiovascular manifestations)

Cardiovascular manifestations of ankylosing spondylitis may affect approximately 2-10% of all patients with ankylosing spondylitis. Cardiac complications had been traditionally classified into 3 main categories which include 2: aortitis and aortic insufficiency aortic root dilatation: r...
Article

Anomalous aortic origin of coronary artery

Anomalous aortic origin of coronary artery (AAOCA) refers to a congenital coronary artery anomaly in which a coronary artery arises from a different coronary sinus. Terminology Anomalous origin of the coronary artery arising from the opposite sinus (ACAOS) is a narrower definition and refers t...
Article

Anomalous course of coronary arteries

Anomalous course of a coronary artery is a type of congenital coronary artery anomaly. It may represent a benign and incidental finding, but rarely it is a malignant course predisposing patients to life-threatening myocardial ischemia or arrhythmias, depending on where the artery runs.  Clinica...
Article

Anomalous left coronary artery from the pulmonary artery

Anomalous left coronary artery from the pulmonary artery (ALCAPA), also known as Bland-White-Garland syndrome (BWG), is a rare congenital coronary artery anomaly and is considered one of the most severe of such anomalies. There are two forms, based on the onset of the disease, each of which has...

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