[Heart and lung in X-ray images : Lost art (?)].
Herz und Lunge im Röntgenbild : Lost Art (?).
Cardiomegaly
Chest x‑ray
Diagnostics
Heart diseases
Heart valve diseases
Journal
Der Radiologe
ISSN: 1432-2102
Titre abrégé: Radiologe
Pays: Germany
ID NLM: 0401257
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
pubmed:
20
11
2020
medline:
29
1
2021
entrez:
19
11
2020
Statut:
ppublish
Résumé
Echocardiography is the standard for the diagnosis of heart diseases. Nevertheless, thoracic X‑ray is a frequently used examination method, also for questions regarding the cardiac situation of patients. How relevant is the conventional radiological assessment of heart disease? Long-known knowledge about pathophysiology of heart disease and its radiological correlation are discussed. Knowledge of the normal anatomy of the heart is a basic prerequisite for the assessment of pathologies. For the question of heart disease, it is essential to also assess the pulmonary vascularization. The size of the entire heart and the individual cardiac cavities is assessed by direct and indirect signs, such as heart-lung ratio, cava triangle, vascular pedicle or the size of the aorta and of the main pulmonary artery. The most common cause of heart enlargement is valve disease, which shows various conventional radiological images. Conventional thoracic radiography still plays a central role in the diagnosis of cardiopulmonary diseases and is an important diagnostic tool for quickly obtaining an overview of the patient's cardiopulmonary situation. The interplay between physiology and X‑ray symptoms is complex, so close attention should be paid not only to the heart anatomy and configuration, but also primarily to the pulmonary blood flow.
Sections du résumé
BACKGROUND
BACKGROUND
Echocardiography is the standard for the diagnosis of heart diseases. Nevertheless, thoracic X‑ray is a frequently used examination method, also for questions regarding the cardiac situation of patients.
QUESTION
OBJECTIVE
How relevant is the conventional radiological assessment of heart disease?
MATERIALS AND METHODS
METHODS
Long-known knowledge about pathophysiology of heart disease and its radiological correlation are discussed.
RESULTS
RESULTS
Knowledge of the normal anatomy of the heart is a basic prerequisite for the assessment of pathologies. For the question of heart disease, it is essential to also assess the pulmonary vascularization. The size of the entire heart and the individual cardiac cavities is assessed by direct and indirect signs, such as heart-lung ratio, cava triangle, vascular pedicle or the size of the aorta and of the main pulmonary artery. The most common cause of heart enlargement is valve disease, which shows various conventional radiological images.
CONCLUSION
CONCLUSIONS
Conventional thoracic radiography still plays a central role in the diagnosis of cardiopulmonary diseases and is an important diagnostic tool for quickly obtaining an overview of the patient's cardiopulmonary situation. The interplay between physiology and X‑ray symptoms is complex, so close attention should be paid not only to the heart anatomy and configuration, but also primarily to the pulmonary blood flow.
Identifiants
pubmed: 33211125
doi: 10.1007/s00117-020-00772-5
pii: 10.1007/s00117-020-00772-5
doi:
Types de publication
Journal Article
Review
Langues
ger
Sous-ensembles de citation
IM