Johns, C.S. orcid.org/0000-0003-3724-0430, Wild, J.M. orcid.org/0000-0002-7246-8660, Rajaram, S. et al. (2 more authors) (2018) Current and emerging imaging techniques in the diagnosis and assessment of pulmonary hypertension. Expert Review of Respiratory Medicine, 12 (2). pp. 145-160. ISSN 1747-6348
Abstract
Introduction: Pulmonary hypertension (PH) is a challenging condition to diagnose and treat. Over the last two decades, there have been significant advances in therapeutic approaches and imaging technologies. Current guidelines emphasize the importance of cardiac catheterization; however, the increasing availability of non-invasive imaging has the potential to improve diagnostic rates, whilst providing additional information on patient phenotypes.
Areas covered: This review discusses the role of imaging in the diagnosis, prognostic assessment and follow-up of patients with PH. Imaging methods, ranging from established investigations (chest radiography, echocardiography, nuclear medicine and computerized tomography (CT)), to emerging modalities (dual energy CT, magnetic resonance imaging (MRI), optical coherence tomography and positron emission tomography (PET)) are reviewed. The value and limitations of the clinical utility of these imaging modalities and their potential clinical application are reviewed.
Expert commentary: Imaging plays a key role in the diagnosis and classification of pulmonary hypertension. It also provides valuable prognostic information and emerging evidence supports a role for serial assessments. The authors anticipate an increasing role for imaging in the pulmonary hypertension clinic. This will reduce the need for invasive investigations, whilst providing valuable insights that will improve our understanding of disease facilitate a more targeted approach to treatment.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This is an Accepted Manuscript of an article published by Taylor & Francis in Expert Review of Respiratory Medicine on 06 Jan 2018, available online: https://doi.org/10.1080/17476348.2018.1420478. |
Keywords: | Pulmonary hypertension; radiology; pulmonary arterial hypertension; chronic thrombo-embolic pulmonary hypertension; computed tomography; magnetic resonance imaging; classification |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Sheffield Teaching Hospitals |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 05 Sep 2018 10:36 |
Last Modified: | 06 Jan 2019 01:38 |
Published Version: | https://doi.org/10.1080/17476348.2018.1420478 |
Status: | Published |
Publisher: | Taylor & Francis |
Refereed: | Yes |
Identification Number: | 10.1080/17476348.2018.1420478 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:135226 |