1. Cardiovascular Imaging Part I: Visualizing Cardiac Anatomy Vincent Brinkman, MD Division of Cardiology The Ohio State University College of Medicine

2. Objectives  Be able to identify the cardiac chambers, valves, aorta, pulmonary arteries on chest x-ray, echocardiogram, CT and MRI.  Gain familiarity with these cardiovascular imaging techniques. Note: All of the Cardiac Medical Illustrations were adapted from Patrick J. Lynch and C. Carl Jaffe, (Yale University, 2006) and used under their Creative Commons license.

3. Cardiovascular Imaging “The Doctor,” Sir Samuel Luke Fildes

4. Chest x-ray

5. PA Chest X-ray Right Atrium Right Ventricle Pulmonary Artery Left Atrium Left Ventricle Aorta

6. PA Chest X-ray LV LA Aorta RA Right Pulmonary Arteries Left Pulmonary Artery SVC IVC

7. Lateral Chest X-ray Right Atrium Right Ventricle Pulmonary Artery Left Atrium Left Ventricle Aorta

8. Lateral Chest X-ray RV LV LA Aorta PA

9. Echocardiography

10. Echocardiogram Windows Parasternal Apical Suprasternal Subcostal

11. Imaging Conventions

12. Leading Edge

13. Parasternal Long Axis View

14. Parasternal Long Axis Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

15. Parasternal Long Axis Right Ventricle Septum Left Ventricle Mitral Valve Aortic Valve Left Atrium Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

16. Parasternal Short Axis View

17. Parasternal Short Axis Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

18. Parasternal Short Axis Left Ventricle Right Ventricle Papillary Muscles Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

19. Parasternal Short Axis

20. Right Ventricle Right Atrium Left Atrium Pulmonic Valve Tricuspid Valve Aortic Valve

21. Apical 4 Chamber View

22. Apical 4 Chamber Illustrations: Patrick J. Lynch and C. Carl Jaffe, Yale University, 2006 – Creative Commons

23. Apical 4 Chamber Left Ventricle Left Atrium Mitral Valve Right Ventricle Right Atrium Tricuspid Valve

24. Apical Views

25. Apical Long Axis Apex

26. Subcostal View

27. Subcostal and Apical 4 Chamber View Apical Subcostal

29. Cardiac MRI

30. Imaging Planes Left Ventricle Right Ventricle Where the left atrium should be

31. Cardiac MRI – Horizontal Long Axis Anterior Posterior Right Left Right Ventricle Right Atrium Tricuspid Valve Left Ventricle Left Atrium Mitral Valve Pulmonary Veins

32. Cardiac MRI – 3 Chamber (or Long Axis) Anterior Chest Patient’s Head Left Ventricle RIght Ventricle Mitral Valve Aortic Valve Left Atrium

33. Cardiac MRI – Short Axis Anterior Chest

34. Cardiac Imaging - Summary  Cardiac imaging is useful to image structure and visualize the anatomy of both normal and abnormal structures.  The next several slides are a quiz to assess your basic understanding of cardiac imaging.  In our next talk, we will discuss how these techniques can be used to diagnose heart conditions and provide information into the hemodynamics of the heart.

36. The End…

37. Survey We would appreciate your feedback on this module. Click on the button below to complete a brief survey. Your responses and comments will be shared with the module’s author, the LSI EdTech team, and LSI curriculum leaders. We will use your feedback to improve future versions of the module. The survey is both optional and anonymous and should take less than 5 minutes to complete. Survey