Brett W. Carter, MD, CPPS; Gerald F. Abbott, MD, FACR; Prabhakar Rajiah, MBBS, MD, FRCR, FSCMR
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5
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Pulmonary hypertension (PH)
Pulmonary arterial hypertension (PAH)
Definitions
↑ mean PA pressure (mPAP) ≥ 25 mm Hg at rest
> 30 mm Hg during exercise
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Angiographic Findings
Nuclear Medicine Findings
Imaging Recommendations
Echocardiographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Aluja Jaramillo F et al: Approach to pulmonary hypertension: From CT to clinical diagnosis. Radiographics. 38(2):357-73, 2018
Dellegrottaglie S et al: Imaging the right heart-pulmonary circulation unit: The role of MRI and computed tomography. Heart Fail Clin. 14(3):377-91, 2018
Goerne H et al: Imaging of pulmonary hypertension: an update. Cardiovasc Diagn Ther. 8(3):279-96, 2018
Goerne H et al: State-of-the-art pulmonary arterial imaging - Part 2. Vasa. 47(5):361-375, 2018
Swift AJ et al: Quantitative magnetic resonance imaging of pulmonary hypertension: a practical approach to the current state of the art. J Thorac Imaging. 29(2):68-79, 2014
Badesch DB et al: Pulmonary arterial hypertension: baseline characteristics from the REVEAL Registry. Chest. 137(2):376-87, 2010
Sanz J et al: Pulmonary arterial hypertension: noninvasive detection with phase-contrast MR imaging. Radiology. 243(1):70-9, 2007
Lantuéjoul S et al: Pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis: a clinicopathologic study of 35 cases. Am J Surg Pathol. 30(7):850-7, 2006
Bossone E et al: Pulmonary arterial hypertension: the key role of echocardiography. Chest. 127(5):1836-43, 2005
Resten A et al: Pulmonary arterial hypertension: thin-section CT predictors of epoprostenol therapy failure. Radiology. 222(3):782-8, 2002
Frazier AA et al: From the archives of the AFIP: pulmonary vasculature: hypertension and infarction. Radiographics. 20(2):491-524; quiz 530-1, 532, 2000
Sherrick AD et al: Mosaic pattern of lung attenuation on CT scans: frequency among patients with pulmonary artery hypertension of different causes. AJR Am J Roentgenol. 169(1):79-82, 1997
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Abbreviations
Pulmonary hypertension (PH)
Pulmonary arterial hypertension (PAH)
Definitions
↑ mean PA pressure (mPAP) ≥ 25 mm Hg at rest
> 30 mm Hg during exercise
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Angiographic Findings
Nuclear Medicine Findings
Imaging Recommendations
Echocardiographic Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Aluja Jaramillo F et al: Approach to pulmonary hypertension: From CT to clinical diagnosis. Radiographics. 38(2):357-73, 2018
Dellegrottaglie S et al: Imaging the right heart-pulmonary circulation unit: The role of MRI and computed tomography. Heart Fail Clin. 14(3):377-91, 2018
Goerne H et al: Imaging of pulmonary hypertension: an update. Cardiovasc Diagn Ther. 8(3):279-96, 2018
Goerne H et al: State-of-the-art pulmonary arterial imaging - Part 2. Vasa. 47(5):361-375, 2018
Swift AJ et al: Quantitative magnetic resonance imaging of pulmonary hypertension: a practical approach to the current state of the art. J Thorac Imaging. 29(2):68-79, 2014
Badesch DB et al: Pulmonary arterial hypertension: baseline characteristics from the REVEAL Registry. Chest. 137(2):376-87, 2010
Sanz J et al: Pulmonary arterial hypertension: noninvasive detection with phase-contrast MR imaging. Radiology. 243(1):70-9, 2007
Lantuéjoul S et al: Pulmonary veno-occlusive disease and pulmonary capillary hemangiomatosis: a clinicopathologic study of 35 cases. Am J Surg Pathol. 30(7):850-7, 2006
Bossone E et al: Pulmonary arterial hypertension: the key role of echocardiography. Chest. 127(5):1836-43, 2005
Resten A et al: Pulmonary arterial hypertension: thin-section CT predictors of epoprostenol therapy failure. Radiology. 222(3):782-8, 2002
Frazier AA et al: From the archives of the AFIP: pulmonary vasculature: hypertension and infarction. Radiographics. 20(2):491-524; quiz 530-1, 532, 2000
Sherrick AD et al: Mosaic pattern of lung attenuation on CT scans: frequency among patients with pulmonary artery hypertension of different causes. AJR Am J Roentgenol. 169(1):79-82, 1997
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