Noninvasive three-dimensional viewing of the motion and anatomical structure of the heart, lungs, and circulatory system by high speed computerized X-ray tomography.

A new generation X-ray computerized tomography system now under construction, the Dynamic Spatial Reconstructor (DSR), will record 1680 multiple view X-ray video images of the chest or other segments of the body per second. This allows com0utation of stop-action and 60-per-second instant replay motion pictures of the dynamic three-dimensional changes in shape and dimensions of the full anatomic extents of the internal and external surfaces of the heart chambers or the vascular anatomy and circulatory dynamics in any region of the body. Current commercially available scanners require one or more seconds per cross-sectional scan and lack the synchronous volumetric scanning capabilities of the DSR. These capabilities allow nondestructive mathematical selection and removal of any subvolume of interest from a reconstructed volume. The associated abilities to "zoom in" and "section" this subvolume so as to examine its structure and physiologic function in detail allow direct visualization of the internal anatomy and function of organ systems within the body. These capabilities of "noninvasive numerical biopsy" and "vivisection" have heretofore been the preserve of pathologists at autopsy or surgeons at the operating table. Possible future availability of these techniques to the practicing internist carries promise of revolutionary improvements in clinical diagnosis and treatment of the myriad of disease processes, including cancer, which may affect the heart, lungs, vascular anatomy or circulatory dynamics in any region of the body.