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Computed tomography of the coronary arteries in diagnosis


Leschka, Sebastian; Feuchtner, Gudrun; Goetti, Robert; Alkadhi, Hatem (2010). Computed tomography of the coronary arteries in diagnosis. Expert Opinion on Medical Diagnostics, 4(2):171-183.

Abstract

IMPORTANCE OF THE FIELD Cardiac computed tomography (CT) has recently emerged as a non-invasive alternative to catheter angiography for the assessment of coronary artery disease. Rapid technological advances have rendered coronary CT angiography to a robust, accurate and fast imaging modality to assess coronary artery disease in selected patients. The list of further indications in which cardiac CT is an appropriate test remains a topic of discussion. AREAS COVERED IN THIS REVIEW This review discusses the main literature available on the use of cardiac CT in the indications considered appropriate in the 2006 Appropriateness Criteria by the American College of Radiology with special emphasis on the temporal trends in the utilization of cardiac CT in clinical practice and in the opinion of the experts, and provides an outlook on how cardiac CT might evolve in the future. WHAT THE READER WILL GAIN The reader will gain insight into the strengths and shortcomings of CT of the coronary arteries in coronary artery diagnosis and will learn why cardiac CT is appropriate in some indications but not in others. TAKE HOME MESSAGE Recent research in cardiac CT has substantially improved the evaluation of the coronary arteries with CT, and the list of indications cardiac CT is appropriate for might expand further in the coming years.

Abstract

IMPORTANCE OF THE FIELD Cardiac computed tomography (CT) has recently emerged as a non-invasive alternative to catheter angiography for the assessment of coronary artery disease. Rapid technological advances have rendered coronary CT angiography to a robust, accurate and fast imaging modality to assess coronary artery disease in selected patients. The list of further indications in which cardiac CT is an appropriate test remains a topic of discussion. AREAS COVERED IN THIS REVIEW This review discusses the main literature available on the use of cardiac CT in the indications considered appropriate in the 2006 Appropriateness Criteria by the American College of Radiology with special emphasis on the temporal trends in the utilization of cardiac CT in clinical practice and in the opinion of the experts, and provides an outlook on how cardiac CT might evolve in the future. WHAT THE READER WILL GAIN The reader will gain insight into the strengths and shortcomings of CT of the coronary arteries in coronary artery diagnosis and will learn why cardiac CT is appropriate in some indications but not in others. TAKE HOME MESSAGE Recent research in cardiac CT has substantially improved the evaluation of the coronary arteries with CT, and the list of indications cardiac CT is appropriate for might expand further in the coming years.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:March 2010
Deposited On:16 Aug 2016 09:12
Last Modified:30 Nov 2016 08:30
Publisher:Taylor & Francis
ISSN:1753-0059
Publisher DOI:https://doi.org/10.1517/17530051003657654
PubMed ID:23484449

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