Clinical utility of coronary artery computed tomography angiography- What we know and What's new?

被引：10

作者：

Al Rifai, Mahmoud ^{[1
]}

Ahmed, Ahmed Ibrahim ^{[1
]}

Alahdab, Fares ^{[1
]}

Al-Mallah, Mouaz H. ^{[1
,2
]}

机构：

[1] Houston Methodist DeBakey Heart & Vasc Ctr, Houston, TX USA

[2] Cardiovasc PET Houston Methodist DeBakey Heart & V, 6550 Fannin St, Smith Tower Suite 1801, Houston, TX 77030 USA

来源：

PROGRESS IN CARDIOVASCULAR DISEASES | 2022年 / 75卷

关键词：

Coronary computed tomography; Coronary artery calci fication; Plaques with high -risk features; Plaque burden; Fractional flow reserve computed tomography; Computed tomography perfusion; Perivascular fat attenuation index; Wall shear stress; Photon counting computed tomography; Blooming artifact; Arti ficial intelligence; FRACTIONAL FLOW RESERVE; EXPERT CONSENSUS DOCUMENT; NORTH-AMERICAN SOCIETY; FAT ATTENUATION INDEX; C-REACTIVE PROTEIN; STABLE CHEST-PAIN; MYOCARDIAL-INFARCTION; FOLLOW-UP; PLAQUE CHARACTERISTICS; CONFIRM REGISTRY;

D O I：

10.1016/j.pcad.2022.10.013

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Coronary computed tomography (CT) angiography (CCTA) is increasingly recognized for diagnosing obstructive coronary artery disease (CAD) among patients presenting with chest pain. In this review, we summarize the util-ity of CCTA to determine luminal stenosis and identifying coronary plaques with high-risk features. We review different scoring systems that can quantify total plaque burden including how artificial intelligence can facilitate more detailed plaque assessment. We discuss how CCTA can also be used to detect the hemodynamic significance of CAD lesions (fractional flow reserve CT and CT perfusion) and also local factors outside the vessel wall that may predispose to plaque rupture (fat attenuation index and wall shear stress). We conclude with technological ad-vances in imaging acquisition using photon counting CT and post-image processing techniques especially those that can mitigate blooming artifacts.(c) 2022 Elsevier Inc. All rights reserved.

引用

页码：12 / 20

页数：9

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