CT coronary angiography at an ultra-low radiation dose (<0.1 mSv): feasible and viable in times of constraint on healthcare costs

被引：22
作者：
Cademartiri, Filippo [1 ,2 ]
Maffei, Erica [2 ]
Arcadi, Teresa [2 ]
Catalano, Onofrio [3 ]
Midiri, Massimo [4 ]
机构：
[1] Erasmus Med Ctr Univ, Dept Radiol, NL-3015 CE Rotterdam, Netherlands
[2] Giovanni XXIII Clin, Cardiovasc Imaging Unit, Monastier Di Treviso, Italy
[3] SDN Fdn, IRCCS, Naples, Italy
[4] Univ Palermo, Dept Radiol, Palermo, Italy
来源：
EUROPEAN RADIOLOGY | 2013年 / 23卷 / 03期
关键词：
CT coronary angiography; Cardiac CT; low radiation dose; screening; healthcare costs; CARDIOVASCULAR IMAGING CONSORTIUM; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; ACUTE CHEST-PAIN; ARTERY-DISEASE; MULTICENTER; REGISTRY;
D O I：
10.1007/s00330-012-2767-9
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Computed tomography coronary angiography (CTCA) has reached very high standards both in terms of diagnostic performance and radiation dose reduction. This commentary follows a report on CTCA using less than 0.1 mSv in selected patients. This is an extraordinary accomplishment, both for technology and for medicine. The difficult task is now to implement this tool in clinical practice so it can play the best possible role. CTCA can improve diagnostic pathways, can save money for healthcare systems and could even improve pharmacological therapy. All of this may happen, but it will require the combined effort of all the experienced operators in this field, including the referring clinicians. In times of financial constraint, CTCA may also help to restrict ineffective medical expenses.
引用
收藏
页码：607 / 613
页数：7
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