Coming of Age Coronary Computed Tomography Angiography

被引:3
作者
Bastarrika, Gorka [1 ,2 ]
Schoepf, U. Joseph [2 ,3 ]
机构
[1] Univ Navarra Clin, Dept Radiol, Pamplona 31008, Spain
[2] Med Univ S Carolina, Dept Radiol & Radiol Sci, Charleston, SC 29425 USA
[3] Med Univ S Carolina, Div Cardiol, Dept Med, Charleston, SC 29425 USA
关键词
tomography scanners; x-ray computed; coronary vessels; angiography; coronary artery disease; IN-STENT RESTENOSIS; ARTERY-BYPASS GRAFTS; DUAL-SOURCE CT; DIAGNOSTIC-ACCURACY; PROGNOSTIC VALUE; 64-SLICE CT; IMAGE QUALITY; HEART-RATE; NONINVASIVE ASSESSMENT; SYMPTOMATIC PATIENTS;
D O I
10.1097/RTI.0b013e3181cf8170
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
Technical development has substantially improved diagnostic performance of coronary computed tomography angiography (CCTA). A large number of studies have addressed proof of concept, feasibility, and clinical robustness of this noninvasive diagnostic technique, and most have consistently described the ability of CCTA to reliably rule out significant coronary artery stenosis. Clinical evidence supports the significant role of CCTA in an increasing number of scenarios, including the detection of coronary disease in symptomatic patients who are at intermediate risk and evaluation of coronary revascularization procedures. After initial feasibility testing, the scientific evaluation of CCTA now points toward analyzing prognosis, outcome, and cost-effectiveness of this noninvasive diagnostic tool. In this article, appropriate clinical indications, diagnostic performance, current clinical applications, prognostic value, and cost-effectiveness of CCTA are reviewed.
引用
收藏
页码:221 / 230
页数:10
相关论文
共 80 条
[1]   Randomized Comparison of 64-Slice Single- and Dual-Source Computed Tomography Coronary Angiography for the Detection of Coronary Artery Disease [J].
Achenbach, Stephan ;
Ropers, Ulrike ;
Kuettner, Axel ;
Anders, Katharina ;
Pflederer, Tobias ;
Komatsu, Sei ;
Bautz, Werner ;
Daniel, Werner G. ;
Ropers, Dieter .
JACC-CARDIOVASCULAR IMAGING, 2008, 1 (02) :177-186
[2]   Prognostic value of computed tomography coronary angiography in patients with suspected coronary artery disease: a 24-month follow-up study [J].
Aldrovandi, Annachiara ;
Maffei, Erica ;
Palumbo, Alessandro ;
Seitun, Sara ;
Martini, Chiara ;
Brambilla, Valerio ;
Zuccarelli, Alessandra ;
Tarantini, Giuseppe ;
Weustink, Annick C. ;
Mollet, Nico R. ;
Ruffini, Livia ;
Crisi, Girolamo ;
Ardissino, Diego ;
de Feyter, Pim J. ;
Krestin, Gabriel P. ;
Cademartiri, Filippo .
EUROPEAN RADIOLOGY, 2009, 19 (07) :1653-1660
[3]   Comparison of Feasibility and Diagnostic Accuracy of 64-Slice Multidetector Computed Tomographic Coronary Angioraphy Versus Invasive Coronary Angiography Versus Intravascular Ultrasound for Evaluation of In-Stent Restenosis [J].
Andreini, Daniele ;
Pontone, Gianluca ;
Bartorelli, Antonio L. ;
Trabattoni, Daniela ;
Mushtaq, Saima ;
Bertella, Erika ;
Annoni, Andrea ;
Formenti, Alberto ;
Cortinovis, Sarah ;
Montorsi, Piero ;
Veglia, Fabrizio ;
Ballerini, Giovanni ;
Pepi, Mauro .
AMERICAN JOURNAL OF CARDIOLOGY, 2009, 103 (10) :1349-1358
[4]   Dual-Source versus 64-Section CT Coronary Angiography at Lower Heart Rates: Comparison of Accuracy and Radiation Dose [J].
Baumueller, Stephan ;
Leschka, Sebastian ;
Desbiolles, Lotus ;
Stolzmann, Paul ;
Scheffel, Hans ;
Seifert, Burkhardt ;
Marincek, Borut ;
Alkadhi, Hatem .
RADIOLOGY, 2009, 253 (01) :56-64
[5]   Can we perform coronary artery bypass grafting on the basis of computed tomographic angiography alone? A comparison with conventional coronary angiography [J].
Bedi, Harinder Singh ;
Gill, Jeet Amot Singh ;
Bakshi, Sandeep Singh .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2008, 33 (04) :633-638
[6]   Noninvasive coronary artery Imaging - Magnetic resonance angiography and multidetector computed tomography angiography - A scientific statement from the American Heart Association Committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young [J].
Bluemke, David A. ;
Achenbach, Stephan ;
Budoff, Matthew ;
Gerber, Thomas C. ;
Gersh, Bernard ;
Hillis, L. David ;
Hundley, W. Gregory ;
Manning, Warren J. ;
Printz, Beth Feller ;
Stuber, Matthias ;
Woodard, Pamela K. .
CIRCULATION, 2008, 118 (05) :586-606
[7]   Dual-source CT: effect of heart rate, heart rate variability, and calcification on image quality and diagnostic accuracy [J].
Brodoefel, Harald ;
Burgstahler, Christof ;
Tsiflikas, Ilias ;
Reimann, Anja ;
Schroeder, Stephen ;
Claussen, Claus D. ;
Heuschmid, Martin ;
Kopp, Andreas F. .
RADIOLOGY, 2008, 247 (02) :346-355
[8]   Diagnostic Performance of 64-Multidetector Row Coronary Computed Tomographic Angiography for Evaluation of Coronary Artery Stenosis in Individuals Without Known Coronary Artery Disease [J].
Budoff, Matthew J. ;
Dowe, David ;
Jollis, James G. ;
Gitter, Michael ;
Sutherland, John ;
Halamert, Edward ;
Scherer, Markus ;
Bellinger, Raye ;
Martin, Arthur ;
Benton, Robert ;
Delago, Augustin ;
Min, James K. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 52 (21) :1724-1732
[9]   Usefulness of 64-slice multislice computed tomography coronary angiography to assess in-stent restenosis [J].
Cademartiri, Filippo ;
Schuijf, Joanne D. ;
Pugliese, Francesca ;
Mollet, Nico R. ;
Jukema, J. Wouter ;
Maffiel, Erica ;
Kroft, Lucia J. ;
Palumbo, Alessandro ;
Ardissino, Diego ;
Serruys, Patrick W. ;
Krestin, Gabriel P. ;
Van der Wall, Ernst E. ;
de Feyter, Pim J. ;
Bax, Jeroen J. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 49 (22) :2204-2210
[10]   Non-invasive evaluation of coronary artery stent patency with retrospectively ECG-gated 64-slice CT angiography [J].
Carbone, Iacopo ;
Francone, Marco ;
Algeri, Emanuela ;
Granatelli, Antonino ;
Napoli, Alessandro ;
Kirchin, Miles A. ;
Catalano, Carlo ;
Passariello, Roberto .
EUROPEAN RADIOLOGY, 2008, 18 (02) :234-243