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
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