Functional Evaluation of Coronary Disease by CT Angiography

被引:24
作者
de Araujo Goncalves, Pedro [1 ,2 ]
Rodriguez-Granillo, Gaston A. [3 ,4 ]
Spitzer, Ernest [5 ]
Suwannasom, Pannipa [6 ]
Loewe, Christian [7 ]
Nieman, Koen [8 ,9 ]
Garcia-Garcia, Hector M. [5 ,6 ]
机构
[1] Hosp Luz, Hosp Santa Cruz, Lisbon, Portugal
[2] CEDOC Nova Med Sch, Lisbon, Portugal
[3] Diagnost Maipu, Dept Cardiovasc Imaging, Buenos Aires, DF, Argentina
[4] Consejo Nacl Invest Cient & Tecn CONICET, Buenos Aires, DF, Argentina
[5] Cardialysis BV, Rotterdam, Netherlands
[6] Erasmus MC, Thoraxctr, NL-3015 GD Rotterdam, Netherlands
[7] Med Univ Vienna, Dept Bioimaging & Image Guided Therapy, Sect Cardiovasc & Intervent Radiol, Vienna, Austria
[8] Erasmus MC, Dept Cardiol, NL-3015 GD Rotterdam, Netherlands
[9] Erasmus MC, Dept Radiol, NL-3015 GD Rotterdam, Netherlands
关键词
cardiac computed tomography; coronary artery disease; functional evaluation; FRACTIONAL-FLOW-RESERVE; COMPUTED-TOMOGRAPHY ANGIOGRAPHY; TRANSLUMINAL ATTENUATION GRADIENT; STRESS MYOCARDIAL-PERFUSION; DUAL-ENERGY CT; OUTCOMES UTILIZING REVASCULARIZATION; ARTERY-DISEASE; DIAGNOSTIC PERFORMANCE; BLOOD-FLOW; HEMODYNAMIC SIGNIFICANCE;
D O I
10.1016/j.jcmg.2015.09.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In recent years, several technical developments in the field of cardiac computed tomography (CT) have made possible the extraction of functional information from an anatomy-based examination. Several different lines have been explored and will be reviewed in the present paper, namely: 1) myocardial perfusion imaging; 2) transluminal attenuation gradients and corrected coronary opacification indexes; 3) fractional flow reserve computed from CT; and 4) extrapolation from atherosclerotic plaque characteristics. In view of these developments, cardiac CT has the potential to become in the near future a truly 2-in-1 noninvasive evaluation for coronary artery disease. (C) 2015 by the American College of Cardiology Foundation.
引用
收藏
页码:1322 / 1335
页数:14
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