Beyond Coronary Stenosis: Coronary Computed Tomographic Angiography for the Assessment of Atherosclerotic Plaque Burden

被引：25
作者：
Kwan A.C. [1 ]
Cater G. [2 ]
Vargas J. [1 ]
Bluemke D.A. [1 ]
机构：
[1] Radiology and Imaging Sciences, Clinical Center, National Institutes of Health, Bethesda, MD, 20892-1182, 10 Center Drive, Building 10
[2] Cleveland Clinic Lerner College of Medicine, Cleveland, OH, 44195
来源：
Current Cardiovascular Imaging Reports | 2013年 / 6卷 / 2期
基金：
美国国家卫生研究院;
关键词：
Acute coronary syndrome; Atherosclerosis; Coronary artery calcium; Coronary computed tomographic angiography; CT; Non-calcified; Plaque; Reconstruction; Spotty calcification; Vulnerable plaque;
D O I：
10.1007/s12410-012-9183-z
中图分类号：
学科分类号：
摘要：
Coronary computed tomographic angiography (CCTA) is emerging as a key noninvasive method for assessing cardiovascular risk by measurement of coronary stenosis and coronary artery calcium (CAC). New advancements in CCTA technology have led to the ability to directly identify and quantify the so-called "vulnerable" plaques that have features of positive remodeling and low density components. In addition, CCTA presents a new opportunity for noninvasive measurement of total coronary plaque burden that has not previously been available. The use of CCTA needs also to be balanced by its risks; in particular, the associated radiation exposure. We review current uses of CCTA, CCTA's ability to measure plaque quantity and characteristics, and new developments in risk stratification and CCTA technology. CCTA represents a quickly developing field that will play a growing role in the non-invasive management of cardiovascular disease. © 2013 Springer Science+Business Media New York (outside the USA).
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收藏
页码：89 / 101
页数：12
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