The Prognostic Value of Coronary CT Angiography

被引：0
作者：
Hulten E.A. [1 ]
Cheezum M. [1 ]
Fischer C. [1 ]
Villines T.C. [1 ]
机构：
[1] Cardiology Service, Walter Reed National Military Medical Center, Uniformed Services University, Bethesda, MD, 20889
来源：
Current Cardiovascular Imaging Reports | 2011年 / 4卷 / 6期
关键词：
Computed tomography; Computed tomography angiography; Coronary artery disease; Prognosis;
D O I：
10.1007/s12410-011-9107-3
中图分类号：
学科分类号：
摘要：
Coronary CT angiography has gained increasingly widespread acceptance as a highly accurate method for the diagnosis of coronary artery disease. Beyond its usefulness as a diagnostic test to identify coronary artery stenoses in appropriately selected patients, multiple studies have consistently demonstrated that the extent and severity of coronary atherosclerosis visualized using coronary CT angiography conveys robust prognostic information. The majority of studies to date examining clinical outcomes following coronary CT angiography have documented coronary artery disease either as the presence of any coronary plaque or through the number of vessels with ≥50% (obstructive) stenosis. In the future, advanced, semi-quantitative measures of coronary atherosclerotic disease burden, plaque morphology, and composition may provide additional prognostic information. It is imperative that patients undergoing coronary CT angiography and their providers understand the prognostic information inherent to modern coronary CT angiography so that the maximal yield may be realized. Herein, we review the currently available prognostic studies of coronary CT angiography. © 2011 Springer Science+Business Media, LLC (outside the USA).
引用
收藏
页码：485 / 493
页数：8
相关论文
共 67 条
[21]  
Weustink A.C., de Feyter P.J., Radiation exposure in cardiac multislice spiral computed tomography (MSCT), F1000 Med Rep, 1, (2009)
[22]  
Nieman K., Pattynama P.M., Rensing B.J., van Geuns R.J., de Feyter P.J., Evaluation of patients after coronary artery bypass surgery: CT angiographic assessment of grafts and coronary arteries, Radiology, 229, pp. 749-756, (2003)
[23]  
Chow B.J., Ahmed O., Small G., Et al., Prognostic value of CT angiography in coronary bypass patients, JACC Cardiovasc Imaging, 4, pp. 496-502, (2011)
[24]  
Virmani R., Burke A.P., Farb A., Kolodgie F.D., Pathology of the vulnerable plaque, J Am Coll Cardiol, 47, (2006)
[25]  
Stone G.W., Maehara A., Lansky A.J., Et al., A prospective natural-history study of coronary atherosclerosis, N Engl J Med, 364, pp. 35-226, (2011)
[26]  
Carrascosa P.M., Capunay C.M., Garcia-Merletti P., Carrascosa J., Garcia M.F., Characterization of coronary atherosclerotic plaques by multidetector computed tomography, Am J Cardiol, 97, pp. 598-602, (2006)
[27]  
Motoyama S., Kondo T., Anno H., Et al., Atherosclerotic plaque characterization by 0.5-mm-slice multislice computed tomographic imaging, Circ J, 71, pp. 363-366, (2007)
[28]  
Petranovic M., Soni A., Bezzera H., Et al., Assessment of nonstenotic coronary lesions by 64-slice multidetector computed tomography in comparison to intravascular ultrasound: evaluation of nonculprit coronary lesions, J Cardiovasc Comput Tomogr, 3, pp. 24-31, (2009)
[29]  
Pohle K., Achenbach S., Macneill B., Et al., Characterization of non-calcified coronary atherosclerotic plaque by multi-detector row CT: comparison to IVUS, Atherosclerosis, 190, pp. 174-180, (2007)
[30]  
Schroeder S., Kopp A.F., Baumbach A., Et al., Noninvasive detection and evaluation of atherosclerotic coronary plaques with multislice computed tomography, J Am Coll Cardiol, 37, pp. 1430-1435, (2001)
1234567