The Incremental Role of Coronary Computed Tomography in Chronic Coronary Syndromes
Abstract
:1. Introduction
2. State of the Art: Technology
2.1. Evolution of Cardiac CT Scanners
2.2. Radiation Exposure and Principle Cardiac CT-Related Risks
2.3. Future Technical Perspectives
3. Screening of Patients: The Calcium Score
4. Clinical Indications of CCTA in the Context of Chronic Coronary Syndromes
5. Prognosis and Risk Stratification: Plaque Imaging
6. Advanced Techniques for Evaluation of Myocardial Ischemia: FFR-CT and Stress-CTP
6.1. FFR-CT
6.2. Stress CTP
7. Specific Roles of Cardiac CT: TAVI Planning and Follow-Up of Heart Transplantation
7.1. Cardiac CT and TAVI
7.2. Cardiac CT and Heart Transplantation
8. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Year | Detector Rows | Detector z-axis Resolution (mm) | Detector z-axis Coverage (mm) | Temporal Resolution (ms) | Gantry Rotation Time (ms) |
---|---|---|---|---|---|
1998 | 4 | 1–1.25 | 20 | 400 | 500–800 |
2001 | 16 | 0.5–0.75 | 24 | 190–250 | 380–500 |
2004 | 64 | 0.625 | 40 | 175 | 330–400 |
2007–2008 | 256–320 | 0.5–0.625 | 160 | 140–175 | 280–350 |
2012 | 640 | 0.5 | 160 | 137 | 275 |
CT Modality | Effective Dose (mSv) | Additional Risks |
---|---|---|
CACS | 1.0–1.5 | - |
CCTA | <1.0–13.5 | Contrast-related, Beta-blockers/Nitroglycerine |
FFR-CT | <1.0–13.5 | Contrast-related, Beta-blockers/Nitroglycerine |
Stress-CTP | 2.5–21.6 | Contrast-related, Beta-blockers/Nitroglycerine, Adenosine |
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Baessato, F.; Guglielmo, M.; Muscogiuri, G.; Baggiano, A.; Fusini, L.; Scafuri, S.; Babbaro, M.; Mollace, R.; Collevecchio, A.; Guaricci, A.I.; et al. The Incremental Role of Coronary Computed Tomography in Chronic Coronary Syndromes. J. Clin. Med. 2020, 9, 3925. https://doi.org/10.3390/jcm9123925
Baessato F, Guglielmo M, Muscogiuri G, Baggiano A, Fusini L, Scafuri S, Babbaro M, Mollace R, Collevecchio A, Guaricci AI, et al. The Incremental Role of Coronary Computed Tomography in Chronic Coronary Syndromes. Journal of Clinical Medicine. 2020; 9(12):3925. https://doi.org/10.3390/jcm9123925
Chicago/Turabian StyleBaessato, Francesca, Marco Guglielmo, Giuseppe Muscogiuri, Andrea Baggiano, Laura Fusini, Stefano Scafuri, Mario Babbaro, Rocco Mollace, Ada Collevecchio, Andrea I. Guaricci, and et al. 2020. "The Incremental Role of Coronary Computed Tomography in Chronic Coronary Syndromes" Journal of Clinical Medicine 9, no. 12: 3925. https://doi.org/10.3390/jcm9123925