By Marc Dewey
Coronary CT angiography has attained expanding medical consciousness at educational associations and has develop into a hugely actual diagnostic modality. Extending this information right into a perform surroundings is the aim of "Coronary CT Angiography". This ebook will help you in integrating cardiac CT into your day-by-day perform, whereas additionally giving an summary of the present technical prestige and purposes. the explicit good points of scanners from all 4 major proprietors also are offered offering an target evaluation of noninvasive coronary angiography utilizing CT.
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Additional resources for Coronary CT Angiography
Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: a statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association. Circulation 2002; 105:539–42 Kini S, Bis KG, Weaver L. Normal and variant coronary arterial and venous anatomy on high-resolution CT angiography. AJR Am J Roentgenol 2007; 188:1665–74 Konen E, Goitein O, Sternik L, Eshet Y, Shemesh J, Di Segni E. The prevalence and anatomical patterns of intramuscular coronary arteries: a coronary computed tomography angiographic study.
4 Appropriate clinical indications for coronary CT angiography Pros Cons Exclusion of CAD in patients with low to intermediate pretest likelihood High negative predictive value of CT Noninvasive CT is highly accepted by patients Only little data available on possible advantages of CT over other modalities such as stress ECG, and on possible advantages for patient management Patients with suspected CAD and inconclusive noninvasive test results High negative predictive value of CT Noninvasive CT is highly accepted by patients Only little data available on possible advantages for patient management Follow-up of symptomatic patients with coronary artery bypasses Reliable visualization of the entire bypass, including the proximal and distal anastomoses Noninvasive CT is highly accepted by patients Only little data available on possible advantages for patient management Numerous studies, but in small patient populations Exclusion of coronary artery anomalies and aneurysms Excellent evaluation of the course of anomalous coronaries (malignant vs.
Eur J Cardiothorac Surg 2005; 28:244–9 Gilard M, Cornily JC, Pennec PY, et al. Assessment of coronary artery stents by 16 slice computed tomography. Heart 2006; 92:58–61 Hamon M, Biondi-Zoccai GG, Malagutti P, Agostoni P, Morello R, Valgimigli M. Diagnostic performance of multislice spiral computed tomography of coronary arteries as compared with conventional invasive coronary angiography: a meta-analysis. J Am Coll Cardiol 2006; 48:1896–910 Hamon M, Champ-Rigot L, Morello R, Riddell JW. Diagnostic accuracy of in-stent coronary restenosis detection with multislice spiral computed tomography: A meta-analysis.