By Matthew J. Budoff, Jerold S. Shinbane
'Handbook of Cardiac CT' is a primer for the sensible functionality and interpretation of cardiovascular computed tomography. This handbook serves as a spouse to the textbook: 'Cardiac CT Imaging: prognosis of heart problems' and gives crucial concise and useful textual content precis of every subject, with extra tables, algorithms, protocols and key photos for orientation to and familiarization with vital disorder methods. This handbook goals a studying viewers who're within the education part of functionality and interpretation of cardiovascular CT and is designed as an simply available pocket reference.
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Extra resources for Handbook of Cardiovascular CT: Essentials for Clinical Practice
The predominant risk of coronary CTA is radiation exposure. However, newer techniques are now allowing for reduction of radiation doses from 13–18 mSv (64-MDCT, dual source) or higher (256 or 320 MDCT), to doses now averaging only 2–3 mSv with prospective axial gating. This technique will allow for markedly reduced doses of radiation; however, only a small range of images within the cardiac cycle are available. With this new technique, evaluation of ejection fraction and wall motion is not possible, and significant motion artifacts cannot be overcome by evaluating different phases of the cardiac cycle, as is currently done with retrospective triggering with all phases available for analysis.
While all modalities have demonstrated that progression of atherosclerosis is affected by medical management, regression or non-progression on quantitative invasive angiography is the only methodology that has been conclusively linked with a significant reduction in morbidity and mortality. Hence, progression of CAC on cardiac CT, a non-invasive imaging modality that provides a low radiation dose, may prove very useful in assessing future risk of events if the initial experience is confirmed in further studies.
Am J Roentgenol 2000, 174: 1049–1053 10. Fleischmann D, Rubin GD, Bankier AA, Hittmair K. Improved uniformity of aortic enhancement with customized contrast medium injection protocols at CT angiography. Radiology 2000, 214: 363–71 11. Bae KT, Tran HQ, Heiken JP. Multiphasic injection method for uniform prolonged vascular enhancement at CT angiography: pharmacokinetic analysis and experimental porcine model. Radiology 2000, 216: 872–880 12. Schoenhagen P, Stillman AE, Halliburton SS, White RD. Cardiac CT Made Easy.