Related Experiment Video

Updated: Aug 19, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
06:29

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

[The place of multispiral computed tomography in diagnostics of ischemic heart disease.]

S K Ternovoĭ1, A L Syrkin, P Sh Chomakhidze

  • 1I. M. Sechenov Moscow Medical Academy; ul Bolshaya Pirogovskaya 2/6, 119881 Moscow, Russia.

Kardiologiia
|February 9, 2005
PubMed

Insights

Multispiral computed tomography (CT) effectively detects coronary artery calcification and myocardial changes. The calcium index, significantly higher in patients with ischemic heart disease, serves as a key diagnostic criterion.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Ischemic heart disease (IHD) diagnosis relies on various methods.
  • Early detection of coronary artery calcification is crucial for risk stratification.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of multispiral CT (MSCT) for detecting coronary artery stenosis and myocardial structural changes.
  • To assess the utility of the calcium index in diagnosing IHD.

Main Methods:

  • MSCT with and without contrast, coronary angiography, stress tests, and echocardiography were employed.
  • A total of 82 patients (56 with IHD, 26 without) were studied.
  • Hemodynamic significance of stenoses was determined by comparison with coronary angiography.

Main Results:

  • MSCT demonstrated high specificity (92%) and sensitivity (90%) for detecting significant stenoses (>50%) compared to angiography.
  • MSCT showed 89% specificity and 91% sensitivity for diagnosing myocardial structural changes.
  • The calcium index was significantly elevated in patients with IHD (253+/-28 U) versus those without (3+/-1.5 U).

Conclusions:

  • MSCT is a valuable tool for diagnosing coronary artery stenosis and myocardial alterations in IHD patients.
  • The calcium index derived from MSCT is a significant diagnostic marker for ischemic heart disease.

More Related Videos

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography08:13

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography

Published on: February 16, 2016

Related Concept Videos

Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Computed Tomography01:10

Computed Tomography

Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...