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Time-Resolved, Dynamic Computed Tomography Angiography for Characterization of Aortic Endoleaks and Treatment Guidance via 2D-3D Fusion-Imaging
Published on: December 9, 2021
Computed tomographic cardiovascular imaging
Jerold S Shinbane1, Matthew J Budoff
1University of California, Los Angles, CA.
Insights
Cardiac CT scans non-invasively assess cardiovascular diseases, particularly coronary atherosclerosis. This advanced imaging technology evaluates plaque burden and coronary artery disease risk, aiding in diagnosis and risk stratification.
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Cardiac CT is a powerful non-invasive tool for evaluating diverse cardiovascular pathologies.
- It enables detailed assessment of atherosclerotic plaque burden and coronary artery disease (CAD) risk.
- Coronary calcium scoring is a key application for risk stratification.
Purpose of the Study:
- To highlight the role of Cardiac CT in assessing cardiovascular pathology.
- To emphasize its efficacy in detecting coronary atherosclerosis.
- To discuss advancements enabling comprehensive cardiac and thoracic vascular imaging.
Main Methods:
- Utilizes advanced spatial and temporal resolution.
- Employs electrocardiographic triggering for precise imaging.
- Leverages sophisticated image reconstruction software.
Main Results:
- Cardiac CT accurately evaluates coronary artery anatomy and vessel patency.
- It enables non-invasive diagnosis or exclusion of significant epicardial CAD.
- Provides 3D simultaneous imaging of cardiac and thoracic structures.
Conclusions:
- Cardiac CT is a robust modality for non-invasive cardiovascular assessment.
- It offers comprehensive evaluation of coronary atherosclerosis and related risk factors.
- Enables detailed spatial assessment of multiple cardiac and vascular structures for disease evaluation.
Abstract:
The chapter presents the Cardiac CT for the assessment of cardiovascular pathology with an emphasis on the detection of coronary atherosclerosis. Cardiac CT is a robust technology for the non-invasive assessment for a spectrum of cardiovascular disease processes. This imaging modality can provide assessment of atherosclerotic plaque burden and coronary artery disease risk through coronary calcium scoring. Advances in spatial and temporal resolution, electrocardiographic triggering methodology, and image reconstruction software have helped in the evaluation of coronary artery anatomy and vessel patency, providing the ability to noninvasively diagnose or rule out significant epicardial coronary artery disease. This technique also allows the 3-Dimensional simultaneous imaging of additional cardiac structures including coronary veins, pulmonary veins, atria, ventricles, aorta and thoracic arterial and venous structures, with definition of their spatial relationships for the comprehensive assessment of a variety of cardiovascular disease processes.
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