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Updated: Jul 6, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
MDCT of the myocardium: a new contribution to ischemic heart disease
Alexis Jacquier1, Didier Revel, Maythem Saeed
1Department of Radiology, Hopital de la Timone, University of Marseille Méditerranée, 264 rue St Pierre, 13385 Marseille Cedex 5, France. alexis.jacquier@ap-hm.fr <alexis.jacquier@ap-hm.fr>
Insights
Multidetector row computed tomography (MDCT) assesses myocardial injury by visualizing late enhancement, similar to MRI. This technology aids in diagnosing ischemic heart disease, a leading cause of death.
Area of Science:
- Cardiology
- Medical Imaging
- Diagnostic Technology
Background:
- Cardiovascular diseases are a leading global cause of mortality.
- Multidetector row computed tomography (MDCT) offers insights into coronary artery anatomy and left ventricular function.
- Early research in the 1970s demonstrated CT's ability to visualize myocardial infarction in animal models.
Purpose of the Study:
- To review the technical aspects of cardiac MDCT for myocardial assessment.
- To explore the diagnostic potential of MDCT in ischemic heart disease.
Main Methods:
- Utilizing multidetector row computed tomography (MDCT) for cardiac imaging.
- Assessing myocardial late enhancement, analogous to delayed enhancement MRI.
- Evaluating coronary artery anatomy and left ventricular volume and function.
Main Results:
- MDCT technology has enabled clinical application of CT for myocardial assessment.
- MDCT can visualize myocardial injury in both animal models and human patients.
- The principle of MDCT assessment of myocardial late enhancement mirrors that of delayed enhancement MRI.
Conclusions:
- Cardiac MDCT is a valuable tool for assessing the myocardium.
- MDCT holds significant potential for diagnosing ischemic heart disease.
- Advancements in MDCT have revived and expanded the clinical utility of CT for cardiac evaluation.
Rationale And Objectives:
Despite the progress made in diagnosis and treatment, cardiovascular diseases remain the main cause of death worldwide.
Materials And Methods:
Multidetector row computed tomography (MDCT) provides several diagnostic insights, namely assessment of coronary artery anatomy and measurement of left ventricular volume and function. The ability of CT to show myocardial infarcted areas as an enhanced territory was described in the late 1970s in an animal model.
Results:
This method found a second wind with the arrival of MDCT technology that led to its clinical application. Several authors describe the ability of MDCT to assess myocardial injury both in animals and humans. The MDCT assessment of myocardial late enhancement is based on the same principle as delayed enhancement MRI.
Conclusions:
The aim of this review is to cover the technical aspects of cardiac MDCT in assessing the myocardium and its potential in diagnosing ischemic heart disease.
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