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Published on: June 3, 2018
[Multislice computerized tomography coronary angiography: general principles, technique and clinical applications]
1Pamukkale Universitesi Tip Fakültesi Radyoloji Anabilim Dali, Denizli, Türkiye. nkarabulut@yahoo.com
Electrocardiogram-gated coronary multislice computed tomography (CT) angiography offers noninvasive imaging of coronary arteries. This advanced CT angiography is valuable for assessing coronary artery disease, bypass graft patency, and congenital anomalies, despite needing further resolution improvements.
Area of Science:
- Cardiovascular imaging
- Radiology
- Medical technology
Background:
- Coronary multislice CT angiography has advanced significantly with improved scanner technology.
- This technique enables noninvasive visualization of coronary arteries.
Purpose of the Study:
- To review the principles, techniques, applications, and artifacts of coronary multislice CT angiography.
- To highlight its diagnostic performance and limitations.
Main Methods:
- Review of current literature on electrocardiogram-gated coronary multislice CT angiography.
- Discussion of technological advancements in CT scanners (gantry speed, detector rows).
Main Results:
- Coronary CT angiography effectively evaluates coronary plaques, stenosis, bypass graft patency, and congenital anomalies.
- It visualizes coronary artery walls, lumen, and provides volumetric data for cardiac and extracardiac abnormalities.
- High negative predictive value makes it useful for low-to-intermediate risk patients.
Conclusions:
- Coronary multislice CT angiography is a valuable diagnostic tool for coronary artery disease evaluation.
- Further advancements are needed for imaging small stents, noncalcified plaques, and overcoming artifacts from arrhythmias and calcifications.
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