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Updated: Jun 16, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
Clinical and technical considerations for stress myocardial perfusion imaging with multidetector computed tomography
Thanjavur K M Bragadeesh1, Michael D Shapiro
1Division of Cardiovascular Medicine, Oregon Health & Science University, UHN62, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Cardiovascular computed tomography (CT) accurately evaluates coronary artery disease. New methods allow CT to assess myocardial perfusion, offering a complete view of coronary anatomy and function.
Area of Science:
- Cardiovascular imaging
- Radiology
- Cardiac diagnostics
Background:
- Cardiovascular computed tomography (CT) is a validated tool for assessing coronary artery atherosclerosis and stenosis.
- Diagnostic accuracy of CT angiography is comparable to conventional coronary angiography.
- CT angiography currently does not assess the functional significance of coronary lesions.
Purpose of the Study:
- To review the principles, technical considerations, and potential of stress myocardial perfusion imaging using CT.
- To highlight the emerging capability of CT in evaluating both coronary anatomy and physiology.
Main Methods:
- Review of existing literature on cardiovascular CT and myocardial perfusion imaging.
- Discussion of technical aspects and principles of stress myocardial perfusion imaging with CT.
Main Results:
- Cardiovascular CT demonstrates high diagnostic accuracy for coronary artery disease.
- Myocardial perfusion imaging with CT is emerging as a feasible technique.
- CT offers the potential for a comprehensive assessment of coronary anatomy and physiology.
Conclusions:
- Stress myocardial perfusion imaging with CT is a promising development.
- CT may provide a single-examination solution for evaluating both coronary anatomy and function.
- Further research and validation are ongoing for CT-based myocardial perfusion imaging.
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