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Updated: Jun 15, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Anatomical variants and anomalies of the coronary tree studied with MDCT coronary angiography
R Malagò1, M D'Onofrio, S Brunelli
1Istituto di Radiologia, Azienda Ospedaliero Universitaria Integrata di Verona, Policlinico G.B. Rossi, P.le L.A.Scuro 10, 37134 Verona, Italy. rmalag@sirm.org
Insights
Congenital coronary artery anomalies, often asymptomatic, can cause severe symptoms. Multidetector CT coronary angiography (MDCT-CA) offers a noninvasive method to visualize these coronary artery variants and anomalies.
Area of Science:
- Cardiovascular Imaging
- Anatomical Variants
- Congenital Heart Disease
Background:
- Coronary artery anomalies are congenital conditions, frequently asymptomatic.
- Severe symptoms like angina or cardiac arrest can manifest.
- Accurate diagnosis is crucial for patient management.
Purpose of the Study:
- To illustrate common coronary artery variants and anomalies.
- To demonstrate the utility of multidetector CT coronary angiography (MDCT-CA).
- To highlight advanced MDCT imaging techniques for visualization.
Main Methods:
- Utilizing multidetector CT coronary angiography (MDCT-CA).
- Employing curved multiplanar reconstructions (CMPR).
- Leveraging three-dimensional (3D) reformatting for detailed imaging.
Main Results:
- MDCT-CA provides noninvasive visualization of coronary anatomy.
- Advanced reconstructions enable accurate depiction of variants and anomalies.
- This technique offers an alternative to conventional coronary angiography (CCA).
Conclusions:
- MDCT-CA is effective for diagnosing coronary artery anomalies.
- Multiplanar and 3D reconstructions enhance anatomical assessment.
- This pictorial essay serves as a visual guide to coronary artery variations.
Abstract:
Anomalies of the coronary arteries are congenital and in most of the cases asymptomatic, although they may present with severe symptoms such as angina pectoris or cardiac arrest. Multidetector CT coronary angiography (MDCT-CA) permits, through curved multiplanar reconstructions and three-dimensional reformatting, noninvasive visualisation of the coronary tree and its variants and anomalies, providing a more accurate alternative to conventional coronary angiography (CCA). The purpose of this pictorial essay is to describe the main variants and anomalies of the coronary arteries using MDCT imaging with multiplanar and three-dimensional reconstructions.
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