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Published on: August 28, 2018
Assessment of coronary heart disease by CT angiography: current and evolving applications
Abhishek Sharma1, Armin Arbab-Zadeh
1Department of Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Insights
Computed tomography angiography (CTA) of the heart offers comprehensive assessment for coronary heart disease (CHD). This advanced imaging technique provides critical information quickly and with lower radiation doses, aiding patient management.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
- Radiology
Background:
- Computed tomography angiography (CTA) of the heart is advancing rapidly.
- It assesses coronary arterial anatomy, myocardial function, perfusion, and viability.
- Cardiac CTA is crucial for managing suspected coronary heart disease (CHD).
Purpose of the Study:
- To review the clinical utility of cardiac CTA in patients with suspected CHD.
- To highlight the comprehensive assessment capabilities of cardiac CTA.
- To discuss the technological advancements in cardiac CTA.
Main Methods:
- Review of existing evidence on the clinical utility of cardiac CTA.
- Analysis of technological advancements enabling rapid acquisition and lower radiation doses.
- Focus on the application of cardiac CTA in diagnosing and managing CHD.
Main Results:
- Cardiac CTA provides critical information for patient management within minutes.
- Technological advancements have led to reduced radiation doses compared to conventional CT and nuclear imaging.
- Cardiac CTA is well-suited to meet key needs in cardiovascular medicine.
Conclusions:
- Cardiac CTA is a valuable tool for assessing coronary arterial anatomy, function, and viability.
- Its efficiency and safety profile support its role in suspected coronary heart disease.
- Ongoing advancements position cardiac CTA as a central modality in cardiovascular medicine.
Abstract:
Computed tomography angiography (CTA) of the heart is a rapidly evolving application for comprehensive assessment of coronary arterial anatomy, myocardial function, perfusion, and myocardial viability. Thus, cardiac CTA is capable of retrieving the most critical information for guiding the management of patients with suspected coronary heart disease (CHD). Ongoing technologic advancements have allowed acquiring such information within minutes, at radiation doses that are lower than those from conventional computed tomography imaging or common nuclear imaging techniques. Cardiac CTA has positioned itself as an imaging modality that may be well suited to fulfill central needs of cardiovascular medicine. This article reviews the evidence for the clinical utility of cardiac CTA in patients with suspected CHD.
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