Computed tomography of the coronary arteries in diagnosis

Area of Science:

• Cardiovascular imaging
• Radiology
• Medical diagnostics

Background:

• Cardiac computed tomography (CT) is a non-invasive alternative to catheter angiography for coronary artery disease assessment.
• Technological advancements have made coronary CT angiography a robust and accurate imaging modality.
• Appropriate indications for cardiac CT remain under discussion.

Purpose of the Study:

• To review the literature on cardiac CT appropriateness criteria from the 2006 American College of Radiology Appropriateness Criteria.
• To analyze temporal trends in cardiac CT utilization.
• To provide an outlook on the future evolution of cardiac CT.

Main Methods:

• Literature review focusing on appropriate indications for cardiac CT.
• Analysis of temporal trends in clinical practice and expert opinion.
• Discussion of strengths, shortcomings, and future directions.

Main Results:

• Cardiac CT is a valuable tool for diagnosing coronary artery disease in selected patients.
• Understanding the strengths and limitations of cardiac CT is crucial for appropriate use.
• Specific indications for cardiac CT have been established, but appropriateness varies.

Conclusions:

• Recent advancements have significantly improved cardiac CT for coronary artery evaluation.
• The list of appropriate indications for cardiac CT may expand in the future.
• Cardiac CT plays a vital role in the diagnosis and management of coronary artery disease.