Related Experiment Video
Updated: May 4, 2026
04:40
Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
14.9K
Coronary CT angiography: Diagnostic value and clinical challenges
Akmal Sabarudin1, Zhonghua Sun1
1Akmal Sabarudin, Diagnostic Imaging and Radiotherapy Program, School of Diagnostic and Applied Health Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 50300, Malaysia.
World Journal of Cardiology
|January 7, 2014
Summary
Coronary CT angiography offers high diagnostic value for coronary artery disease, improving with multislice CT technology. However, limitations like artifacts and calcification require further advancements.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Medical Technology
Background:
- Coronary computed tomography (CT) angiography is increasingly utilized for diagnosing coronary artery disease.
- Technological advancements in multislice CT scanners have significantly enhanced diagnostic performance.
- Despite improvements, limitations such as motion artifacts and calcification persist.
Purpose of the Study:
- To review technical developments in multislice CT for coronary CT angiography.
- To assess the diagnostic and prognostic value of coronary CT angiography in coronary artery disease.
- To highlight current limitations and future challenges of coronary CT angiography.
Main Methods:
- Review of technical evolution of multislice CT scanners (e.g., 4-slice to 320-slice).
- Analysis of diagnostic performance data for coronary CT angiography across different CT generations.
- Discussion of studies evaluating prognostic value and limitations.
Main Results:
- Coronary CT angiography demonstrates high diagnostic accuracy for coronary artery disease, particularly with advanced multislice CT.
- Improvements in spatial and temporal resolution have boosted diagnostic capabilities.
- Key limitations include motion artifacts, suboptimal temporal resolution, and high false positive rates in calcified arteries.
Conclusions:
- Multislice CT technology has substantially improved coronary CT angiography's diagnostic value for coronary artery disease.
- Addressing limitations like artifacts and calcification is crucial for wider clinical adoption.
- Coronary CT angiography holds significant potential for both diagnosis and prognosis in patients with coronary artery disease.
More Related Videos
Related Concept Videos
01:28Imaging Studies for Cardiovascular System V: CT
671
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
671
01:30Acute Coronary Syndrome III: Diagnostic Studies
495
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
495
01:25Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
973
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
973
01:27Coronary Artery Disease V: Interprofessional Care
444
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
444
01:20Imaging Studies for Cardiovascular System III: X-Ray
699
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
699
01:28Cardiac Catheterization I: Pre-Procedure Overview
3.4K
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
3.4K