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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans

Published on: August 28, 2018

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Progress in noninvasive coronary artery imaging using multislice CT

M F L Meijs, A M de Vos, A Rutten

    Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
    |February 20, 2015
    PubMed

    Insights

    Multislice CT (MSCT) offers a less invasive alternative to conventional coronary angiography (CAG) for assessing coronary artery disease. Advances in MSCT improve stenosis detection, plaque imaging, and cardiac function analysis while reducing radiation exposure.

    Area of Science:

    • Cardiovascular Imaging
    • Radiology
    • Medical Technology

    Background:

    • Conventional coronary angiography (CAG) is the established standard for coronary artery disease assessment but carries risks.
    • CAG has an average morbidity of 2% and mortality of approximately 0.1%.
    • Medical imaging advancements enable noninvasive coronary artery assessment with reduced cost and risk.

    Purpose of the Study:

    • To summarize recent advancements in noninvasive coronary artery imaging using multislice CT (MSCT).
    • To highlight MSCT applications in coronary stenosis detection, emergency decision-making, plaque imaging, and cardiac function analysis.
    • To discuss strategies for minimizing MSCT-related radiation exposure.

    Main Methods:

    • Review of experiences with latest developments in noninvasive coronary artery imaging presented at the 2005 European Congress of Radiology (ECR).
    • Focus on multislice CT (MSCT) technology and its applications.
    • Discussion of new strategies for radiation dose reduction in MSCT.

    Main Results:

    • MSCT has significantly advanced noninvasive coronary artery assessment.
    • MSCT demonstrates efficacy in detecting coronary stenosis and imaging plaques.
    • MSCT aids in emergency decision-making and cardiac function analysis, including late enhancement.
    • New strategies aim to reduce radiation exposure associated with MSCT.

    Conclusions:

    • MSCT represents a major step forward in noninvasive coronary artery imaging.
    • MSCT offers a safer and potentially more cost-effective alternative to CAG.
    • Ongoing developments focus on enhancing MSCT's diagnostic capabilities and patient safety through radiation reduction.

    Keywords:
    coronary artery diseasemultislice computed tomographynoninvasive angiography

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