Related Experiment Video
Updated: Jan 19, 2026

In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
Dynamic CT myocardial perfusion imaging
1Stanford University School of Medicine and Cardiovascular Institute, Stanford University School of Medicine, Room H2157, 300 Pasteur Drive, Stanford, CA, 94304, USA.
Insights
Dynamic myocardial perfusion CT (MPICT) quantifies blood flow in the heart muscle. This review details MPICT methods, performance, and its role in assessing coronary artery disease severity.
Area of Science:
- Cardiovascular Imaging
- Radiology
- Medical Physics
Background:
- Cardiac CT provides methods to assess coronary artery obstruction severity.
- Myocardial perfusion CT (MPICT) uses serial imaging to measure contrast inflow and calculate absolute myocardial perfusion.
Purpose of the Study:
- To review the acquisition protocol, post-processing, and quantitative parameter calculation for MPICT.
- To evaluate the diagnostic performance and incremental value of MPICT compared to other methods.
Main Methods:
- Description of MPICT acquisition protocols.
- Explanation of image post-processing and quantitative parameter calculation.
- Analysis of diagnostic performance data.
Main Results:
- MPICT enables quantitative assessment of myocardial perfusion.
- The review discusses the diagnostic performance and potential benefits of MPICT.
Conclusions:
- Further technical advancements and standardized diagnostic thresholds are needed for widespread clinical adoption of MPICT.
- MPICT shows potential for differentiating significant coronary artery disease.
Abstract:
Cardiac CT offers several approaches to establish the hemodynamic severity of coronary artery obstructions. Dynamic myocardial perfusion CT (MPICT) is based on serial CT imaging to measure the inflow of contrast medium into the myocardium and calculate absolute measures of myocardial perfusion. This review describes the MPICT acquisition protocol, post-image acquisition processing and calculation of quantitative parameters, the diagnostic performance of MPICT and the potential incremental value of this technique in comparison to alternative approaches. Further technical innovation using different scanner platforms and establishment of reproducible diagnostic thresholds to differentiate significant coronary artery disease will be crucial in the path to broader clinical implementation.
Related Concept Videos
Imaging Studies for Cardiovascular System V: CT
Acute Coronary Syndrome III: Diagnostic Studies
Imaging Studies for Cardiovascular System IV: CMRI
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
Assessment of Diffusion and Perfusion
The Role of Diffusion in Respiration
Diffusion is the process by which molecules move from an area of higher concentration to an area of lower concentration. In the respiratory system, this...

