Coronary CT angiography: a guide to examination, interpretation, and clinical indications

Ludovico La Grutta, Nicola Sverzellati, Luca Saba, Alberto Clemente, Erica Maffei, Carlo Cavaliere, Sara Seitun, Giovanni Gentile, Cesare Mantini, Eduardo Bossone, Bruna Punzo, Stefano Nistri, Stefano Nistri, Giovanni Gentile, Giancarlo Casolo, Filippo Cademartiri

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: The introduction of Cardiac Computed Tomography (CCT) has changed the paradigm in the field of diagnostic cardiovascular medicine. CCT is the primary tool in the assessment of suspected Coronary Artery Disease (CAD) and should be followed by functional assessment when needed to stratify disease and to plan potential interventional or surgical therapy. Areas Covered: We provided the current state of the knowledge on the main aspects of technique of examination, image interpretation and clinical indications. We have focused our attention on the basic routine applications and activities. Expert Opinion: The primary role of CCT in suspected CAD will progressively become the standard approach. In general, any situation in which anatomy of the heart and thoracic vessels/structures is mandatory must be approached using CT first, whenever possible. The quantity and quality of information that can be provided by CCT is big and the operators should learn how to deal with this information. On the other hand, CCT is only apparently a straightforward and simple examination. It is actually the most complex diagnostic procedure that can be performed on CT and requires highly skilled operators and state-of-art-technology. Abbreviations: CABG = Coronary Artery Bypass GraftCAD = Coronary Artery DiseaseCAG = Conventional Coronary AngiographyCCT = Cardiac Computed TomographyCT = Computed TomographySSCT = Single-Source Computed TomographyDSCT = Dual-Source Computed TomographyOMT = Optimal Medical TherapyPCI = Percutaneous Coronary InterventionNSTEMI = Non-ST Elevation Myocardial InfarctionSTEMI = ST Elevation Myocardial InfarctionSPECT = Single–Photon Emission Computed TomographyPET = Positron Emission TomographyRCT = Randomized Clinical Trialmm = millimeterkV = kiloVoltmAs = milliAmpere/secondFOV = Field of View.
Original languageEnglish
Pages (from-to)1-13-13
Number of pages13
JournalExpert Review of Cardiovascular Therapy
Publication statusPublished - 2021

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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