Abstract
Multislice computed tomography coronary angiography (MSCT‐CA) has emerged as a powerful noninvasive diagnostic modality to visualize the coronary arteries and to detect significant coronary stenoses. The latest generation 64‐slice computed tomography (CT) scanners is a robust technique which allows high‐resolution, isotropic, nearly motion‐free coronary imaging. Coronary stenoses are detected with high sensitivity and a normal scan accurately rules out the presence of a coronary stenosis. With the introduction of further novel concepts in CT‐technology one may expect that MSCT‐CA will become a clinically used diagnostic tool. Copyright © 2007 Wiley Periodicals, Inc.
Keywords: computed tomography, coronary artery disease, coronary angiography
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References
- 1. Ohnesorge B, Flohr T, Becker C, Kopp AF, Schoepf UJ, et al.: Cardiac imaging by means of electrocardiographically gated multisection spiral CT: initial experience. Radiology 2000; 217: 564–571. [DOI] [PubMed] [Google Scholar]
- 2. Becker CR, Knez A, Leber A, Hong C, Treede H, et al.: Initial experiences with multi‐slice detector spiral CT in diagnosis of arteriosclerosis of coronary vessels. Radiology 2000; 40: 118–122. [DOI] [PubMed] [Google Scholar]
- 3. Nieman K, Rensing BJ, van Geuns RJ, Vos J, Pattynama PM, et al.: Non‐invasive coronary angiography with multislice spiral computed tomography: impact of heart rate. Heart 2002; 88: 470–474. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4. Jakobs TF, Becker CR, Ohnesorge B, Flohr T, Suess C, et al.: Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG‐controlled tube current modulation. Eur Radiol 2002; 12: 1081–1086. [DOI] [PubMed] [Google Scholar]
- 5. Leschka S, Alkadhi H, Plass A, Desbiolles L, Grunenfelder J, et al.: Accuracy of MSCT coronary angiography with 64‐slice technology: first experience. Eur Heart J 2005; 26: 1482–1487. [DOI] [PubMed] [Google Scholar]
- 6. Leber AW, Knez A, von Ziegler F, Becker A, Nikolaou K, et al.: Quantification of obstructive and nonobstructive coronary lesions by 64‐slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol 2005; 46: 147–154. [DOI] [PubMed] [Google Scholar]
- 7. Raff GL, Gallagher MJ, O'Neill WW, Goldstein JA: Diagnostic accuracy of noninvasive coronary angiography using 64‐slice spiral computed tomography. J Am Coll Cardiol 2005; 46: 552–557. [DOI] [PubMed] [Google Scholar]
- 8. Mollet NR, Cademartiri F, van Mieghem CA, Runza G, McFadden EP, et al.: High‐resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation 2005; 112: 2318–2323. [DOI] [PubMed] [Google Scholar]
- 9. Ropers D, Rixe J, Anders K, Kuttner A, Baum U, et al.: Usefulness of multidetector row spiral computed tomography with 64‐ x 0.6‐mm collimation and 330‐ms rotation for the noninvasive detection of significant coronary artery stenoses. Am J Cardiol 2006; 97(3): 343–348, Epub 2005 Dec 1. [DOI] [PubMed] [Google Scholar]
- 10. Schuijf JD, Pundziute G, Jukema JW, Lamb HJ, van der Hoeven BL, et al.: Diagnostic accuracy of 64‐slice multislice computed tomography in the noninvasive evaluation of significant coronary artery disease. Am J Cardiol 2006; 98(2): 145–148. [DOI] [PubMed] [Google Scholar]
- 11. Ong AT, Serruys PW, Mohr FW, Morice MC, Kappetein AP, et al.: The SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery (SYNTAX) study: design, rationale, and run‐in phase. Am Heart J 2006; 151(6): 1194–1204. [DOI] [PubMed] [Google Scholar]
- 12. Martuscelli E, Romagnoli A, D'Eliseo A, Tomassini M, Razzini C, et al.: Evaluation of venous and arterial conduit patency by 16‐slice spiral computed tomography. Circulation 2004; 110(20): 3234–3238. [DOI] [PubMed] [Google Scholar]
- 13. Chiurlia E, Menozzi M, Ratti C, Romagnoli R, Modena MG: Follow‐up of coronary artery bypass graft patency by multislice computed tomography. Am J Cardiol 2005; 95(9): 1094–1097. [DOI] [PubMed] [Google Scholar]
- 14. Schlosser T, Konorza T, Hunold P, Kuhl H, Schmermund A, et al.: Noninvasive visualization of coronary artery bypass grafts using 16‐detector row computed tomography. J Am Coll Cardiol 2004; 44(6): 1224–1229. [DOI] [PubMed] [Google Scholar]
- 15. Yamamoto M, Kimura F, Niinami H, Suda Y, Ueno E, et al.: Noninvasive assessment of off‐pump coronary artery bypass surgery by 16‐channel multidetector‐row computed tomography Ann Thorax Surg 2006; 81: 820‐7. [DOI] [PubMed]
- 16. Anders K, Baum U, Schmid M, Ropers D, Schmid A, et al.: Coronary artery bypass graft (CABG) patency: assessment with high‐resolution submillimeter 16‐slice multidetector‐row computed tomography (MDCT) versus coronary angiography. Eur J Radiol 2006; 57(3): 336–344. [DOI] [PubMed] [Google Scholar]
- 17. Salm LP, Bax JJ, Jukema JW, Schuijf JD, Vliegen HW, et al.: Comprehensive assessment of patients after coronary artery bypass grafting by 16‐detector‐row computed tomography. Am Heart J 2005; 150(4): 775–781. [DOI] [PubMed] [Google Scholar]
- 18. Pache G, Saueressig U, Frydrychowicz A, Foell D, Ghanem N, et al.: Initial experience with 64‐slice cardiac CT: non‐invasive visualization of coronary artery bypass grafts. Eur Heart J 2006; 27(8): 976–980, Epub 2006 Mar 9. [DOI] [PubMed] [Google Scholar]
- 19. Mori S, Kondo C, Suzuki N, Yamashita H, Hattori A, et al.: Volumetric cine imaging for cardiovascular circulation using prototype 256‐detector row computed tomography scanner (4‐dimensional computed tomography): a preliminary study with a porcine model. J Comput Assist Tomogr 2005; 29: 26–30. [DOI] [PubMed] [Google Scholar]
- 20. Flohr TG, McCollough CH, Bruder H, Petersilka M, Gruber K, et al.: First performance evaluation of a dual‐source CT (DSCT) system. Eur Radiol 2006; 16: 256–268. [DOI] [PubMed] [Google Scholar]
- 21. Achenbach S, Ropers D, Kuettner A, Flohr T, Ohnesorge B, et al.: Contrast‐enhanced coronary artery visualization by dual‐source computed tomography‐Initial experience. Eur J Radiol 2006; 57: 331–335. [DOI] [PubMed] [Google Scholar]