Abstract
High-quality and non-invasive diagnostic tools for assessing myocardial ischemia are necessary for therapeutic decisions regarding coronary artery disease. Myocardial perfusion has been studied using myocardial contrast echo perfusion, single-photon emission computed tomography, positron emission tomography, cardiovascular magnetic resonance, and, more recently, computed tomography. The addition of coronary computed tomography angiography to myocardial perfusion imaging improves the specificity and overall diagnostic accuracy of detecting the hemodynamic significance of coronary artery stenosis. This study reviews the benefits, limitations, and imaging findings of various imaging modalities for assessing myocardial perfusion, with particular emphasis on stress perfusion computed tomography and cardiovascular magnetic resonance imaging.
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Abbreviations
- AUC:
-
Area under the curve
- CAD:
-
Coronary artery disease
- CCTA:
-
Coronary computed tomography angiography
- CMR:
-
Cardiovascular magnetic resonance
- CTP:
-
Computed tomography perfusion
- DECT:
-
Dual-energy computed tomography
- ECG:
-
Electrocardiography
- FFR:
-
Fractional flow reserve
- ICA:
-
Invasive coronary angiography
- LAD:
-
Left anterior descending coronary artery
- LCX:
-
Left circumflex artery
- PET:
-
Positron emission tomography
- RCA:
-
Right coronary artery
- SPECT:
-
Single-photon emission computed tomography
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Ko, S.M., Hwang, H.K., Kim, S.M. et al. Multi-modality imaging for the assessment of myocardial perfusion with emphasis on stress perfusion CT and MR imaging. Int J Cardiovasc Imaging 31 (Suppl 1), 1–21 (2015). https://doi.org/10.1007/s10554-015-0645-7
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DOI: https://doi.org/10.1007/s10554-015-0645-7