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Noninvasive Coronary Artery Imaging with CT and MRI

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Coronary Heart Disease

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Abstract

Cardiac CT angiography (CCTA) for coronary artery evaluation is now a clinically useful modality as a result of concurrent developments in computer speed and memory, and powerful multidetector CT scanner hardware with post-processing software. For many years, invasive coronary angiography was the gold standard for evaluating coronary artery disease since it provides a clear view of the coronary artery. But, it comes with a small risk of associated morbidity. Noninvasive coronary artery evaluation previously relied on phenomena secondary to coronary stenosis during physiologic stress (electrocardiogram, wall motion, and perfusion changes), but multiple problems with test performance still limit sensitivity and specificity. CCTA of the coronary artery lumen and wall permits noninvasive visualization, prognosis assessment, and an ability to determine the potential source of symptoms. In this chapter, we review CCTA techniques, data supporting its clinical application, clinical uses, associated radiation exposure, and future directions.

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Author information

Authors and Affiliations

  1. Minneapolis Heart Institute, Abbott Northwestern Hospital, MHI Cardiology, 800 E 28th Street, Minneapolis, MN, 55407, USA

    Marc C. Newell MD

  2. Minneapolis Heart Institute, 920 E 28th Street, Minneapolis, MN, 55076, USA

    Robert S. Schwartz MD

  3. Minneapolis Heart Institute Foundation, 920 E. 28th Street, Minneapolis, MN, 55407, USA

    John R. Lesser MD

Authors
  1. Marc C. Newell MD
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  2. Robert S. Schwartz MD
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  3. John R. Lesser MD
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Corresponding author

Correspondence to Marc C. Newell MD .

Editor information

Editors and Affiliations

  1. Edgcumbe Place 6, St. Paul, 55116, Minnesota, USA

    Zeev Vlodaver

  2. University of Minnesota, Delaware Street S.E. 420, Minneapolis, 55455, Minnesota, USA

    Robert F. Wilson

  3. 4-112 Nils Hasselmo Hall, University of Minnesota, Church Street S.E. 312, Minneapolis, 55455, Minnesota, USA

    Daniel J. Garry

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Newell, M.C., Schwartz, R.S., Lesser, J.R. (2012). Noninvasive Coronary Artery Imaging with CT and MRI. In: Vlodaver, Z., Wilson, R., Garry, D. (eds) Coronary Heart Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1475-9_5

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  • DOI: https://doi.org/10.1007/978-1-4614-1475-9_5

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