Abstract
In this chapter, we describe how to read and report cardiac CT studies. For reading it is recommended to use axial images together with coronal and sagittal slices complemented by curved multiplanar reformations and double-oblique maximum-intensity projections. Typical artifacts and how to avoid them is also discussed in this chapter. Structured reporting of findings has the advantage that it improves consistency.
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Anders K, Ropers U, Kuettner A, Wechsel M, Daniel WG, Uder M, Achenbach S (2011) Individually adapted, interactive multiplanar reformations vs. semi-automated coronary segmentation and curved planar reformations for stenosis detection in coronary computed tomography angiography. Eur J Radiol 80:89–95
Arnoldi E, Gebregziabher M, Schoepf UJ et al (2010) Automated computer-aided stenosis detection at coronary CT angiography: initial experience. Eur Radiol 20:1160–1167
Austen WG, Edwards JE, Frye RL et al (1975) A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation 51:5–40
Bonow RO, Carabello B, de Leon AC et al (1998) ACC/AHA guidelines for the management of patients with valvular heart disease. executive summary. A report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients With Valvular Heart Disease). J Heart Valve Dis 7:672–707
Califf RM, Mark DB, Harrell FE Jr et al (1988) Importance of clinical measures of ischemia in the prognosis of patients with documented coronary artery disease. J Am Coll Cardiol 11:20–26
Chin S, Ong T, Chan W et al (2006) 64 row multi-detector computed tomography coronary image from a centre with early experience: first illustration of learning curve. J Geriatric Cardiol 3:29–34
Coakley FV, Liberman L, Panicek DM (2003) Style guidelines for radiology reporting: a manner of speaking. AJR Am J Roentgenol 180:327–328
de Roos A, Kroft LJ, Bax JJ, Geleijns J (2007) Applications of multislice computed tomography in coronary artery disease. J Magn Reson Imaging 26:14–22
Dewey M, Schnapauff D, Laule M et al (2004) Multislice CT coronary angiography: evaluation of an automatic vessel detection tool. Fortschr Röntgenstr 176:478–483
Dewey M, Müller M, Eddicks S et al (2006) Evaluation of global and regional left ventricular function with 16-slice computed tomography, biplane cineventriculography, and two-dimensional transthoracic echocardiography: comparison with magnetic resonance imaging. J Am Coll Cardiol 48:2034–2044
Eagle KA, Guyton RA, Davidoff R et al (2004) ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery). Circulation 110:e340–e437
Feuchtner GM, Dichtl W, Friedrich GJ et al (2006a) Multislice computed tomography for detection of patients with aortic valve stenosis and quantification of severity. J Am Coll Cardiol 47:1410–1417
Feuchtner GM, Dichtl W, Schachner T et al (2006b) Diagnostic performance of MDCT for detecting aortic valve regurgitation. AJR Am J Roentgenol 186:1676–1681
Friedman PJ (1983) Radiologic reporting: the hierarchy of terms. AJR Am J Roentgenol 140:402–403
Gibbons RJ, Abrams J, Chatterjee K et al (2003) ACC/AHA 2002 guideline update for the management of patients with chronic stable angina-summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). Circulation 107:149–158
Hall FM (2000) Language of the radiology report: primer for residents and wayward radiologists. AJR Am J Roentgenol 175:1239–1242
Hamon M, Morello R, Riddell JW (2007) Coronary arteries: diagnostic performance of 16- versus 64-section spiral CT compared with invasive coronary angiography-meta-analysis. Radiology 245:720–731
Herzog C, Ay M, Engelmann K et al (2001) Visualization techniques in multislice CT-coronary angiography of the heart. Correlations of axial, multiplanar, three-dimensional and virtual endoscopic imaging with the invasive diagnosis. Rofo 173:341–349
Hoe JW, Toh KH (2007) A practical guide to reading CT coronary angiograms-how to avoid mistakes when assessing for coronary stenoses. Int J Cardiovasc Imaging 23:617–633
Hoffmann H, Dübel HP, Laube H, Hamm B, Dewey M (2007) Triage of patients with suspected coronary artery disease using multislice computed tomography. Acad Radiol 14:901–909
Juergens KU, Fischbach R (2006) Left ventricular function studied with MDCT. Eur Radiol 16:342–357
Kelle S, Hug J, Kohler U, Fleck E, Nagel E (2005) Potential intrinsic error of noninvasive coronary angiography. J Cardiovasc Magn Reson 7:401–407
Kim TJ, Han DH, Jin KN, Won Lee K (2010) Lung cancer detected at cardiac CT: prevalence, clinicoradiologic features, and importance of full-field-of-view images. Radiology 255(2):369–376
Koonce J, Schoepf JU, Nguyen SA, Northam MC, Ravenel JG (2009) Extra-cardiac findings at cardiac CT: experience with 1,764 patients. Eur Radiol 19:570–576
Kroft LJ, de Roos A, Geleijns J (2007) Artifacts in ECG-synchronized MDCT coronary angiography. AJR Am J Roentgenol 189:581–591
Leber AW, Becker A, Knez A et al (2006) Accuracy of 64-slice computed tomography to classify and quantify plaque volumes in the proximal coronary system: a comparative study using intravascular ultrasound. J Am Coll Cardiol 47:672–677
Libby P (2007) Braunwald’s heart disease: a textbook of cardiovascular medicine. Saunders, An Imprint of Philadelphia: Elsevier
MacMahon H, Austin JH, Gamsu G et al (2005) Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology 237:395–400
National Lung Screening Trial Research Team, Aberle DR, Adams AM, Berg CD, Black WC, Clapp JD, Fagerstrom RM, Gareen IF, Gatsonis C, Marcus PM, Sicks JD (2011) Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med 365(5):395–409
Rolf A, Werner GS, Schuhbäck A, Rixe J, Möllmann H, Nef HM, Gundermann C, Liebetrau C, Krombach GA, Hamm CW, Achenbach S (2013) Preprocedural coronary CT angiography significantly improves success rates of PCI for chronic total occlusion. Int J Cardiovasc Imaging 29(8):1819–1827
Ryan TJ, Faxon DP, Gunnar RM et al (1988) Guidelines for percutaneous transluminal coronary angioplasty. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee on Percutaneous Transluminal Coronary Angioplasty). Circulation 78:486–502
Schnapauff D, Zimmermann E, Dewey M (2008) Technical and clinical aspects of coronary computed tomography angiography. Semin Ultrasound CT MR 29:167–175
Smith SC Jr, Dove JT, Jacobs AK et al (2001) ACC/AHA guidelines of percutaneous coronary interventions (revision of the 1993 PTCA guidelines)–executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (committee to revise the 1993 guidelines for percutaneous transluminal coronary angioplasty). J Am Coll Cardiol 37:2215–2239
Stillman AE, Rubin GD, Teague SD, White RD, Woodard PK, Larson PA (2008) Structured reporting: coronary CT angiography: a white paper from the American College of Radiology and the North American Society for Cardiovascular Imaging. J Am Coll Radiol 5:796–800
Vogel-Claussen J, Pannu H, Spevak PJ, Fishman EK, Bluemke DA (2006) Cardiac valve assessment with MR imaging and 64-section multi-detector row CT. Radiographics 26:1769–1784
Vogl TJ, Abolmaali ND, Diebold T et al (2002) Techniques for the detection of coronary atherosclerosis: multi-detector row CT coronary angiography. Radiology 223:212–220
Further Recommended Websites
Jacobs JE, Boxt LM, Desjardins B, Fishman EK, Larson PA, Schoepf J (2006) ACR practice guideline for the performance and interpretation of cardiac computed tomography (CT). J Am Coll Radiol 3:677–685, The ACR practice guideline for the performance and interpretation of cardiac CT (Jacobs et al.) can be accessed at: http://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/CT_Cardiac.pdf
Kushner DC, Lucey LL (2005) Diagnostic radiology reporting and communication: the ACR guideline. J Am Coll Radiol 2:15–21, The ACR practice guideline for communication of diagnostic imaging findings (Kushner et al.) can be accessed at: http://www.acr.org/~/media/C5D1443C9EA4424AA12477D1AD1D927D.pdf
Raff GL, Abidov A, Achenbach S et al (2009) SCCT guidelines for the interpretation and reporting of coronary computed tomographic angiography. J Cardiovasc Comput Tomogr 3:122–136, The SCCT guidelines for the interpretation and reporting of coronary computed tomographic angiography (Raff et al.) can be accessed at: http://www.scct.org/documents/SCCTGuidelinesforI&RofCCTA.pdf
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Kroft, L.J.M., Dewey, M. (2014). Reading and Reporting. In: Cardiac CT. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41883-9_13
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DOI: https://doi.org/10.1007/978-3-642-41883-9_13
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