Italian Registry of Cardiac Computed Tomography

Abstract

Purpose

Cardiac CT (CCT) is an imaging modality that is becoming a standard in clinical cardiology. We evaluated indications, safety, and impact on patient management of routine CCT in a multicenter national registry.

Materials and methods

During a period of 6 months, 47 centers in Italy enrolled 3,455 patients.

Results

CCT was performed mainly with 64-slice CT scanners (73.02 %). Contrast agents were administrated in 3,185 patients (92.5 %). Mean DLP changes with type of scanner and was lower in >64 row detector scanner. The most frequent indication for CCT was suspected CAD (44.8 %), followed by calcium scoring (9.6 %), post-angioplasty/stenting (8.3 %), post-CABGs (7.5 %), study of cardiac anatomy (4.22 %) and assessment in patients with known CAD (4.1 %) and acute chest pain (1.99 %). Most of the CCTs were performed in outpatient settings (2,549; 74 %) and a minority in inpatient settings (719, 20.8 %). Adverse clinical events (mild–moderate) occurred in 26 examinations (0.75 %). None of them was severe. In 45.3 % of the cases CCT findings impacted patient management.

Conclusion

CCT is performed with different workloads in participating centers. It is a safe procedure and its results have a strong impact on patient management.

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Conflict of interest

The authors declare no conflict of interest.

Ethical standards

This article does not contain any studies with human participants or animals performed by any of the authors.

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Corresponding author

Correspondence to Ernesto Di Cesare.

Additional information

F. Cademartiri and E. Di Cesare contributed equally to this work.

The list of members of the CCT Italian Registry Group is given in "Appendix”.

CCT Italian Registry Group

CCT Italian Registry Group

Rocco Donato*1, Filippo Zerboni*2, Silvia Tresoldi*3, Carlo Tessa*4, Marco Rengo*5, Giuseppina Manglaviti*6, Massimiliano Danti*7, Federico Crusco*8, Lucia Carotti*9, Bruno Beomonte Zobel*10, Antonio Bernardini*11, Arnaldo Scardapane*12, Simone Banderali*13, Manlio Acquafresca*14, Luca Maria Carusi*15, Umberto Negro*16, Roberto Priotto*17, Francesco De Cobelli*18, Matteo Quarenghi*19, Silvia Paganoni*20, Francesco Secchi*21, Nicola Sforza*22, Domenico Lumia*23, Roberto De Rosa*24, Ernesto Bissoli*25, Luca Olivotti*26, Giulio Barbiero*27, Maurizio Centonze*28, Rodolfo Leurini*29, Roberto Malagò*30, Dario Pinto*31.

*1Azienda Ospedaliera Universitaria G. Martino Me IRCCS Policlinico San Donato, Radiology Unit, Mi.

*2Radiologia, Ospedale Saronno, Va.

*3Ospedale San Paolo, Mi.

*4Ospedale Verilia Camaiore,Lucca.

*5ICOT Latina, Polo Pontino, Università Sapienza.

*6Centro Diagnostico Italiano, MI.

*7M.G. Vannini “Figlie di San Camillo”, Roma.

*8Nuovo Ospedale San Giovanni Battista, Foligno, PG.

*9Ospedale S. Croce, Fano, PU.

*10Diagnostica per Immagini Università Campus Bio-medico, Roma.

*11Ospedale Civile Mazzini, Te.

*12AUO Policlinico Consorziale, Bari.

*13EO Ospedali Galliera, GE.

*14Azienda Ospedaliera-Universitaria Careggi, FI.

*15Ospedale San Giovanni di Dio, FI.

*16ASUR 8 Civitanova Marche, MC.

*17Osp S. Croce e Carle, FI.

*18Radiologia IRCCS San Raffaele, MI.

*19Policlinico, Monza.

*20Ospedale Bolognini, Seriate, BG.

*21IRCCS Policlinico San Donato, San Donato Milanese, MI.

*22San Giovanni Rotondo, FG.

*23Circolo e Fondazione Macchi, Varese.

*24Cliniche Riunite, Napoli.

*25Ospedale Civile Città di Camposampietro, PD.

*26Ospedale Santa Corona, Pietra Ligure, SV.

*27Ospedale San Bassiano, Bassano del Grappa, VI.

*28Ospedale Santa Chiara, Trento.

*29Ospedale Infermi, Rimini.

*30Policlinico Universitario G. Rossi, Verona.

*31Ricerche Radiologiche SRL, Molfetta, BA.

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Cademartiri, F., Di Cesare, E., Francone, M. et al. Italian Registry of Cardiac Computed Tomography. Radiol med 120, 919–929 (2015). https://doi.org/10.1007/s11547-015-0518-0

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Keywords

  • Heart diseases
  • Coronary artery
  • Cardiac CT
  • Indications
  • Registry