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Integrating Anatomical and Functional Assessment of Coronary Artery Disease: Can MDCT act as the lone Gatekeeper in the near Future?

  • Cardiac Computed Tomography (S Achenbach and T Villines, Section Editor)
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Abstract

Several multicenter trials have demonstrated the high diagnostic accuracy and clinical efficacy of modern coronary computed tomography angiography (CTA) when utilized to evaluate symptomatic patients with low-to-intermediate pretest probability of coronary artery disease (CAD). However, coronary CTA remains a purely anatomic test and further assessment with invasive coronary angiography or other non-invasive tests are occasionally required, with subsequent inherent risks and costs to patients and healthcare systems. Recently, remarkable advances in multidetector computed tomography technology has significantly improved temporal and spatial resolution of coronary CTA. In the past decade, initially in animal models and then in humans, stress myocardial perfusion imaging by computed tomography (CTP) evolved and is being increasingly studied. It is the purpose of this review to highlight recent updates in the CTP literature and try to figure how to place CTP in CAD management in the near future.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Acknowledgments

Vitor Ramos had a grant of Portuguese Society of Cardiology.

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Vítor Ramos, Nuno Dias Ferreira, and Nuno Bettencourt declare that they have no conflict of interest.

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Authors and Affiliations

  1. Cardiology department, Hospital de Braga, Sete Fontes, São Victor, 4710-243, Braga, Portugal

    Vítor Ramos

  2. Cardiology department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Rua Conceição Fernandes, 4434-502, Vila Nova de Gaia, Portugal

    Nuno Dias Ferreira & Nuno Bettencourt

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  1. Vítor Ramos
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  2. Nuno Dias Ferreira
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Correspondence to Vítor Ramos.

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This article is part of the Topical Collection on Cardiac Computed Tomography

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Ramos, V., Ferreira, N.D. & Bettencourt, N. Integrating Anatomical and Functional Assessment of Coronary Artery Disease: Can MDCT act as the lone Gatekeeper in the near Future?. Curr Cardiovasc Imaging Rep 7, 9292 (2014). https://doi.org/10.1007/s12410-014-9292-y

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