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Computed Tomography Techniques and Principles. Part b. Multislice Computed Tomography

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Noninvasive Imaging of Myocardial Ischemia

10. Conclusion

The ability of CT imaging to visualize and measure disease process in the coronary arteries has increased our knowledge of atherosclerosis and coronary heart disease. Beyond feasibility studies, further well-designed, prospective single or multicenter studies are required to assess the diagnostic performance of MS-CT in various patient populations with different levels of prevalence of coronary artery disease and to establish the diagnostic role of MS-CT in cardiology before we embrace this promising technique as a clinically acceptable new diagnostic tool. Moreover, the fundamental characteristics of MS-CT such as the X-Y spatial resolution, slice thickness, and temporal resolution need to be further optimized to consider MS-CT coronary angiography as a reliable clinical diagnostic tool to detect coronary atherosclerotic obstructions. In particular, the temporal resolution needs improvement to meet the challenges of motion-free imaging also during faster heart rates.

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References

  1. Moshage WE, Achenbach S, Seese B, Bachmann K, Kirchgeorg M. Coronary artery stenoses: three-dimensional imaging with electrocardiographically triggered, contrast agent-enhanced, electron-beam CT. Radiology 1995;196(3):707–714.

    PubMed  CAS  Google Scholar 

  2. Thomas PJ, McCollough CH, Ritman EL. An electronbeam CT approach for transvenous coronary arteriography. J Comput Assist Tomogr 1995;19(3):383–389.

    Article  PubMed  CAS  Google Scholar 

  3. Nakanishi T, Ito K, Imazu M, Yamakido M. Evaluation of coronary artery stenoses using electron-beam CT and multiplanar reformation. J Comp Assist Tomogr 1997;21:121–127.

    Article  CAS  Google Scholar 

  4. Chernoff DM, Ritchie CJ, Higgins CB. Evaluation of electron beam CT coronary angiography in healthy subjects. AJR Am J Roentgenol 1997;169(1):93–99.

    PubMed  CAS  Google Scholar 

  5. Achenbach S, Moshage W, Ropers D, Bachmann K. Curved multiplanar reconstructions for the evaluation of contrast-enhanced electron beam CT of the coronary arteries. AJR Am J Roentgenol. 1998;170(4):895–899.

    PubMed  CAS  Google Scholar 

  6. Rensing BJ, Bongaerts A, van Geuns RJ, van Ooijen P, Oudkerk M, de Feyter PJ. Intravenous coronary angiography by electron beam computed tomography: a clinical evaluation. Circulation 1998;98(23):2509–2512.

    PubMed  CAS  Google Scholar 

  7. Reddy GP, Chernoff DM, Adams JR, Higgins CB. Coronary artery stenoses: assessment with contrastenhanced electron-beam CT and axial reconstructions. Radiology 1998;208(1):167–172.

    PubMed  CAS  Google Scholar 

  8. Achenbach S, Moshage W, Ropers D, Nossen J, Daniel WG. Value of electron-beam computed tomography for the noninvasive detection of high-grade coronaryartery stenoses and occlusions. N Engl J Med 1998; 339(27):1964–1971.

    Article  PubMed  CAS  Google Scholar 

  9. Schmermund A, Rensing BJ, Sheedy PF, Bell MR, Rumberger JA. Intravenous electron-beam computed tomographic coronary angiography for segmental analysis of coronary artery stenoses. J Am Coll Cardiol 1998;31(7): 1547–1554.

    Article  PubMed  CAS  Google Scholar 

  10. Budoff MJ, Oudiz RJ, Zalace CP, et al. Intravenous three-dimensional coronary angiography using contrast enhanced electron beam computed tomography. Am J Cardiol 1999;83(6):840–845.

    Article  PubMed  CAS  Google Scholar 

  11. Achenbach S, Ulzheimer S, Baum U, et al. Noninvasive coronary angiography by retrospectively ECG-gated multislice spiral CT. Circulation 2000;102(23):2823–2828.

    PubMed  CAS  Google Scholar 

  12. Nieman K, Oudkerk M, Rensing BJ, et al. Coronary angiography with multi-slice computed tomography. Lancet 2001;357(9256):599–603.

    Article  PubMed  CAS  Google Scholar 

  13. Achenbach S, Giesler T, Ropers D, et al. Detection of coronary artery stenoses by contrast-enhanced, retrospectively electrocardiographically-gated, multislice spiral computed tomography. Circulation 2001; 103(21):2535–2538.

    PubMed  CAS  Google Scholar 

  14. Knez A, Becker CR, Leber A, et al. Usefulness of multislice spiral computed tomography angiography for determination of coronary artery stenoses. Am J Cardiol 2001;88(10):1191–1194.

    Article  PubMed  CAS  Google Scholar 

  15. Vogl TJ, Abolmaali ND, Diebold T, et al. Techniques for the detection of coronary atherosclerosis: multi-detector row CT coronary angiography. Radiology 2002;223:212–220.

    PubMed  Google Scholar 

  16. Kopp AF, Schroeder S, Kuettner A, et al. Non-invasive coronary angiography with high resolution multidetector-row computed tomography. Results in 102 patients. Eur Heart J 2002;23(21):1714–1725.

    PubMed  CAS  Google Scholar 

  17. Giesler T, Baum U, Ropers D, et al. Noninvasive visualization of coronary arteries using contrast-enhanced multidetector CT: influence of heart rate on image quality and stenosis detection. AJR Am J Roentgenol 2002;179(4):911–916.

    PubMed  Google Scholar 

  18. Mao S, Lu B, Oudiz RJ, et al. Coronary artery motion in electron beam tomography. J Comput Assist Tomogr 2000;24:253–258.

    Article  PubMed  CAS  Google Scholar 

  19. Achenbach S, Ropers D, Holle J, Muschiol G, Daniel WG, Moshage W. In-plane coronary arterial motion velocity: measurement with electron-beam CT. Radiology 2000; 216(2):457–463.

    PubMed  CAS  Google Scholar 

  20. Wang Y, Watts R, Mitchell I, et al. Coronary MR angiography: selection of acquisition window of minimal cardiac motion with electrocardiography-triggered navigator cardiac motion prescanning initial results. Radiology 2001;218:580–585.

    PubMed  CAS  Google Scholar 

  21. Hong CH, Becker CR, Huber A. ECG-gated reconstructed multi-detector row CT coronary angiography: effect of varying trigger delay on image quality. Radiology 2001;220:712–717.

    PubMed  CAS  Google Scholar 

  22. Nieman K, Rensing BJ, van Geuns RJ, et al. Non-invasive coronary angiography with multislice spiral computed tomography: impact of heart rate. Heart 2002;88:470–474.

    Article  PubMed  CAS  Google Scholar 

  23. Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J 2005 Aug;26(15):1482–1487. Epub 2005 Apr 19.

    Article  PubMed  Google Scholar 

  24. Leber AW, Knez A, von Ziegler F, et al. Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol 2005 Aug 2;46(3):552–557.

    Article  Google Scholar 

  25. Raff GL, Gallagher MJ, O’Neill WW, Goldstein JA. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol 2005 Aug 2:46(3):552–557.

    Article  PubMed  Google Scholar 

  26. Mollet NRA, Cademarhri FC, Van Mieghem CAG, et al. High-resolution spiral CT coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation 2005:in press.

    Google Scholar 

  27. Jakobs TF, Becker CR, Ohnesorge B, et al. Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol 2002;12(5):1081–1086.

    Article  PubMed  Google Scholar 

  28. Hunold P, Vogt FM, Schmermund A, et al. Radiation exposure during cardiac CT: effective doses at multidetector row CT and electron-beam CT. Radiology 2003;226(1):145–152.

    PubMed  Google Scholar 

  29. Morin RL, Gerber TC, McCollough CH. Radiation dose in computed tomography of the heart. Circulation 2003; 107:917–922.

    Article  PubMed  Google Scholar 

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de Feyter, P.J., Cademartiri, F., Mollet, N.R., Nieman, K. (2006). Computed Tomography Techniques and Principles. Part b. Multislice Computed Tomography. In: Anagnostopoulos, C.D., Nihoyannopoulos, P., Bax, J.J., van der Wall, E. (eds) Noninvasive Imaging of Myocardial Ischemia. Springer, London. https://doi.org/10.1007/1-84628-156-3_7

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  • DOI: https://doi.org/10.1007/1-84628-156-3_7

  • Publisher Name: Springer, London

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