The Challenging Patient

  • Damiano Caruso
  • Domenico De Santis
  • Taylor M. DuguayEmail author
  • Sheldon E. Litwin
  • Carlo N. De CeccoEmail author
Part of the Contemporary Medical Imaging book series (CMI)


The aforementioned scenarios represent just some of the challenges that can be observed around the CT scanner in everyday practice. Despite being coined a “challenge,” the challenging patient represents an objective issue in clinical management. However, with the continuous technological and pharmacological advances in addition to an effective training of CT personnel, we are nowadays able to effectively face and overcome many of these issues, all in an effort to guarantee safe and adequate examinations for all patients.


Coronary CT angiography and the difficult patient Difficult patient and coronary CT angiography Patients with a reduced renal function Elevated heart rates in coronary CT angiography Anxious patient and coronary CT angiography Obese patient and coronary CT angiography 


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Copyright information

© Humana Press 2019

Authors and Affiliations

  • Damiano Caruso
    • 1
  • Domenico De Santis
    • 1
    • 2
  • Taylor M. Duguay
    • 2
    Email author
  • Sheldon E. Litwin
    • 3
  • Carlo N. De Cecco
    • 4
    Email author
  1. 1.Department of Radiological Sciences, Oncological and Pathological SciencesUniversity of Rome “Sapienza”LatinaItaly
  2. 2.Division of Cardiovascular Imaging, Department of Radiology and Radiological ScienceMedical University of South CarolinaCharlestonUSA
  3. 3.Division of Cardiology, Department of MedicineMedical University of South CarolinaCharlestonUSA
  4. 4.Department of Radiology and Radiological ScienceMedical University of South CarolinaCharlestonUSA

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