Skip to main content

Cardiac Computed Tomography (CT) and Fractional Flow Reserve-Computed Tomography (FFR-CT)

  • Chapter
  • First Online:
Cardiology Procedures
  • 661 Accesses

Abstract

Cardiac CT has undergone dramatic advances in technology with applications that include the assessment of coronary artery disease (CAD), evaluation of congenital abnormalities and structural function, and characterization of anatomy prior to valve and electrophysiology procedures. CT permits the rapid acquisition of high quality data in the majority of patients using prospective (radiation-sparing) or retrospective ECG gating, with outstanding resolution of the coronary arteries as well as other cardiac structures. Using the high-quality images of the coronary arteries, fractional flow reserve-computed tomography (FFR-CT) may provide an assessment of the hemodynamic significance of specific coronary lesions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Taylor AJ, Cerqueira M, Hodgson JM, Mark D, Min J, O’Gara P, Rubin GD, American College of Cardiology Foundation Appropriate Use Criteria Task Force; Society of Cardiovascular Computed Tomography; American College of Radiology; American Heart Association; American Society of Echocardiography; American Society of Nuclear Cardiology; North American Society for Cardiovascular Imaging; Society for Cardiovascular Angiography and Interventions; Society for Cardiovascular Magnetic Resonance. ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 appropriate use criteria for cardiac computed tomography. A report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance. J Cardiovasc Comput Tomogr. 2010;4(6):407.e1–33.

    Google Scholar 

  2. Mark DB, Berman DS, Budoff MJ, Carr JJ, Gerber TC, Hecht HS, Hlatky MA, Hodgson JM, Lauer MS, Miller JM, Morin RL, Mukherjee D, Poon M, Rubin GD, Schwartz RS, American College of Cardiology Foundation Task Force on Expert Consensus Documents. ACCF/ACR/AHA/NASCI/SAIP/SCAI/SCCT 2010 expert consensus document on coronary computed tomographic angiography: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Catheter Cardiovasc Interv. 2010;76(2):E1–42.

    Article  Google Scholar 

  3. Leipsic J, Abbara S, Achenbach S, Cury R, Earls JP, Mancini GJ, Nieman K, Pontone G, Raff GL. SCCT guidelines for the interpretation and reporting of coronary CT angiography: a report of the Society of Cardiovascular Computed Tomography Guidelines Committee. J Cardiovasc Comput Tomogr. 2014;8(5):342–58.

    Article  Google Scholar 

  4. Cury RC, Abbara S, Achenbach S, Agatston A, Berman SD, Budoff MJ, Dill K, Jacobs J, Maroules C, Rubin G, Rybicki F, Schoepf J, Shaw L, Stillman A, White C, Woodard P, Leipsic J, CAD-RADSTM Coronary Artery Disease e Reporting and Data System. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT), the American College of Radiology (ACR) and the North American Society for Cardiovascular Imaging (NASCI). J Cardiovasc Comput Tomogr. 2016;10(4):269–81.

    Article  Google Scholar 

  5. Kueh SH, Mooney J, Ohana M, Kim U, Blanke P, Grover R, Sellers S, Ellis J, Murphy D, Hague C, Bax JJ, Nørgaard BL, Rabbat M, Leipsic JA. Fractional flow reserve derived from coronary computed tomography angiography reclassification rate using value distal to lesion compared to lowest value. J Cardiovasc Comput Tomogr. 2017;11(6):462–7.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Fox, A., Sabharwal, N. (2022). Cardiac Computed Tomography (CT) and Fractional Flow Reserve-Computed Tomography (FFR-CT). In: Hendel, R.C., Kimmelstiel, C. (eds) Cardiology Procedures. Springer, Cham. https://doi.org/10.1007/978-3-030-95259-4_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-95259-4_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-95258-7

  • Online ISBN: 978-3-030-95259-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics