Coronary Computed Tomographic Angiography in Clinical Practice: State of the Art

被引：20

作者：

Meinel, Felix G. ^{[1
,2
]}

Bayer, Richard R., II ^{[3
]}

Zwerner, Peter L. ^{[3
]}

De Cecco, Carlo Nicola ^{[1
,4
]}

Schoepf, U. Joseph ^{[1
,3
]}

Bamberg, Fabian ^{[5
]}

机构：

[1] Med Univ S Carolina, Dept Radiol & Radiol Sci, Charleston, SC 29425 USA

[2] Ludwig Maximilians Univ Hosp, Inst Clin Radiol, D-81377 Munich, Germany

[3] Med Univ S Carolina, Div Cardiol, Dept Med, Charleston, SC 29425 USA

[4] Univ Rome Sapienza Polo Pontino, Dept Radiol Sci Oncol & Pathol, Latina, Italy

[5] Univ Tubingen, Dept Radiol, D-72076 Tubingen, Germany

来源：

RADIOLOGIC CLINICS OF NORTH AMERICA | 2015年 / 53卷 / 02期

关键词：

Coronary CT angiography; Cardiac CT; Coronary artery disease; Chest pain; Diagnostic accuracy; Prognostic value; FRACTIONAL FLOW RESERVE; CT ANGIOGRAPHY; CHEST-PAIN; DIAGNOSTIC-ACCURACY; PROGNOSTIC VALUE; MYOCARDIAL-PERFUSION; CONFIRM REGISTRY; YOUNG-ADULTS; FOLLOW-UP; STENOSIS;

D O I：

10.1016/j.rcl.2014.11.012

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

In patients with stable chest pain, coronary CT angiography (CCTA) has demonstrated high accuracy in excluding coronary artery disease and CCTA findings carry prognostic significance for the occurrence of future cardiovascular events. Increasingly, CCTA has been adopted as a triage tool in patients with acute chest pain. In specific clinical scenarios, CCTA further represents a useful tool to exclude an ischemic etiology in patients with cardiac arrhythmias or newly diagnosed heart failure. Several novel techniques are currently being investigated which may extend the ability of CCTA to characterize and quantify coronary artery plaque and assess the hemodynamic significance of stenosis.

引用

页码：287 / +

页数：11

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