title: Coronary computed tomography and magnetic resonance imaging.
abstract: Cardiac computed tomography and magnetic resonance are relatively new imaging modalities that can exceed the ability of established imaging modalities to detect present pathology or predict patient outcomes. Coronary calcium scoring may be useful in asymptomatic patients at intermediate risk. Computed tomographic coronary angiography is a first-line indication to evaluate congenitally abnormal coronary arteries and, along with stress magnetic resonance myocardial perfusion imaging, is useful in symptomatic patients with nondiagnostic conventional stress tests. Cardiac magnetic resonance is indicated for visualizing cardiac structure and function, and delayed enhancement magnetic resonance is a first-line indication for assessing myocardial viability. Imaging plaque and molecular mechanisms related to plaque rupture holds great promise for the presymptomatic detection of patients at risk for coronary events but is not yet suitable for routine clinical use.
authors.forename: Birgit
authors.initials: B
authors.lastname: Kantor
authors.forename: Eike
authors.initials: E
authors.lastname: Nagel
authors.forename: Paul
authors.initials: P
authors.lastname: Schoenhagen
authors.forename: Jörg
authors.initials: J
authors.lastname: Barkhausen
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Gerber
mesh_terms: D002309:Cardiology; D002318:Cardiovascular Diseases / Q000175:diagnosis*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed