Coronary computed tomographic angiography in clinical practice: state of the art.
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.
Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC 29425, USA; Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital, Marchioninistraße, Munich 81377, Germany. Electronic address: felix.meinel@med.uni-muenchen.de.
Felix G
FG
Meinel
Division of Cardiology, Department of Medicine, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC 29425, USA.
Richard R
RR
Bayer
Division of Cardiology, Department of Medicine, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC 29425, USA.
Peter L
PL
Zwerner
Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC 29425, USA; Department of Radiological Sciences, Oncology and Pathology, University of Rome "Sapienza" - Polo Pontino, Latina, Italy.
Carlo Nicola
CN
De Cecco
Department of Radiology and Radiological Science, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC 29425, USA; Division of Cardiology, Department of Medicine, Medical University of South Carolina, 25 Courtenay Drive, Charleston, SC 29425, USA.
U Joseph
UJ
Schoepf
Department of Radiology, University of Tübingen, Hoppe-Seyler-Straße, Tübingen 72076, Germany.
Fabian
F
Bamberg
D056586:Acute Chest Syndrome / Q000000981:diagnostic imaging; D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000000981:diagnostic imaging; D002648:Child; D017023:Coronary Angiography / Q000191:economics / Q000379:methods*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D011379:Prognosis; D012196:Review Literature as Topic; D013575:Syncope / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000191:economics / Q000379:methods*
Cardiac CT; Chest pain; Coronary CT angiography; Coronary artery disease; Diagnostic accuracy; Prognostic value