title: Recent Scientific Evidence and Technical Developments in Cardiovascular Computed Tomography.
abstract: In recent years, coronary computed tomography angiography has become an increasingly safe and noninvasive modality for the evaluation of the anatomical structure of the coronary artery tree with diagnostic benefits especially in patients with a low-to-intermediate pretest probability of disease. Currently, increasing evidence from large randomized diagnostic trials is accumulating on the diagnostic impact of computed tomography angiography for the management of patients with acute and stable chest pain syndrome. At the same time, technical advances have substantially reduced adverse effects and limiting factors, such as radiation exposure, the amount of iodinated contrast agent, and scanning time, rendering the technique appropriate for broader clinical applications. In this work, we review the latest developments in computed tomography technology and describe the scientific evidence on the use of cardiac computed tomography angiography to evaluate patients with acute and stable chest pain syndrome.
authors.affiliation: Department of Diagnostic and Interventional Radiology, University of Tuebingen, Germany.
authors.forename: Roy
authors.initials: R
authors.lastname: Marcus
authors.affiliation: Department of Diagnostic and Interventional Radiology, University of Tuebingen, Germany.
authors.forename: Christer
authors.initials: C
authors.lastname: Ruff
authors.affiliation: Department of Sports Medicine, University of Tuebingen, Tuebingen, Germany.
authors.forename: Christof
authors.initials: C
authors.lastname: Burgstahler
authors.affiliation: Department of Diagnostic and Interventional Radiology, University of Tuebingen, Germany.
authors.forename: Mike
authors.initials: M
authors.lastname: Notohamiprodjo
authors.affiliation: Department of Diagnostic and Interventional Radiology, University of Tuebingen, Germany.
authors.forename: Konstantin
authors.initials: K
authors.lastname: Nikolaou
authors.affiliation: Department of Cardiology, University of Tuebingen, Tuebingen, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Geisler
authors.affiliation: Department of Internal Medicine, Klinikum Göppingen, Göppingen, Germany.
authors.forename: Stephen
authors.initials: S
authors.lastname: Schroeder
authors.affiliation: Department of Diagnostic and Interventional Radiology, University of Tuebingen, Germany. Electronic address: fabian.bamberg@uni-tuebingen.de.
authors.forename: Fabian
authors.initials: F
authors.lastname: Bamberg
mesh_terms: D057791:Cardiac Imaging Techniques / Q000379:methods*; D002318:Cardiovascular Diseases / Q000150:complications / Q000000981:diagnostic imaging*; D002637:Chest Pain / Q000000981:diagnostic imaging / Q000209:etiology; D000072226:Computed Tomography Angiography / Q000379:methods*; D003287:Contrast Media; D006801:Humans; D007091:Image Processing, Computer-Assisted; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media
keywords: Acute chest pain; Acute coronary syndrome; Angio-TC cardiaca; Cardiac CT angiography; Dolor torácico agudo; Síndrome coronario agudo