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Coronary CT Angiography: Native Vessels

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Cardiac CT Imaging

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Abstract

Visualization of the coronary arteries has been the major focus of cardiac CT in the past years. Noninvasive “coronary CT angiography” has tremendous clinical potential for detecting or ruling out coronary artery stenoses in selected patients. In addition, imaging of coronary atherosclerotic plaque may play a potential role in risk stratification. However, spatial resolution and temporal resolution of CT imaging, even with the latest scanner generations, are not equal to invasive coronary angiography. Interpreters of coronary CT angiography data sets must be aware that artifacts can occur and may lead to false-positive and false-negative results. Diagnostic accuracy is impaired when image quality is reduced and image quality, in turn, is influenced by many factors such as the patient’s heart rate, body weight, ability to cooperate, and extent of coronary calcification. Therefore, the clinical utility of coronary CT angiography significantly depends on the specific clinical situation and patient under investigation. The specific advantages and disadvantages of coronary CT angiography must be carefully considered before using this method in the workup of a patient with known or suspected coronary artery disease.

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  1. Department of Cardiology, University of Erlangen, Erlangen, Germany

    Stephan Achenbach MD, FACC, FESC, FSCCT

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Correspondence to Stephan Achenbach MD, FACC, FESC, FSCCT .

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  1. Los Angeles Biomedical Res. Institute, Dept. Cardiology, Harbor-UCLA Medical Center, W. Carson St. 1124, Torrance, 90502, USA

    Matthew J. Budoff

  2. Keck School of Medicine, University of Southern California, San Pablo St. 1510, Los Angeles, 90033, USA

    Jerold S. Shinbane

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Achenbach, S. (2010). Coronary CT Angiography: Native Vessels. In: Budoff, M., Shinbane, J. (eds) Cardiac CT Imaging. Springer, London. https://doi.org/10.1007/978-1-84882-650-2_9

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