Abstract
Cardiac imaging is a highly demanding application for any cross-sectional imaging modality. To virtually freeze cardiac motion and to avoid motion artifacts, high temporal resolution is needed. Many parts of the cardiac morphology, and especially the coronary arteries, represent small and complex three-dimensional (3D) structures that require high and at best sub-millimeter isotropic spatial resolution. For the last decade, computed tomography (CT) investigation of the heart was exclusively the domain of electron beam CT (EBCT). In these dedicated cardiac CT scanners, electrons are accelerated in a vacuum funnel and focused on four 210° tungsten target rings underneath the patient. X-ray radiation is emitted, passing through the patient, and is detected using two 240° detector rings above the patient. The design of these scanners was primarily chosen to allow for perfusion [17] and cine [12] imaging of the myocardium at eight levels, combined with a minimal exposure time of 50 ms per slice.
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References
Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M, Detrano R (1990) Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 15: 827–832
Becker C, Jakobs T, Knez A, Haberl R, Brüning R, Schöpf U, Reiser M (1998) Methoden zur Quantifizierung von Koronarkalk mit der Elektronenstrahl-and der konventionellen Computertomographie. Radiologe 38: 1006–1011
Becker C, Schätzl M, Feist H, Bäuml A, Schöpf U, Michalski G, Lechel U, Hengge M, Brüning R, Reiser M (1999) Abschätzung der effektiven Dosis fuer Routineprotokolle beim konventionellen CT, Elektronstrahl-CT and bei der Koronarangiographie. Fortschr Röntgenstr 170: 90–104
Becker C, Jakobs T, Aydemir S, Becker A, Knez A, Schöpf U, Brüning R, Haberl R, Reiser M (2000) Helical and single slice conventional versus electron beam CT for quantification of coronary artery calcification. AJR Am J Roentgenol 174: 543–547
Becker C, Knez A, Leber A, Hong C, Treede H, Wildhirt S, Ohnesorge B, Flohr T, Schoepf U, Reiser M (2000) Erste Erfahrungen mit der Mehrzeilen-Detektor-Spiral-CT in der Diagnostik der Atherosklerose der Koronargefässe. Radiologe 40: 118–122
Becker C, Knez A, Ohnesorge B, Schoepf U, Flohr T, Bruening R, Haberl R, Reiser M (2000) Visualisation and quantification of coronary calcifications with electron beam and spiral computed tomography. Eur Radiol 10: 629–635
Becker C, Knez A, Ohnesorge B, Schoepf U, Reiser M (2000) Imaging of noncalcified coronary palques using helical CT with retrospective ECG gating. AJR Am J Roentgenol 175: 423–424
Bielak LF, Kaufmann RB, Moll PP, McCollough CH, Schwartz RS, Sheedy PF (1994) Small lesions in the heart identified at electron beam CT: calcification or noise? Radiology 192: 631–636
Bruder H, Schaller S, Ohnesorge B, Mertelmeier T (1999) High temporal resolution volume heart imaging with multirow computed tomography. SPIE 3661: 420–432
Callister T, Cooil B, Raya S, Lippolis N, Russo D, Raggi P (1998) Coronary artery disease: improved reproducibility of calcium scoring with an electron beam CT volumetric method. Radiology 208: 807–814
Callister T, Raggi P, Cooli B, Lippolis N, Russo D (1998) Effect of HMG-CoA reductase inhibitors on coronary artery disease as assessed by electron-beam computed tomography. N Engl J Med 339: 1972–1978
Himelman R, Abbott J, Lipton M, Schiller N (1988) Cine computed tomography compared with echocardiography in the evaluation of cardiac function in emphysema. Am J Cardiac Imaging 2: 283–291
Janowitz W, Agatston A, Kaplan G, Viamonte M (1993) Differences in prevalence and extent of coronary artery calcium detected by ultrafast computed tomography in asymptomatic men and women. Am J Cardiol 72: 247–254
Kachelries M and Kalender W (1998) Electrocardiogram-correlated image reconstruction from subsecond spiral computed tomography scans of the heart. Med Phys 25: 2417–2431
Klingenbeck-Regn K, Schaller S, Flohr T, Ohnesorge B, Kopp A, Baum U (1999) Subsecond multislice computed tomography: basics and applications. Eur J Radiol 31: 110–124
Laudon D, Vukov L, Breen J, Rumberger J, Wollan P, Sheedy P (1999) Use of electron-beam computed tomography in the evaluation of chest pain patients in the emergency department. Ann Emerg Med 33: 15–21
Lipton MJ and Holt WW (1991) Computed tomography for patient management in coronary artery disease. Circulation 84: 172–180
Mao S, Oudiz R, Bakhsheshi H, Wang S, Brundage B (1996) Variation of heart rate and electrocardiograph trigger interval during ultrafast computed tomography. Am J Cardiac Imaging 10: 239–243
Mautner GC, Mautner SL, Froehlich J, Feuerstein IM, Proschan MA, Roberts WC, Doppman JL (1994) Coronary artery calcification: assessment with electron beam CT and histomorphometric correlation. Radiology 192: 619–623
Ohnesorge B, Flohr T, Schaller S, Klingenbeck-Regn K, Becker C, Schöpf U, Brüning R, Reiser M (1999) Technische Grundlagen and Anwendungen der Mehrschicht-CT. Radiologe 39: 923–931
Ohnesorge B, Flohr T, Becker C, Knez A, Kopp A, Fukuda K, Reiser M (2000) Herzbildgebung mit schneller, retrospektiv EKG-synchronisierter Mehrschichtspiral CT. Radiologe 40: 111–117
Ohnesorge B, Flohr T, Becker C, Knez A, Kopp A, Fukuda K, Reiser M (2000) Herzbildgebung mit schneller, retrospektiv EKG-synchronisierter Mehrschichtspiral CT. Radiologe 40: 111–117
O’Malley P, Taylor A, Jackson J, Doherty T, Detrano R (2000) Prognostic value of coronary electron-beam computed tomography for coronary heart disease events in asymptomatic populations. Am J Cardiol 85: 945–948
Shemesh J, Apter S, Rozenman J, Lusky A, Rath S, Itzchak Y, Motro M (1995) Calcification of coronary arteries: detection and quantification with double-helix CT. Radiology 197: 779–783
Wexler L, Brundage B, Crouse J, Detrano R, Fuster V, Maddahi J, Rumberger J, Stanford W, White R, Taubert K (1996) Coronary artery calcification: pathophysiology, epidemiology, imaging methods, and clinical implications. A statement for health professionals from the American Heart Association. Circulation 94: 1175–1192
Yoon HC, Greaser LE, Mather R, Sinha S, McNitt Gray MF, Goldin JG (1997) Coronary artery calcium: alternate methods for accurate and reproducible quantitation. Acad Radiol 4: 666–673
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Becker, C.R., Ohnesorge, B.M., Schoepf, U.J., Reiser, M.F. (2001). Coronary Atherosclerosis in Multislice Computed Tomography. In: Marincek, B., Ros, P.R., Reiser, M., Baker, M.E. (eds) Multislice CT: A Practical Guide. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59450-2_10
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DOI: https://doi.org/10.1007/978-3-642-59450-2_10
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