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Multidetector-Row CT for Detection of Noncalcified and Calcified Coronary Lesions

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CT of the Heart

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Immediately after the introduction of multidetector-row computed tomography (MDCT) scanners in 1998, one became aware that not only hyperdense but also hypodense areas within contrast-enhanced axial slices could be seen (see Fig. 1). The question to be answered was whether these areas are artifacts or atherosclerotic plaques.

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References

  1. Fayad ZA, Fuster V, Nikolaou K, Becker C. Computed tomography and magnetic resonance imaging for noninvasive coronary angiography and plaque imaging: current and potential future concepts. Circulation 2002;106(15):2026–2034.

    Article  PubMed  Google Scholar 

  2. Schroeder S, Kopp AF, Baumbach A, et al. Noninvasive detection and evaluation of atherosclerotic coronary plaques with multislice computed tomography. J Am Coll Cardiol 2001;37(5):1430–1435.

    Article  PubMed  CAS  Google Scholar 

  3. Schroeder S, Flohr T, Kopp AF, et al. Accuracy of density measurements within plaques located in artificial coronary arteries by X-ray multislice CT: results of a phantom study. J Comput Assist Tomogr 2001;25(6):900–906.

    Article  PubMed  CAS  Google Scholar 

  4. Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M Jr, Detrano R. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 1990;15(4): 827–832.

    Article  PubMed  CAS  Google Scholar 

  5. Rumberger JA, Simons DB, Fitzpatrick LA, Sheedy PF, Schwartz RS. Coronary artery calcium area by electron-beam computed tomography and coronary atherosclerotic plaque area. A histopathologic correlative study. Circulation 1995;92(8):2157–2162.

    PubMed  CAS  Google Scholar 

  6. Becker CR, Schoepf UJ, Reiser MF. Methods for quantification of coronary artery calcifications with electron beam and conventional CT and pushing the spiral CT envelope: new cardiac applications. Int J Cardiovasc Imaging 2001;17(3):203–211.

    Article  PubMed  CAS  Google Scholar 

  7. Becker CR, Kleffel T, Crispin A, et al. Coronary artery calcium measurement: agreement of multirow detector and electron beam CT. AJR Am J Roentgenol 2001;176(5):1295–1298.

    PubMed  CAS  Google Scholar 

  8. Rourke RA, Brundage BH, Froelicher VF, et al. American College of Cardiology/American Heart Association Expert Consensus Document on electron-beam computed tomography for the diagnosis and prognosis of coronary artery disease. J Am Coll Cardiol 2000;36:326–340.

    Article  Google Scholar 

  9. Rich S, McLaughlin VV. Detection of subclinical cardiovascular disease: the emerging role of electron beam computed tomography. Prev Med 2002;34(1):1–10.

    Article  PubMed  Google Scholar 

  10. Becker CR, Knez A, Ohnesorge B, Schoepf UJ, Reiser MF. Imaging of noncalcified coronary plaques using helical CT with retrospective ECG gating. AJR Am J Roentgenol. 2000;175(2):423–424.

    PubMed  CAS  Google Scholar 

  11. Schroeder S, Kopp AF, Baumbach A, et al. Non-invasive characterisation of coronary lesion morphology by multi-slice computed tomography: a promising new technology for risk stratification of patients with coronary artery disease. Heart 2001;85(5): 576–578.

    Article  PubMed  CAS  Google Scholar 

  12. Schroeder S, Kuettner A, Kopp AF, et al. Noninvasive evaluation of the prevalence of noncalcified atherosclerotic plaques by multi-slice detector computed tomography: results of a pilot study. Int J Cardiol 2003;92(2–3):151–155.

    Article  PubMed  Google Scholar 

  13. Leber AW, Knez A, White CW, et al. Composition of coronary atherosclerotic plaques in patients with acute myocardial infarction and stable angina pectoris determined by contrast-enhanced multislice computed tomography. Am J Cardiol 2003;91(6):714–718.

    Article  PubMed  Google Scholar 

  14. Achenbach S, Ropers D, Regenfus M, et al. Noninvasive coronary angiography by magnetic resonance imaging, electron-beam computed tomography, and multislice computed tomography. Am J Cardiol 2001;88(2A):70E–73E.

    Article  PubMed  CAS  Google Scholar 

  15. Achenbach S, Giesler T, Ropers D, et al. Detection of coronary artery stenoses by contrast-enhanced, retrospectively electrocardiographically-gated, multislice spiral computed tomography. Circulation 2001;103(21):2535–2538.

    PubMed  CAS  Google Scholar 

  16. Becker C, Schatzl M, Feist H, et al. [Assessment of the effective dose for routine protocols in conventional CT, electron beam CT and coronary angiography] Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 1999;170(1):99–104. German.

    PubMed  CAS  Google Scholar 

  17. Jakobs TF, Becker CR, Ohnesorge B, et al. Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol 2002;12(5):1081–1086.

    Article  PubMed  Google Scholar 

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© 2005 Humana Press, Inc., Totowa, NJ

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Schroeder, S. (2005). Multidetector-Row CT for Detection of Noncalcified and Calcified Coronary Lesions. In: Schoepf, U.J. (eds) CT of the Heart. Contemporary Cardiology. Humana Press. https://doi.org/10.1385/1-59259-818-8:399

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  • DOI: https://doi.org/10.1385/1-59259-818-8:399

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-303-9

  • Online ISBN: 978-1-59259-818-2

  • eBook Packages: MedicineMedicine (R0)

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