By Matthew J. Budoff, Jerold S. Shinbane
'Handbook of Cardiac CT' is a primer for the sensible functionality and interpretation of cardiovascular computed tomography. This guide serves as a spouse to the textbook: 'Cardiac CT Imaging: prognosis of heart problems' and gives crucial concise and sensible textual content precis of every subject, with extra tables, algorithms, protocols and key photographs for orientation to and familiarization with vital disorder methods. This guide goals a examining viewers who're within the education part of functionality and interpretation of cardiovascular CT and is designed as an simply available pocket reference.
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Extra resources for Handbook of Cardiovascular CT: Essentials for Clinical Practice
The decision to perform PCI is not based on the CTA-determined MLA alone; reliance is placed on the CTA-guided IVUS or FFR confirmation rather than on the angiographic appearance. This represents a fundamental change in the traditional paradigm and requires validation of each laboratory’s ability to accurately measure MLA, as well as an acceptance of the superiority of IVUS to conventional angiography. Fig. 6 (a) A long severely diseased area is seen on the MPR of the left anterior descending coronary artery in a 45-year-old diabetic male with exertional angina (left), and on the corresponding invasive angiogram (right).
This image modality has been used to provide assessment of atherosclerotic plaque burden and coronary artery disease risk through coronary calcium scoring for 20 years and CT angiography for over 10 years . While electron beam tomography has been used to perform CT angiography (CTA) for well over a decade, this modality has been largely supplanted by multidetector computed tomography (MDCT) due to higher spatial resolution, improved slice thickness, and greater availability. MDCT scanners with x-ray tubes rotating fast enough to allow coronary artery imaging (500 milliseconds [ms] or less per rotation) became available in the late 1990s.
Hopper KD, Mosher TJ, Kasales CJ, et al. Thoracic spiral CT: delivery of contrast material pushed with injectable saline solution in a power injector. Radiology 1997, 205: 269–271 9. Haage P, Schmitz-Rode T, Hubner D, et al. Reduction of contrast material dose and artifacts by a saline flush using a double power injector in helical CT of the thorax. Am J Roentgenol 2000, 174: 1049–1053 10. Fleischmann D, Rubin GD, Bankier AA, Hittmair K. Improved uniformity of aortic enhancement with customized contrast medium injection protocols at CT angiography.