TY - JOUR
T1 - Coronary computed tomography-present status and future directions
AU - Apfaltrer, P.
AU - Schoepf, U. J.
AU - Vliegenthart, R.
AU - Rowe, G. W.
AU - Spears, J. R.
AU - Fink, C.
AU - Nance, J. W.
PY - 2011/10
Y1 - 2011/10
N2 - The use of coronary computed tomography angiography (cCTA) is growing rapidly, in large part because of fast-paced technical innovations that have increased diagnostic accuracy while providing new opportunities for radiation dose reduction. cCTA using recent generation CT scanners has been repeatedly shown to have excellent negative predictive value for ruling out significant coronary stenosis in comparison with invasive coronary angiography (ICA) and is now accepted for this use in selected populations. Current work is increasingly focused on evaluating and optimising radiation dose reduction techniques, the cost-effectiveness of cCTA implementation, and the impact of cCTA on patient management and outcomes. In addition, the potential value of emerging applications, such as atherosclerotic plaque characterisation and myocardial perfusion and viability assessment, are undergoing intense investigation.
AB - The use of coronary computed tomography angiography (cCTA) is growing rapidly, in large part because of fast-paced technical innovations that have increased diagnostic accuracy while providing new opportunities for radiation dose reduction. cCTA using recent generation CT scanners has been repeatedly shown to have excellent negative predictive value for ruling out significant coronary stenosis in comparison with invasive coronary angiography (ICA) and is now accepted for this use in selected populations. Current work is increasingly focused on evaluating and optimising radiation dose reduction techniques, the cost-effectiveness of cCTA implementation, and the impact of cCTA on patient management and outcomes. In addition, the potential value of emerging applications, such as atherosclerotic plaque characterisation and myocardial perfusion and viability assessment, are undergoing intense investigation.
UR - http://www.scopus.com/inward/record.url?scp=80054849891&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80054849891&partnerID=8YFLogxK
U2 - 10.1111/j.1742-1241.2011.02784.x
DO - 10.1111/j.1742-1241.2011.02784.x
M3 - Review article
AN - SCOPUS:80054849891
SN - 1368-5031
VL - 65
SP - 3
EP - 13
JO - International Journal of Clinical Practice
JF - International Journal of Clinical Practice
IS - SUPPL. 173
ER -