Heart 2007;93:290-297
HEART REVIEW
Non-invasive coronary angiography using multislice computed tomography
Department of Internal Medicine, Division of Cardiology, Baylor University Medical Center/Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas, USA
Correspondence to:
Dr P A Grayburn
621 North Hall Street, Suite H030, Dallas, Texas 75226, USA; paulgr{at}baylorhealth.edu
Non-invasive methods for detection of coronary atherosclerosis have been limited to indirect markers, such as myocardial perfusion or wall motion during exercise or pharmacological stress. However, advances in multislice computed tomography (MSCT) not allow sufficient spatial resolution for direct non-invasive imaging of the coronary arteries. This review focuses on imaging techniques and clinical applications of MSCT in human studies. Published studies of the diagnostic accuracy of MSCT in native coronary arteries and bypass grafts indicate excellent sensitivity and specificity for detection of 50% diameter stenosis. MSCT is particularly good for evaluating the origin and course of anomalous coronary arteries. MSCT offers the ability to visualise both the lumen and wall of artery, as well as to quantify coronary classification. Further technical developments promise to render MSCT the ideal non-invasive tool for direct visualisation of the coronary arteries.
Abbreviations: CAD, coronary artery disease; EBCT, electron beam computed tomography; LAD, left anterior descending; MSCT, multislice computed tomography; RCA, right coronary artery
Relevant Article
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Heart 2007 93: 655.
This article has been cited by other articles:
-
Ostrom, M. P., Gopal, A., Ahmadi, N., Nasir, K., Yang, E., Kakadiaris, I., Flores, F., Mao, S. S., Budoff, M. J.
(2008). Mortality Incidence and the Severity of Coronary Atherosclerosis Assessed by Computed Tomography Angiography. J Am Coll Cardiol
52: 1335-1343
[Abstract] [Full Text]
- Full Text
- Full Text (PDF)
-
All Versions of this Article:
hrt.2005.069195v1
93/3/290 most recent - Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
