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Current status and clinical applications of cardiac multidetector CT

CT Marketing Philips Healthcare

Halon D, Rubinshtein R, Gaspar T, Peled N and Lewis B.

* Originally published in the February 2008 issue of Cardiology.


Contrast-enhanced multidetector-row computed tomography (MDCT) is now capable of providing high-quality noninvasive views of cardiac anatomy and 'instant' noninvasive coronary angiography. With current generation 64-slice scanners, MDCT can be performed in most patients with minimal patient discomfort and high diagnostic accuracy. MDCT may obviate the need for invasive diagnostic angiography in patients with borderline symptoms or equivocal non-invasive testing. It is useful in assessing the symptomatic patient post-revascularization and in emergency room triage in selected patients with chest pain. Calcified vessels are still difficult to assess, as is the accurate evaluation of implanted coronary stents. The volume of contrast material required for proper opacification limits the use of MDCT in patients with renal dysfunction, but newer emerging technologies will greatly improve these disadvantages in the near future. MDCT is expected to become an integral part of our diagnostic armamentarium in the cardiac patient.

For more information about this publication, check out the PubMed listing for this article.

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Aug 30, 2008

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Brilliance 64-channel
calcification, Cardiac, chest pain, contrast-enhanced, coronary angiography, coronary arteries, emergency department, stent, Vascular

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