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Noninvasive Coronary Artery Imaging

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Multislice CT

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Current computed tomography (CT) technology enables the noninvasive imaging of the coronary arteries in daily clinical practice. Patients with a low to intermediate likelihood of coronary artery disease (CAD) and having equivocal findings at electrocardiogram (ECG) or stress tests are considered suitable candidates to undergo noninvasive coronary CT angiography. The excellent negative predictive value close to 100 % enables the exclusion of obstructive CAD with certainty. In order to obtain images without artifacts, CT scanner systems need to provide a high temporal and spatial resolution. In addition, several techniques must be applied and combined for minimizing the exposure of patients to ionizing radiation. CT data acquisition needs to be synchronized to the simultaneously recorded ECG for either retrospective, prospective, or high-pitch scanning. Depending on the heart rate of the patients, ECG pulsing windows must be flexibly adjusted. Owing to the steadily increasing temporal resolution of modern CT systems, coronary CT angiography today is possible even at high and/or irregular heart rates.

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Authors and Affiliations

  1. Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland

    Manoj Mannil MD, MSc & Hatem Alkadhi MD, MPH, EBCR

Authors
  1. Manoj Mannil MD, MSc
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  2. Hatem Alkadhi MD, MPH, EBCR
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Corresponding author

Correspondence to Hatem Alkadhi MD, MPH, EBCR .

Editor information

Editors and Affiliations

  1. Department of Radiology, Universitätsklinikum Tübingen, Tübingen, Baden-Württemberg, Germany

    Konstantin Nikolaou

  2. Department of Diagnostic and Interventional Radiology, University of Freiburg, Freiburg, Germany

    Fabian Bamberg

  3. Department of Surgical and Medical Sciences and Translational Medicine, “Sapienza” – University of Rome, Rome, Italy

    Andrea Laghi

  4. Department of Radiology, Duke University School of Medicine, Durham, NC, USA

    Geoffrey D. Rubin

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Mannil, M., Alkadhi, H. (2017). Noninvasive Coronary Artery Imaging. In: Nikolaou, K., Bamberg, F., Laghi, A., Rubin, G.D. (eds) Multislice CT. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2016_89

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  • DOI: https://doi.org/10.1007/174_2016_89

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42585-6

  • Online ISBN: 978-3-319-42586-3

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