European Heart Journal Advance Access originally published online on December 15, 2007
European Heart Journal 2008 29(4):531-556; doi:10.1093/eurheartj/ehm544
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Cardiac computed tomography: indications, applications, limitations, and training requirements
Report of a Writing Group deployed by the Working Group Nuclear Cardiology and Cardiac CT of the European Society of Cardiology and the European Council of Nuclear Cardiology
1 Department of Internal Medicine, Division of Cardiology, Eberhard-Karls-University Tuebingen, Otfried-Mueller-Strasse 10, 72076 Tuebingen, Germany
2 Department of Cardiology, University of Erlangen, Erlangen, Germany
3 Johns Hopkins University Medical Institutions—Cardiovascular Nuclear, Baltimore, USA
4 Department of Radiology, Erasmus Medical Center, Rotterdam, The Netherlands
5 Department of Radiology and Cardiology, Azienda Ospedaliero Universitaria, Parma, Italy
6 Department of Cardiology and Radiology, Erasmus Medical Center, Rotterdam, The Netherlands
7 Department of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, USA
8 Department of Cardiology, University of Zurich, Zurich, Switzerland
9 Department of Diagnostic Radiology, University of Tuebingen, Tuebingen, Germany
10 Turku PET Center, Turku University Central Hospital, Turku, Finland
11 Department of Cardiology, Leiden University, Leiden, The Netherlands
Received 17 August 2007; revised 18 October 2007; accepted 29 October 2007; online publish-ahead-of-print 15 December 2007.
* Corresponding author. Tel: +49 7071 2982711, Fax: +49 7071 293169, Email: stephen.schroeder{at}med.uni-tuebingen.de
See page 557 for the editorial comment on this article (doi:10.1093/eurheartj/ehm607)
As a consequence of improved technology, there is growing clinical interest in the use of multi-detector row computed tomography (MDCT) for non-invasive coronary angiography. Indeed, the accuracy of MDCT to detect or exclude coronary artery stenoses has been high in many published studies. This report of a Writing Group deployed by the Working Group Nuclear Cardiology and Cardiac CT (WG 5) of the European Society of Cardiology and the European Council of Nuclear Cardiology summarizes the present state of cardiac CT technology, as well as the currently available data concerning its accuracy and applicability in certain clinical situations. Besides coronary CT angiography, the use of CT for the assessment of cardiac morphology and function, evaluation of perfusion and viability, and analysis of heart valves is discussed. In addition, recommendations for clinical applications of cardiac CT imaging are given and limitations of the technique are described.
Key Words: Multi-detector row computed tomography • Clinical recommendations • Coronary artery disease • Indications • Appropriateness
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