European Heart Journal Advance Access published online on December 15, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm544
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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.
* Corresponding author. Tel: +49 7071 2982711, Fax: +49 7071 293169, Email: stephen.schroeder{at}med.uni-tuebingen.de
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
![]()
CiteULike
Connotea
Del.icio.us What's this?
This article has been cited by other articles:
![]() |
A. V.G. Bruschke, W. C. Sheldon, E. K. Shirey, and W. L. Proudfit A Half Century of Selective Coronary Arteriography J. Am. Coll. Cardiol., December 1, 2009; 54(23): 2139 - 2144. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. T. Wijesekera, M. K. Duncan, and S. P. G. Padley X-ray computed tomography of the heart Br. Med. Bull., November 17, 2009; (2009) ldp043v1. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Bastarrika, Y. S. Lee, W. Huda, B. Ruzsics, P. Costello, and U. J. Schoepf CT of Coronary Artery Disease Radiology, November 1, 2009; 253(2): 317 - 338. [Abstract] [Full Text] [PDF] |
||||
![]() |
B A Herzog, C A Wyss, L Husmann, O Gaemperli, I Valenta, V Treyer, U Landmesser, and P A Kaufmann First head-to-head comparison of effective radiation dose from low-dose 64-slice CT with prospective ECG-triggering versus invasive coronary angiography Heart, October 15, 2009; 95(20): 1656 - 1661. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Achenbach Stress computed tomography myocardial perfusion: steps, questions, and layers. J. Am. Coll. Cardiol., September 15, 2009; 54(12): 1085 - 1087. [Full Text] [PDF] |
||||
![]() |
L. Husmann, B. A. Herzog, N. Burkhard, I. Valenta, I. A. Burger, O. Gaemperli, and P. A. Kaufmann Low-Dose Coronary CT Angiography With Prospective ECG Triggering: Validation of a Contrast Material Protocol Adapted to Body Mass Index Am. J. Roentgenol., September 1, 2009; 193(3): 802 - 806. [Abstract] [Full Text] [PDF] |
||||
![]() |
R Rubinshtein, T D Miller, E E Williamson, J Kirsch, R J Gibbons, A N Primak, C H McCollough, and P A Araoz Detection of myocardial infarction by dual-source coronary computed tomography angiography using quantitated myocardial scintigraphy as the reference standard Heart, September 1, 2009; 95(17): 1419 - 1422. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Pontone, D. Andreini, A. L. Bartorelli, S. Cortinovis, S. Mushtaq, E. Bertella, A. Annoni, A. Formenti, E. Nobili, D. Trabattoni, et al. Diagnostic accuracy of coronary computed tomography angiography: a comparison between prospective and retrospective electrocardiogram triggering. J. Am. Coll. Cardiol., July 21, 2009; 54(4): 346 - 355. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. H. Schuleri, M. Centola, R. T. George, L. C. Amado, K. S. Evers, K. Kitagawa, A. L. Vavere, R. Evers, J. M. Hare, C. Cox, et al. Characterization of peri-infarct zone heterogeneity by contrast-enhanced multidetector computed tomography: a comparison with magnetic resonance imaging. J. Am. Coll. Cardiol., May 5, 2009; 53(18): 1699 - 1707. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Ramcharitar, F. Pugliese, C. Schultz, J. Ligthart, P. de Feyter, H. Li, N. Mollet, M. van de Ent, P. W. Serruys, and R. J. van Geuns Integration of multislice computed tomography with magnetic navigation facilitates percutaneous coronary interventions without additional contrast agents. J. Am. Coll. Cardiol., March 3, 2009; 53(9): 741 - 746. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Husmann, B. A. Herzog, O. Gaemperli, F. Tatsugami, N. Burkhard, I. Valenta, P. Veit-Haibach, C. A. Wyss, U. Landmesser, and P. A. Kaufmann Diagnostic accuracy of computed tomography coronary angiography and evaluation of stress-only single-photon emission computed tomography/computed tomography hybrid imaging: comparison of prospective electrocardiogram-triggering vs. retrospective gating Eur. Heart J., March 1, 2009; 30(5): 600 - 607. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Brodoefel, C. Burgstahler, A. Sabir, C.-S. Yam, F. Khosa, C. D. Claussen, and M. E. Clouse Coronary Plaque Quantification by Voxel Analysis: Dual-Source MDCT Angiography Versus Intravascular Sonography Am. J. Roentgenol., March 1, 2009; 192(3): W84 - W89. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. D. Schuijf, N. R. Van de Veire, E. E. van der Wall, and J. J. Bax CHAPTER 3 Choice of Imaging Techniques ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. J. de Feyter, S. Achenbach, and K. Nieman CHAPTER 6 Cardiovascular Computed Tomography ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. A. Kaufmann, P. G. Camici, and S. R. Underwood CHAPTER 7 Nuclear Cardiology ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. D. Kristensen, H. Baumgartner, B. Casadei, H. Drexler, E. Eeckhout, G. Filippatos, K. A.A. Fox, J. Perk, L. A. Pierard, D. Poldermans, et al. Highlights of the 2008 Scientific Sessions of the European Society of Cardiology: Munich, Germany, August 30 to September 3, 2008 J. Am. Coll. Cardiol., December 9, 2008; 52(24): 2032 - 2042. [Full Text] [PDF] |
||||
![]() |
B. A. Herzog, L. Husmann, N. Burkhard, O. Gaemperli, I. Valenta, F. Tatsugami, C. A. Wyss, U. Landmesser, and P. A. Kaufmann Accuracy of low-dose computed tomography coronary angiography using prospective electrocardiogram-triggering: first clinical experience Eur. Heart J., December 2, 2008; 29(24): 3037 - 3042. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. H. Piers, R. Dikkers, T. P. Willems, B. J.G.L. de Smet, M. Oudkerk, F. Zijlstra, and R. A. Tio Computed tomographic angiography or conventional coronary angiography in therapeutic decision-making Eur. Heart J., December 1, 2008; 29(23): 2902 - 2907. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. A. Kaufmann Low-Dose Computed Tomography Coronary Angiography With Prospective Triggering: A Promise for the Future J. Am. Coll. Cardiol., October 28, 2008; 52(18): 1456 - 1457. [Full Text] [PDF] |
||||
![]() |
S. Achenbach Assessing the Prognostic Value of Coronary Computed Tomography Angiography J. Am. Coll. Cardiol., October 14, 2008; 52(16): 1344 - 1346. [Full Text] [PDF] |
||||
![]() |
P. J. de Feyter and R.-J. van Geuns Noninvasive Coronary Imaging: The Contest Between Magnetic Resonance and Computed Tomographic Coronary Angiography Circ Cardiovasc Imaging, September 1, 2008; 1(2): 89 - 91. [Full Text] [PDF] |
||||
![]() |
B. Kantor, N. S. Anavekar, and T. C. Gerber Good news on coronary computed tomographic angiography: answers that have questions! Eur. Heart J., September 1, 2008; 29(17): 2070 - 2072. [Full Text] [PDF] |
||||
![]() |
H. Van Brabandt Recommendations or mere prose? Eur. Heart J., June 1, 2008; 29(11): 1473 - 1473. [Full Text] [PDF] |
||||
![]() |
S. Schroeder, S. Achenbach, F. Bengel, C. Burgstahler, F. Cademartiri, P. J. de Feyter, R. George, P. Kaufmann, A. F. Kopp, J. Knuuti, et al. Recommendations or mere prose?: reply Eur. Heart J., June 1, 2008; 29(11): 1473 - 1474. [Full Text] [PDF] |
||||
![]() |
F. Cademartiri, E. Maffei, and N. R. Mollet Is dual-source CT coronary angiography ready for the real world? Eur. Heart J., March 2, 2008; 29(6): 701 - 703. [Full Text] [PDF] |
||||







