European Heart Journal Advance Access published online on December 21, 2007
European Heart Journal, doi:10.1093/eurheartj/ehm614
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org
Back to the future: coronary CT angiography using prospective ECG triggering
Imaging Institute and Heart and Vascular Institute, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195, USA
* Corresponding author. Tel: +1 216 445 7579. E-mail: schoenp1@ccf.org
This editorial refers to Feasibility of low dose coronary CT angiography: first experience with prospective ECG gating by L. Hussman et al., doi:10.1093/eurheartj/ehm613
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Medical imaging with computed tomography (CT) has evolved rapidly during the past few decades, now allowing routine non-invasive coronary angiography1 and also guidance of innovative endovascular procedures of the aorta, and recently the aortic valve.2–4
Initial CT systems, introduced in the 1970s for body imaging, rotated the X-ray tube and detector system (gantry) very slowly around the patient, spanning several heartbeats per rotation.5 After acquisition of a single axial slice, the tube was turned off, and the patient table incremented to the next slice position, where scanning was repeated. Despite gradual improvements in tube rotation time to fractions of the heart cycle, allowing
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