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Cardiac computed tomography: indications, applications, limitations, and training requirements

Stephen Schroeder, Stephan Achenbach, Frank Bengel, Christof Burgstahler, Filippo Cademartiri, Pim de Feyter, Richard George, Philipp Kaufmann, Andreas F. Kopp, Juhani Knuuti, Dieter Ropers, Joanne Schuijf, Laurens F. Tops, Jeroen J. Bax
DOI: http://dx.doi.org/10.1093/eurheartj/ehm544 531-556 First published online: 15 December 2007

Abstract

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.

Keywords
  • Multi-detector row computed tomography
  • Clinical recommendations
  • Coronary artery disease
  • Indications
  • Appropriateness
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