Functional Evaluation of Coronary Disease by CT Angiography

PD Goncalves, GA Rodriguez-Granillo, Ernest Spitzer, Pannipa Suwannasom, C Loewe, Koen Nieman, Hector Garcia Garcia

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In recent years, several technical developments in the field of cardiac computed tomography (CT) have made possible the extraction of functional information from an anatomy-based examination. Several different lines have been explored and will be reviewed in the present paper, namely: 1) myocardial perfusion imaging; 2) transluminal attenuation gradients and corrected coronary opacification indexes; 3) fractional flow reserve computed from CT; and 4) extrapolation from atherosclerotic plaque characteristics. In view of these developments, cardiac CT has the potential to become in the near future a truly 2-in-1 noninvasive evaluation for coronary artery disease. (C) 2015 by the American College of Cardiology Foundation.
Original languageUndefined/Unknown
Pages (from-to)1322-1335
Number of pages14
JournalJACC-cardiovascular imaging
Issue number11
Publication statusPublished - 2015

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