Current results and new developments of coronary angiography with use of contrast-enhanced computed tomography of the heart

T. C. Gerber, Ronald S Kuzo, N. Karstaedt, G. E. Lane, R. L. Morin, P. F. Sheedy, R. E. Safford, J. L. Blackshear, J. H. Pietan

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Electron beam computed tomography (EBCT) is the reference standard for x-ray-based tomographic imaging of the heart because of its high temporal resolution, but it is available in only a few centers. Quantification of coronary calcium is the most widely recognized use of EBCT for cardiac imaging. This technique requires no contrast media and provides an accurate assessment of overall plaque burden in the coronary tree; however, it does not directly identify or localize coronary stenoses. Multislice spiral (helical) CT (MSCT) is a new technology that provides images of the beating heart in diagnostic quality under many circumstances and may facilitate the broader application of cardiac and coronary CT. Currently, for imaging of the heart, much more experience exists with EBCT than with MSCT. Contrast-enhanced CT coronary angiography (CTCA) can be done with EBCT or MSCT to obtain images of the major branches of the coronary tree and to define luminal narrowing. Studies at experienced centers performed with small numbers of patients show that sensitivity, specificity, and negative predictive value are good with CTCA in the assessment of obstructive coronary artery disease, but CTCA remains an investigational technique for these applications. Computed tomographic coronary angiography can be clinically useful for assessing coronary artery bypass graft patency and congenital coronary abnormalities.

Original languageEnglish (US)
Pages (from-to)55-71
Number of pages17
JournalMayo Clinic Proceedings
Volume77
Issue number1
StatePublished - 2002

Fingerprint

X Ray Computed Tomography
Coronary Angiography
Tomography
Spiral Computed Tomography
Coronary Stenosis
Coronary Artery Bypass
Contrast Media
Coronary Artery Disease
X-Rays
Calcium
Technology
Transplants
Sensitivity and Specificity
Computed Tomography Angiography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gerber, T. C., Kuzo, R. S., Karstaedt, N., Lane, G. E., Morin, R. L., Sheedy, P. F., ... Pietan, J. H. (2002). Current results and new developments of coronary angiography with use of contrast-enhanced computed tomography of the heart. Mayo Clinic Proceedings, 77(1), 55-71.

Current results and new developments of coronary angiography with use of contrast-enhanced computed tomography of the heart. / Gerber, T. C.; Kuzo, Ronald S; Karstaedt, N.; Lane, G. E.; Morin, R. L.; Sheedy, P. F.; Safford, R. E.; Blackshear, J. L.; Pietan, J. H.

In: Mayo Clinic Proceedings, Vol. 77, No. 1, 2002, p. 55-71.

Research output: Contribution to journalArticle

Gerber, TC, Kuzo, RS, Karstaedt, N, Lane, GE, Morin, RL, Sheedy, PF, Safford, RE, Blackshear, JL & Pietan, JH 2002, 'Current results and new developments of coronary angiography with use of contrast-enhanced computed tomography of the heart', Mayo Clinic Proceedings, vol. 77, no. 1, pp. 55-71.
Gerber, T. C. ; Kuzo, Ronald S ; Karstaedt, N. ; Lane, G. E. ; Morin, R. L. ; Sheedy, P. F. ; Safford, R. E. ; Blackshear, J. L. ; Pietan, J. H. / Current results and new developments of coronary angiography with use of contrast-enhanced computed tomography of the heart. In: Mayo Clinic Proceedings. 2002 ; Vol. 77, No. 1. pp. 55-71.
@article{c574dc037db54efb9055f7140e585d52,
title = "Current results and new developments of coronary angiography with use of contrast-enhanced computed tomography of the heart",
abstract = "Electron beam computed tomography (EBCT) is the reference standard for x-ray-based tomographic imaging of the heart because of its high temporal resolution, but it is available in only a few centers. Quantification of coronary calcium is the most widely recognized use of EBCT for cardiac imaging. This technique requires no contrast media and provides an accurate assessment of overall plaque burden in the coronary tree; however, it does not directly identify or localize coronary stenoses. Multislice spiral (helical) CT (MSCT) is a new technology that provides images of the beating heart in diagnostic quality under many circumstances and may facilitate the broader application of cardiac and coronary CT. Currently, for imaging of the heart, much more experience exists with EBCT than with MSCT. Contrast-enhanced CT coronary angiography (CTCA) can be done with EBCT or MSCT to obtain images of the major branches of the coronary tree and to define luminal narrowing. Studies at experienced centers performed with small numbers of patients show that sensitivity, specificity, and negative predictive value are good with CTCA in the assessment of obstructive coronary artery disease, but CTCA remains an investigational technique for these applications. Computed tomographic coronary angiography can be clinically useful for assessing coronary artery bypass graft patency and congenital coronary abnormalities.",
author = "Gerber, {T. C.} and Kuzo, {Ronald S} and N. Karstaedt and Lane, {G. E.} and Morin, {R. L.} and Sheedy, {P. F.} and Safford, {R. E.} and Blackshear, {J. L.} and Pietan, {J. H.}",
year = "2002",
language = "English (US)",
volume = "77",
pages = "55--71",
journal = "Mayo Clinic Proceedings",
issn = "0025-6196",
publisher = "Elsevier Science",
number = "1",

}

TY - JOUR

T1 - Current results and new developments of coronary angiography with use of contrast-enhanced computed tomography of the heart

AU - Gerber, T. C.

AU - Kuzo, Ronald S

AU - Karstaedt, N.

AU - Lane, G. E.

AU - Morin, R. L.

AU - Sheedy, P. F.

AU - Safford, R. E.

AU - Blackshear, J. L.

AU - Pietan, J. H.

PY - 2002

Y1 - 2002

N2 - Electron beam computed tomography (EBCT) is the reference standard for x-ray-based tomographic imaging of the heart because of its high temporal resolution, but it is available in only a few centers. Quantification of coronary calcium is the most widely recognized use of EBCT for cardiac imaging. This technique requires no contrast media and provides an accurate assessment of overall plaque burden in the coronary tree; however, it does not directly identify or localize coronary stenoses. Multislice spiral (helical) CT (MSCT) is a new technology that provides images of the beating heart in diagnostic quality under many circumstances and may facilitate the broader application of cardiac and coronary CT. Currently, for imaging of the heart, much more experience exists with EBCT than with MSCT. Contrast-enhanced CT coronary angiography (CTCA) can be done with EBCT or MSCT to obtain images of the major branches of the coronary tree and to define luminal narrowing. Studies at experienced centers performed with small numbers of patients show that sensitivity, specificity, and negative predictive value are good with CTCA in the assessment of obstructive coronary artery disease, but CTCA remains an investigational technique for these applications. Computed tomographic coronary angiography can be clinically useful for assessing coronary artery bypass graft patency and congenital coronary abnormalities.

AB - Electron beam computed tomography (EBCT) is the reference standard for x-ray-based tomographic imaging of the heart because of its high temporal resolution, but it is available in only a few centers. Quantification of coronary calcium is the most widely recognized use of EBCT for cardiac imaging. This technique requires no contrast media and provides an accurate assessment of overall plaque burden in the coronary tree; however, it does not directly identify or localize coronary stenoses. Multislice spiral (helical) CT (MSCT) is a new technology that provides images of the beating heart in diagnostic quality under many circumstances and may facilitate the broader application of cardiac and coronary CT. Currently, for imaging of the heart, much more experience exists with EBCT than with MSCT. Contrast-enhanced CT coronary angiography (CTCA) can be done with EBCT or MSCT to obtain images of the major branches of the coronary tree and to define luminal narrowing. Studies at experienced centers performed with small numbers of patients show that sensitivity, specificity, and negative predictive value are good with CTCA in the assessment of obstructive coronary artery disease, but CTCA remains an investigational technique for these applications. Computed tomographic coronary angiography can be clinically useful for assessing coronary artery bypass graft patency and congenital coronary abnormalities.

UR - http://www.scopus.com/inward/record.url?scp=0036144189&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036144189&partnerID=8YFLogxK

M3 - Article

C2 - 11794459

AN - SCOPUS:0036144189

VL - 77

SP - 55

EP - 71

JO - Mayo Clinic Proceedings

JF - Mayo Clinic Proceedings

SN - 0025-6196

IS - 1

ER -