Italian Registry of Cardiac Computed Tomography

Filippo Cademartiri, Ernesto Di Cesare, Marco Francone, Giovanni Ballerini, Guido Ligabue, Erica Maffei, Andrea Romagnoli, Giovanni Maria Argiolas, Vincenzo Russo, Vitaliano Buffa, Riccardo Marano, Maria Guzzetta, Manuel Belgrano, Iacopo Carbone, Luca Macarini, Claudia Borghi, Paolo Di Renzi, Vicenzo Barile, Lucia Patriarca

Research output: Contribution to journalArticle

Abstract

Purpose: Cardiac CT (CCT) is an imaging modality that is becoming a standard in clinical cardiology. We evaluated indications, safety, and impact on patient management of routine CCT in a multicenter national registry. Materials and methods: During a period of 6 months, 47 centers in Italy enrolled 3,455 patients. Results: CCT was performed mainly with 64-slice CT scanners (73.02 %). Contrast agents were administrated in 3,185 patients (92.5 %). Mean DLP changes with type of scanner and was lower in >64 row detector scanner. The most frequent indication for CCT was suspected CAD (44.8 %), followed by calcium scoring (9.6 %), post-angioplasty/stenting (8.3 %), post-CABGs (7.5 %), study of cardiac anatomy (4.22 %) and assessment in patients with known CAD (4.1 %) and acute chest pain (1.99 %). Most of the CCTs were performed in outpatient settings (2,549; 74 %) and a minority in inpatient settings (719, 20.8 %). Adverse clinical events (mild–moderate) occurred in 26 examinations (0.75 %). None of them was severe. In 45.3 % of the cases CCT findings impacted patient management. Conclusion: CCT is performed with different workloads in participating centers. It is a safe procedure and its results have a strong impact on patient management.

Original languageEnglish
Pages (from-to)919-929
Number of pages11
JournalRadiologia Medica
Volume120
Issue number10
DOIs
Publication statusPublished - Feb 21 2015

Keywords

  • Cardiac CT
  • Coronary artery
  • Heart diseases
  • Indications
  • Registry

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

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  • Cite this

    Cademartiri, F., Di Cesare, E., Francone, M., Ballerini, G., Ligabue, G., Maffei, E., Romagnoli, A., Argiolas, G. M., Russo, V., Buffa, V., Marano, R., Guzzetta, M., Belgrano, M., Carbone, I., Macarini, L., Borghi, C., Di Renzi, P., Barile, V., & Patriarca, L. (2015). Italian Registry of Cardiac Computed Tomography. Radiologia Medica, 120(10), 919-929. https://doi.org/10.1007/s11547-015-0518-0