Un anno di esperienza con coronarografia non invasiva mediante tomografia computerizzata spirale multistrato a 16 linee di detettori.

Translated title of the contribution: Non-invasive 16-row spiral multislice computed tomography coronary angiography after one year of experience

Filippo Cademartiri, Koen Nieman, Nico Mollet, Thomas G. Flohr, Ottavio Alfieri, Pim J. de Feyter, Gabriel P. Krestin

Research output: Contribution to journalArticle

Abstract

The gold standard for direct diagnostic imaging of coronary arteries is still conventional X-ray coronary angiography, even though for several other applications, noninvasive techniques substituted invasive ones. In the last 10 years several techniques (magnetic resonance, electron beam tomography, spiral computed tomography) attempted to emerge as noninvasive modality for the study of coronary arteries. The introduction of multislice computed tomography (MSCT) with retrospectively gated ECG reconstructions has substantially modified the coronary imaging scenario. In fact, the results have been promising since the beginning with 4-row MSCT. Currently the results reported with 16-row MSCT allow to question which role can the noninvasive coronary angiography play in clinical settings. With a scan of <20 s after intravenous administration of iodinated contrast material it is possible to obtain information similar to conventional coronary angiography. Moreover, together with vascular patency, also atherosclerotic plaques are well visualized and characterized (type: calcified, soft, mixed). Ongoing studies are validating MSCT in the assessment of plaque vulnerability. The same technique allows to evaluate left ventricular function and myocardial wall motion impairment. Still with a few major limitations related to the heart rate, MSCT will broaden the noninvasive capability of evaluating coronary arteries in patients where conventional coronary angiography is exceeding the actual clinical question or considered as premature.

Original languageItalian
Pages (from-to)587-593
Number of pages7
JournalItalian Heart Journal
Volume4
Issue number7 Suppl
Publication statusPublished - Jul 2003

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Multidetector Computed Tomography
Spiral Computed Tomography
Coronary Angiography
Coronary Vessels
Vascular Patency
X Ray Computed Tomography
Atherosclerotic Plaques
Diagnostic Imaging
Left Ventricular Function
Intravenous Administration
Contrast Media
Electrocardiography
Magnetic Resonance Spectroscopy
Heart Rate
X-Rays
Computed Tomography Angiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Cademartiri, F., Nieman, K., Mollet, N., Flohr, T. G., Alfieri, O., de Feyter, P. J., & Krestin, G. P. (2003). Un anno di esperienza con coronarografia non invasiva mediante tomografia computerizzata spirale multistrato a 16 linee di detettori. Italian Heart Journal, 4(7 Suppl), 587-593.

Un anno di esperienza con coronarografia non invasiva mediante tomografia computerizzata spirale multistrato a 16 linee di detettori. / Cademartiri, Filippo; Nieman, Koen; Mollet, Nico; Flohr, Thomas G.; Alfieri, Ottavio; de Feyter, Pim J.; Krestin, Gabriel P.

In: Italian Heart Journal, Vol. 4, No. 7 Suppl, 07.2003, p. 587-593.

Research output: Contribution to journalArticle

Cademartiri, F, Nieman, K, Mollet, N, Flohr, TG, Alfieri, O, de Feyter, PJ & Krestin, GP 2003, 'Un anno di esperienza con coronarografia non invasiva mediante tomografia computerizzata spirale multistrato a 16 linee di detettori.', Italian Heart Journal, vol. 4, no. 7 Suppl, pp. 587-593.
Cademartiri, Filippo ; Nieman, Koen ; Mollet, Nico ; Flohr, Thomas G. ; Alfieri, Ottavio ; de Feyter, Pim J. ; Krestin, Gabriel P. / Un anno di esperienza con coronarografia non invasiva mediante tomografia computerizzata spirale multistrato a 16 linee di detettori. In: Italian Heart Journal. 2003 ; Vol. 4, No. 7 Suppl. pp. 587-593.
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