Reliable High-Speed Coronary Computed Tomography in Symptomatic Patients

Abstract

Noninvasive DSCT coronary angiography is highly sensitive to detect and to reliably rule out the presence of a significant coronary stenosis in patients presenting with atypical or typical angina pectoris, or unstable coronary artery disease.

Multislice Computed Tomography Coronary Angiography in Patients With Angina Pectoris

“…Compared to the previous study, no significant deviation values of sensitivity and specificity, from a segmental to a patient analysis [6,7]. The current observations examinations are in line with the few investigations with 16-slice, 64-slice MSCT and dual source computed tomography (DSCT) that have been published (Table 3) [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28].…”

Direct Comparison of Whole-Heart Navigator-Gated Magnetic Resonance Coronary Angiography and 40- and 64-Slice Multidetector Row Computed Tomography to Detect the Coronary Artery Stenosis in Patients Scheduled for Conventional Coronary Angiography

“…More recently, dual source MDCT scanners with higher temporal resolution have been introduced. These systems could offer even higher diagnostic accuracies [25][26][27][28] than the system used in the present work.…”

Incidence of anomalous origin of coronary artery in 1879 Chinese adults on dual-source CT angiography

“…Recently, MDCT has been widely used to detect the coronary anomalies because of its excellent spatial and temporal resolution and it may play a pivotal role in the diagnostic work-up of these patients. 9,10 DSCT allows a temporal resolution of 83 ms at the centre of gantry rotation when half-scan image reconstruction algorithms are used. This temporal resolution makes it feasible to dynamically evaluate the changes of coronary arteries during the cardiac cycle.…”

“…[1][2][3][4][5][6][7][8] Dual-source computed tomography (DSCT), with two arrays consisting of an X-ray tube and detectors arranged at a 90° angle to each other and with a gantry rotation time of 330 ms, allows a temporal resolution of 83 ms at the centre of gantry rotation when half-scan image reconstruction algorithms are used. 9,10 DSCT's high temporal resolution and the spatial resolution of 0.4 mm, compared with 64-slice CT (165 ms of temporal resolution), improve the diagnostic accuracy of CT coronary angiography (CTCA) and image quality of CTCA in patients with atrial fibrillation and fulfil the requirements for implementing cardiac CT in routine clinical algorithms. 11 We report the incidence of congenital coronary anomalies in a group of 1881 patients who underwent DSCT studies between December 2006 and February 2008, and we discuss the clinical significance of detecting them.…”