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.

Italian registry of cardiac computed tomography / F. Cademartiri, E. Di Cesare, M. Francone, G. Ballerini, G. Ligabue, E. Maffei, A. Romagnoli, G.M. Argiolas, V. Russo, V. Buffa, R. Marano, M. Guzzetta, M. Belgrano, I. Carbone, L. Macarini, C. Borghi, P. Di Renzi, V. Barile, L. Patriarca, R. Donato, F. Zerboni, S. Tresoldi, C. Tessa, M. Rengo, G. Manglaviti, M. Danti, F. Crusco, L. Carotti, B.B. Zobel, A. Bernardini, A. Scardapane, S. Banderali, M. Acquafresca, L.M. Carusi, U. Negro, R. Priotto, F. De Cobelli, M. Quarenghi, S. Paganoni, F. Secchi, N. Sforza, D. Lumia, R. De Rosa, E. Bissoli, L. Olivotti, G. Barbiero, M. Centonze, R. Leurini, R. Malagò, D. Pinto. - In: LA RADIOLOGIA MEDICA. - ISSN 0033-8362. - 120:10(2015), pp. 919-929. [10.1007/s11547-015-0518-0]

Italian registry of cardiac computed tomography

S. Tresoldi;F. Secchi;
2015

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.
Cardiac CT; Coronary artery; Heart diseases; Indications; Registry; Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Female; Heart Diseases; Humans; Infant; Italy; Male; Middle Aged; Young Adult; Cardiac Imaging Techniques; Registries; Tomography, X-Ray Computed; Radiology, Nuclear Medicine and Imaging
Settore MED/36 - Diagnostica per Immagini e Radioterapia
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/458604
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