Large multicenter studies and meta-analysis have documented the diagnostic accuracy and the prognostic implications of stress echocardiography, cardiac magnetic resonance and, mainly, nuclear stress tests. However, none of them provides a comprehensive anatomical and functional evaluation within the same study as stress CT perfusion. Myocardial CT perfusion is the only non-invasive modality that allows to quantifying coronary stenosis and determining its functional relevance, constituting a potential “one-stop-shop” method for the diagnosis and global management of patients with known or suspected coronary artery disease. In comparison with the dynamic modality, that requires increased radiation, precise acquisition protocols and dedicated post-processing softwares, static CT perfusion was associated with less radiation exposure, non-inferior diagnostic accuracy, easier interpretation of images and is nowadays more widely available.

State-of-the-art-myocardial perfusion stress testing: Static CT perfusion / S. Mushtaq, E. Conte, G. Pontone, A. Baggiano, A. Annoni, A. Formenti, M.E. Mancini, M. Guglielmo, G. Muscogiuri, A. Tanzilli, F. Nicoli, A.L. Bartorelli, M. Pepi, D. Andreini. - In: JOURNAL OF CARDIOVASCULAR COMPUTED TOMOGRAPHY. - ISSN 1934-5925. - (2019). [Epub ahead of print] [10.1016/j.jcct.2019.09.002]

State-of-the-art-myocardial perfusion stress testing: Static CT perfusion

S. Mushtaq;E. Conte;G. Pontone;A. Baggiano;F. Nicoli;A.L. Bartorelli;D. Andreini
2019

Abstract

Large multicenter studies and meta-analysis have documented the diagnostic accuracy and the prognostic implications of stress echocardiography, cardiac magnetic resonance and, mainly, nuclear stress tests. However, none of them provides a comprehensive anatomical and functional evaluation within the same study as stress CT perfusion. Myocardial CT perfusion is the only non-invasive modality that allows to quantifying coronary stenosis and determining its functional relevance, constituting a potential “one-stop-shop” method for the diagnosis and global management of patients with known or suspected coronary artery disease. In comparison with the dynamic modality, that requires increased radiation, precise acquisition protocols and dedicated post-processing softwares, static CT perfusion was associated with less radiation exposure, non-inferior diagnostic accuracy, easier interpretation of images and is nowadays more widely available.
CT perfusion; Functional assessment; Myocardial perfusion; Static modality
Settore MED/11 - Malattie dell'Apparato Cardiovascolare
Settore MED/36 - Diagnostica per Immagini e Radioterapia
2019
12-set-2019
Article (author)
File in questo prodotto:
File Dimensione Formato  
state of the art.pdf

accesso riservato

Tipologia: Publisher's version/PDF
Dimensione 1.73 MB
Formato Adobe PDF
1.73 MB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/719999
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 11
  • ???jsp.display-item.citation.isi??? 8
social impact