Application of Coronary MDCT Angiography for the Evaluation of Coronary Artery Disease.
10.5124/jkma.2007.50.2.120
- Author:
Sang Il CHOI
1
Author Information
1. Department of Diagnostic Radiology, Seoul National University College of Medicine, Korea. drsic@radiol.snu.ac.kr
- Publication Type:Original Article
- Keywords:
Coronary artery;
Angina;
Computed Tomography
- MeSH:
Angiography*;
Artifacts;
Chest Pain;
Coronary Artery Disease*;
Coronary Vessels*;
Exercise Test;
Humans;
Mass Screening;
Sensitivity and Specificity;
Stents
- From:Journal of the Korean Medical Association
2007;50(2):120-126
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Despite several limitations, multidetector CT (MDCT) such as 64-slice scanner recently draws attention as the first-line test for the evaluation of chest pain or as a complementary test in patients with equivocal stress test results due to its high negative predictive value and high sensitivity and specificity. In addition, MDCT has the potential as a screening test in asymptomatic patients with a high risk of coronary artery disease. However, the evaluation of in-stent restenosis by MDCT is not infrequently challenging by artifacts caused by metal, especially in smaller stents. In this review, the author will discuss the role of MDCT in patients with suspected coronary artery disease and highlight cardiac MDCT as an emerging diagnostic tool in a routine clinical practice.