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Computed Tomographic Cardiovascular Imaging

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Cardiovascular Medicine

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Abstract

Cardiac computed tomography (CT) is a robust technology for the noninvasive assessment of a spectrum of cardiovascular disease processes. This image modality has been used to provide assessment of atherosclerotic plaque burden and coronary artery disease risk through coronary calcium scoring. Although the technology has been clinically available for 20 years,1 cardiologists and even radiologists are largely unaware of its capabilities. This chapter reviews the current clinical uses and describes some of the potential for even greater utility in the near future. Advances in spatial and temporal resolution, electrocardiographic triggering methodology, and image reconstruction software have helped in the evaluation of coronary artery anatomy and vessel patency, providing the ability to noninvasively diagnose or rule out significant epicardial coronary artery disease. Cardiac CT allows the three-dimensional (3D) simultaneous imaging of additional cardiac structures including coronary veins, pulmonary veins, atria, ventricles, aorta, and thoracic arterial and venous structures, with definition of their spatial relationships for the comprehensive assessment of a variety of cardiovascular disease processes.

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Authors and Affiliations

  1. Division of Cardiology, Harbor-UCLA Medical Center, Torrance, CA, USA

    Matthew J. Budoff MD, FACC, FAHA

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  1. Matthew J. Budoff MD, FACC, FAHA
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Editors and Affiliations

  1. The University of Texas Health Science Center in Houston, Houston

    James T. Willerson MD (President, President-Elect and Medical Director) (President, President-Elect and Medical Director)

  2. Texas Heart Institute, Houston, TX, USA

    James T. Willerson MD (President, President-Elect and Medical Director) (President, President-Elect and Medical Director)

  3. Department of Cardiology, University of Maastricht, Masstricht, The Netherlands

    Hein J. J. Wellens MD (Emeritus Professor) (Emeritus Professor)

  4. Rasmussen Center for Cardiovascular Disease Prevention Cardiovascular Division, University of Minnesota, Minneapolis, MN, USA

    Jay N. Cohn MD (Professor of Medicine and Director) (Professor of Medicine and Director)

  5. Cardiovascular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA

    David R. Holmes Jr. MD (Consultant, Professor of Medicine and Scripps Professor) (Consultant, Professor of Medicine and Scripps Professor)

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Budoff, M.J. (2007). Computed Tomographic Cardiovascular Imaging. In: Willerson, J.T., Wellens, H.J.J., Cohn, J.N., Holmes, D.R. (eds) Cardiovascular Medicine. Springer, London. https://doi.org/10.1007/978-1-84628-715-2_8

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