Abstract:
:The use of cardiac computed tomography (CT) to noninvasively visualize the coronary arteries has rapidly increased during the last few years but thereby also has raised concerns about the amount of radiation exposure and its potentially associated hazards. In this article, we summarize several strategies and new scanning techniques for dose reduction in cardiac CT, including the following: 1) Coronary CT angiography should not be performed in patients with extensive coronary calcifications because the probability to rule out obstructive coronary artery disease diminishes with increasing coronary artery calcium scores; 2) The scan length in CT angiography should be individually adjusted to the minimum needed length; 3) electrocardiogram-correlated modulation of the tube current should be applied in all patients with stable sinus rhythm; 4) The tube voltage should be reduced to 100 kV in non-obese patients (patient weight <85-90 kg); and 5) A sequential scan mode with prospective electrocardiogram triggering should be considered in patients with a stable heart rate journal_name journal_title authors doi subject pub_date pages issue eissn issn pii journal_volume pub_type
abstract:BACKGROUND:Most unexpected cardiovascular events occur in persons at intermediate risk of coronary artery disease (10%-20% 10-year risk). Coronary artery calcium (CAC) has been shown to be highly specific for atherosclerosis, occurring only in the intima of the coronary arteries. Evidence shows that elevated coronary c...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.jcct.2007.10.001
更新日期:2007-12-01 00:00:00
abstract::Cardiac CT offers several approaches to establish the hemodynamic severity of coronary artery obstructions. Dynamic myocardial perfusion CT (MPICT) is based on serial CT imaging to measure the inflow of contrast medium into the myocardium and calculate absolute measures of myocardial perfusion. This review describes t...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,评审
doi:10.1016/j.jcct.2019.09.003
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:Catheter ablation (CA) is an established therapy for selected patients with atrial fibrillation (AF), but predictors of CA ablation outcome are still not fully elucidated. The aim of the study was to identify structural and morphological parameters from computed tomography (CT) as predictors of successful CA ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2018.06.005
更新日期:2018-01-01 00:00:00
abstract::Either left pulmonary sling or single origin of right and left pulmonary arteries (only three cases reported previously) are rare congenital heart anomalies and concomitantly occurred had not been reported. The image presentation is similar to type A1 truncus arteriosus but preserved pulmonary valve and main pulmonary...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2015.06.002
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Technical advances to minimize radiation exposure because of imaging are in accord with the "as low as reasonably achievable" principle. OBJECTIVE:We aimed to determine whether coronary calcium scoring (CCS) by multidetector CT at a tube voltage of 100 kVp yields comparable results to the standard 120-kVp p...
journal_title:Journal of cardiovascular computed tomography
pub_type: 评论,杂志文章
doi:10.1016/j.jcct.2009.10.002
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Among CT scanners, 320-row instruments feature decreased photon energy and yield strong contrast enhancement. Consequently, the contrast medium (CM) dose can be reduced. The results of low-tube-voltage coronary CT angiography (CCTA) performed on 320-row scanners have not been adequately assessed. OBJECTIVE:...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jcct.2014.12.002
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Randomized trials have shown favorable clinical outcomes for coronary CT angiography (CTA) in patients with suspected acute coronary syndrome (ACS). Our goal was to estimate the cost-effectiveness of coronary CTA as compared to alternative management strategies for ACP patients over lifetime. METHODS:Markov...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2019.06.008
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to investigate the cost and resource use due to chest pain (CP) evaluations after initial coronary CT angiography (CCTA) stratified by coronary artery disease (CAD) burden. METHODS:We examined 1518 patients referred for CCTA from January 2005 to July 2012 for downstream evaluatio...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2015.03.014
更新日期:2015-07-01 00:00:00
abstract::Magnetic particle imaging (MPI) is a new medical imaging technique which performs a direct measurement of magnetic nanoparticles, also known as superparamagnetic iron oxide. MPI can acquire quantitative images of the local distribution of the magnetic material with high spatial and temporal resolution. Its sensitivity...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2012.04.007
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Myocardial fibrosis (MF) occurs in up to 80% of subjects with asymptomatic or mildly symptomatic hypertrophic cardiomyopathy (HCM) and can constitute an arrhythmogenic substrate for re-entrant, life-threatening ventricular arrhythmias in predisposed persons. OBJECTIVE:The aim was to investigate whether MF d...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2013.04.002
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Obesity is a risk factor for coronary artery disease (CAD), but adiposity may mimic symptoms of CAD and reduce the accuracy of diagnostic testing. METHODS:Patients from the PROMISE trial (n = 8889) were classified according to body mass index (BMI). We assessed relationships between BMI, physician's prefere...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2019.03.010
更新日期:2019-01-01 00:00:00
abstract::As populations in Western civilizations are aging, the prevalence of degenerative aortic valve stenosis is increasing. CT imaging provides information on aortic valve pathology in many ways: In nonenhanced scans, aortic valve calcification can be quantified accurately, which helps to understand the pathogenesis and pr...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,评审
doi:10.1016/j.jcct.2010.09.008
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:There have been no reports about the diagnostic ability of coronary computed tomography angiography (CTA) in evaluating collateral channels used for retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI). OBJECTIVE:We investigated the ability and diagnostic accuracy of coronary CT...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2016.01.003
更新日期:2016-03-01 00:00:00
abstract::Images of a case showing Gerbode defect are presented with transesophageal echo correlation. ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2009.03.003
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:While an assessment of the right ventricular (RV) size remains challenging, the entire RV is can be imaged on coronary computed tomography angiography (CCTA) studies. With prospective ECG-triggering, the RV end diastolic volume (RVEDV) cannot be measured; however, the RV mid-diastolic volume (RVMDV) can stil...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2019.11.003
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Neonates with complex congenital heart disease (CHD) are at risk of adverse events from anesthesia. CT angiography (CTA) performed free breathing and without sedation has not been reported for evaluation of complex CHD in neonates. OBJECTIVES:The aim was to evaluate the image quality and risk of free breath...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2013.11.006
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:Coronary computed tomography angiography (coronary CTA) allows efficient triage of low to intermediate risk patients with suspected acute coronary syndrome (ACS) in the emergency department (ED). Techniques for coronary CTA acquisition in the ED continue to evolve with the establishment of standardized scan ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2017.03.002
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:To investigate the anatomical features related to the failure of cryoballoon (CB) ablation for atrial fibrillation (AF) on pre-procedural CT images. METHODS:We retrospectively analyzed CT images of 100 patients with AF who had undergone a first CB ablation at our institution between June 2016 and April 2017...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2018.11.005
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The present study aimed to assess the reliability and reproducibility of coronary computed tomography angiography (CCTA) for the serial quantitative assessment of plaque volume. METHODS:Patients who underwent repeated CCTA scans within 90 days were retrospectively screened and enrolled. Clinical data and CC...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2018.09.012
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The objective of this study was to determine normal values for coronary artery volume (CAV) and individual vasculature and segment dimensions. METHODS:We examined 200 healthy volunteers with an Agatston score of 0 and a normal, high quality coronary CTA. Using 320 slice multidetector row CT and designated v...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2017.04.001
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To review the imaging features of coronary artery-to-pulmonary artery fistula (CPAF) on CT coronary angiography (CTCA) and evaluate its diagnostic performance compared with coronary catheter angiography (CCA) and transthoracic echocardiography (TTE). MATERIALS AND METHODS:We retrospectively reviewed with a d...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2018.10.013
更新日期:2019-01-01 00:00:00
abstract::Since the emergence of cardiac computed tomography (CT) at the turn of the 21st century, there has been an exponential growth in research and clinical development of the technique, with contributions from investigators and clinicians from varied backgrounds: physics and engineering, informatics, cardiology, and radiol...
journal_title:Journal of cardiovascular computed tomography
pub_type: 指南,杂志文章
doi:10.1016/j.jcct.2011.04.004
更新日期:2011-05-01 00:00:00
abstract:AIMS:Fractional flow reserve (FFR) pullback allows to assess the distribution of pressure loss along the coronary vessels. FFR derived from CT (FFRCT) provides a virtual pullback curve that may also aid in the assessment of the distribution of epicardial coronary resistance in the non-invasive setting. The present stud...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2019.09.004
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:There is concern regarding the administration of iodinated contrast to patients with impaired renal function because of the increased risk of contrast-induced nephropathy. OBJECTIVE:Evaluate image quality and feasibility of a protocol with a reduced volume of iodinated contrast and utilization of dual-energ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jcct.2014.06.003
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:Late contrast enhancement visualizes myocardial infarction, but the contrast to noise ratio (CNR) is low using conventional CT. The aim of this study was to determine if spectral CT can improve imaging of myocardial infarction. MATERIALS AND METHODS:A canine model of myocardial infarction was produced in 8 ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2017.02.003
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The threshold for the optimal computed tomography (CT) number in Hounsfield Units (HU) to quantify aortic valvular calcium on contrast-enhanced scans has not been standardized. Our aim was to find the most accurate threshold to predict paravalvular regurgitation (PVR) after transcatheter aortic valve replace...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2017.04.009
更新日期:2017-01-01 00:00:00
abstract::The 13th Annual Scientific Meeting of the SCCT, held from July 13 to July 15 in Dallas, TX, was attended by 690 attendees from 39 countries, 55 sessions with 140 speakers, and 18 exhibitors with the abstracts of all scientific posters published in the Journal of the Cardiovascular Computed Tomography. This article sum...
journal_title:Journal of cardiovascular computed tomography
pub_type:
doi:10.1016/j.jcct.2018.09.005
更新日期:2018-01-01 00:00:00
abstract::An 82-year-old patient developed right heart failure in the days after surgical aortic valve replacement. Coronary CT angiography showed a high-grade stenosis of the mid-right coronary artery. Adjacent suture material seen on noncontrast CT suggested that the lesion was related to surgical closure of the right atrial ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2010.01.005
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND:Computed tomography (CT) annular measurements are predictive of paravalvular regurgitation after transcatheter aortic valve replacement (TAVR) which is a predictor of mortality and morbidity. OBJECTIVES:To demonstrate the rationale and potential implications of new CT sizing recommendations for TAVR. METHO...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2012.10.002
更新日期:2012-11-01 00:00:00
abstract::Perivascular adipose tissue (PVAT) surrounding the human coronary arteries, secretes a wide range of adipocytokines affecting the biology of the adjacent vascular wall in a paracrine way. However, we have recently found that PVAT also behaves as a sensor of signals coming from the vascular wall, to which it reacts by ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,评审
doi:10.1016/j.jcct.2019.03.006
更新日期:2019-01-01 00:00:00