Abstract:
:To comment that cardiac computed tomography angiography (CCTA) is an exciting tool in the evaluation of coronary artery disease (CAD) is an understatement. As a new method, however, differing clinical and reimbursement guidelines exist to guide the use of the method, resulting in confusion among referring and interpreting physicians in whether CCTA is reasonably indicated and covered by an individual patient's payer. Such confusion has slowed the acceptance of CCTA within the medical community. Clinical and reimbursement guidelines related to CCTA indications, including those from public and private payers, are reviewed, summarized, and compared in text and table formats. The commonalities extant within medical society guidelines and gradually within the payer community allow the increasingly frequent use of CCTA for certain indications. Challenges to full-fledged acceptance of the technique based on guideline and payer policies are reviewed and are increasingly being overcome.
journal_name
J Cardiovasc Comput Tomogrjournal_title
Journal of cardiovascular computed tomographyauthors
Shen M,Saxena N,Thomas GSdoi
10.1016/j.jcct.2007.11.004subject
Has Abstractpub_date
2008-01-01 00:00:00pages
3-11issue
1eissn
1934-5925issn
1876-861Xpii
S1934-5925(07)00343-7journal_volume
2pub_type
杂志文章,评审abstract::Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare form of congenital heart disease that has been successfully palliated for decades. Prior to coronary reimplantation, the Takeuchi repair was the most common operative palliation. The Takeuchi repair is still seen today at less experienced cong...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2015.02.002
更新日期:2015-09-01 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:BACKGROUND:Hypoenhanced regions on multidetector CT (MDCT) coronary angiography correlate with myocardial hyperperfusion. In addition to a limited capillary density, chronic myocardial infarction (MI) commonly contains a considerable amount of adipose tissue. OBJECTIVE:We explored whether regional myocardial hypoenhan...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2009.12.003
更新日期:2010-03-01 00:00:00
abstract::A 41-year-old male with prior history of aortic root replacement for infectious endocarditis was found to have a pseudoaneurysm in the fibrous continuity between the aortic and mitral valves: the so called "mitral-aortic intervalvular fibrosa." Preoperative cardiac-gated computed tomographic angiography and intraopera...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2011.03.006
更新日期:2011-09-01 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::We present the case of a neonate with pulmonary atresia and persistent bilateral patent ductus arteriosus imaged by gated multidetector CT. Traditionally, these patients have been assessed preoperatively with invasive angiocardiography or with cardiovascular magnetic resonance under sedation. Our case illustrates that...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2015.03.008
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to test the diagnostic accuracy of myocardial CT perfusion (CTP) imaging using color and gray-scale image analysis. BACKGROUND:Current myocardial CTP techniques have varying diagnostic accuracy and are prone to artifacts that impair detection. This study evaluated the diagnost...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2011.10.006
更新日期:2011-11-01 00:00:00
abstract::A 62-year-old woman underwent percutaneous transhepatic obliteration of a giant portal-systemic shunt. Just after inserting a coil into the shunt, it slipped through the giant shunt and migrated to the right atrium. CT showed coil migration into the coronary sinus. ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2013.08.014
更新日期:2013-09-01 00:00:00
abstract::Computed tomography (CT) plays an important role in the workup of patients who are candidates for implantation of a catheter-based aortic valve, a procedure referred to as transcatheter aortic valve implantation (TAVI) or transcatheter aortic valve replacement (TAVR). Contrast-enhanced CT imaging provides information ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 共识发展会议,杂志文章
doi:10.1016/j.jcct.2012.11.002
更新日期:2012-11-01 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:INTRODUCTION:We aimed to characterize artifacts observed in a routine clinical coronary CT angiography (CCTA) performed by a dual-source CT (DSCT) scanner (Definition; Siemens Medical Solutions). METHODS:Studies of 167 consecutive patients referred for CCTA, performed after beta-blockade (if not contraindicated), were...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2007.12.017
更新日期:2008-03-01 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:Data are limited on using 64-slice multidetector computed tomography (MDCT) as a gatekeeper to cardiac catheterization in patients with mild abnormalities on myocardial perfusion stress imaging (MPI). OBJECTIVE:We compared the rate of invasive coronary angiography (ICA) within 6 months after finding mildly ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2008.09.002
更新日期:2008-11-01 00:00:00
abstract::In this article, we review the current status and discuss potential further improvements and limitations of system parameters relevant for cardiac CT, in particular spatial resolution, temporal resolution, and volume coverage. ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,评审
doi:10.1016/j.jcct.2009.04.004
更新日期:2009-05-01 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: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: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::We present an illustrative case of a very rare complication of saphenous bypass: a huge aneurysm that severely compresses the right-heart cavities. ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2017.02.005
更新日期:2017-01-01 00:00:00
abstract::Clinical trials assessing the effect of medical therapies on atherosclerotic plaques have hitherto employed invasive imaging techniques such as intravascular ultrasound (IVUS). This has limited the study population to high-risk patients in whom invasive coronary angiography is indicated; moreover, IVUS typically is pe...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,评审
doi:10.1016/j.jcct.2019.06.017
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Coronary CT angiography (CCTA) is increasing seen as a first line investigation in patients with suspected coronary artery disease. Heart-rate control improves the image quality and diagnostic accuracy of CCTA. Typically, beta-blockers are administered to induce sinus bradycardia. Sinus bradycardia may also ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2020.09.006
更新日期:2020-10-06 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: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:BACKGROUND:Sudden cardiac death is the leading cause of death among firefighters in the United States. Fire departments commonly maintain physical examination protocols, often with exercise stress testing, to detect risk of coronary heart disease. OBJECTIVE:We sought to determine whether coronary calcium detected by e...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2012.07.003
更新日期:2013-01-01 00:00:00
abstract::We present a case of a primary cardiac B-cell lymphoma where a multiphase-gated cardiac CT exam helped to successfully guide trans-sternal needle biopsy to establish a tissue diagnosis. ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2011.12.007
更新日期:2012-03-01 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:BACKGROUND:When coronary calcium scoring is performed in patients with suspected coronary artery disease, a separate noncontrast scan is acquired before contrast-enhanced coronary CT angiography (CTA). OBJECTIVE:Our aim was to develop and validate an automated method for calculating the coronary calcium score (CCS) fr...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcct.2015.06.001
更新日期:2015-09-01 00:00:00
abstract::Here, we report about a 34-year-old man with tuberous sclerosis. During routine surveillance, a CT scan of the chest incidentally showed a low-attenuation streak within the left ventricle. Cardiac magnetic resonance imaging confirmed intramyocardial lipid deposition within the left ventricle. Tuberous sclerosis is an ...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2013.06.249
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:Arrhythmia during coronary computed tomography angiography (coronary CTA) acquisition increases the risk of nondiagnostic segments and high radiation exposure. An advanced arrhythmia rejection algorithm for prospectively electrocardiogram (ECG)-triggered axial scans using dual-source CT (DSCT) examinations h...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2012.04.003
更新日期:2012-05-01 00:00:00
abstract::The acquisition of diagnostic cardiovascular computed tomography (CT) images requires careful preparation of the patient before scanning. Guidelines for patient preparation are largely dictated by scanner capabilities and the technical limits they impose on patient-specific characteristics. The objective of this paper...
journal_title:Journal of cardiovascular computed tomography
pub_type: 杂志文章
doi:10.1016/j.jcct.2007.04.004
更新日期:2007-07-01 00:00:00
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