Coronary computed tomography angiography: Overview of technical aspects, current concepts, and perspectives

Canadian Association of Radiologists Journal

Volumn 58, Issue 2, 2007, Pages 92-108

  Chartrand Lefebvre, Carl ^a,e   Cadrin Chênevert, Alexandre ^a   Bordeleau, Edith ^a,b   Ugolini, Patricia ^c   Ouellet, Robert ^c   Sablayrolles, Jean Louis ^d   Prenovault, Julie ^a  

^a CENTRE HOSPITALIER DE L UNIVERSITÉ DE MONTRÉAL   (Canada)

^b LAVAL UNIVERSITY   (Canada)

^c MONTREAL HEART INSTITUTE   (Canada)

^d Centre Cardiologique du Nord   (France)

^e UNIVERSITY OF MONTREAL   (Canada)

Author keywords

Cardiac computed tomography; Catheter coronary; Coronary computed tomography angiography

Indexed keywords

ACCURACY; ANGIOCARDIOGRAPHY; ARTIFACT; ATHEROSCLEROTIC PLAQUE; CATHETERIZATION; CLINICAL ASSESSMENT; CLINICAL FEATURE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CORONARY ARTERY ANOMALY; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY OBSTRUCTION; CORONARY STENT; ELECTROCARDIOGRAPHY; GRAFT PATENCY; HEART ARRHYTHMIA; HEART RATE; HUMAN; MEDICAL LITERATURE; MULTIDETECTOR COMPUTED TOMOGRAPHY; NON INVASIVE PROCEDURE; PREDICTIVE VALIDITY; PREOPERATIVE EVALUATION; REVIEW; ROTATION; SCORING SYSTEM; X RAY TUBE;

CALCINOSIS; CORONARY ANGIOGRAPHY; CORONARY ARTERIOSCLEROSIS; CORONARY ARTERY BYPASS; CORONARY STENOSIS; CORONARY VESSEL ANOMALIES; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; TECHNOLOGY, RADIOLOGIC; TOMOGRAPHY, X-RAY COMPUTED; VASCULAR PATENCY;

EID: 34247232688     PISSN: 08465371     EISSN: 08465371     Source Type: Journal    
DOI: None     Document Type: Review

References (99)

1. Scanlon PJ, Faxon DP, Audet AM, et al. ACC/AHA Guidelines for coronary angiography. J Am Coll Cardiol. 1999;33:1756-824.
2. Gertz SD, Cherukuri P, Bodmann BG et al. Usefulness of multidetector computed tomography for noninvasive evaluation of coronary arteries in asymptomatic patients. Am J Cardiol. 2006;97:287-293.
3. Achenbach S, Giesler T, Ropers D, et al. Detection of coronary artery stenoses by contrast-enhanced, retrospectively electrocardiographically-gated, multislice spiral computed tomography. Circulation. 2001;103:2535-2538.
4. Nieman K, Oudkerk M, Rensing BJ, et al. Coronary angiography with multi-slice computed tomography. Lancet. 2001;357:599-603.
5. Nieman K, Cademartiri F, Lemos PA, et al. Reliable noninvasive coronary angiography with fast submillimeter multislice spiral computed tomography. Circulation. 2002;106:2051-2054.
6. Ropers D, Baum U, Pohle K, et al. Detection of coronary artery stenoses with thin-slice multi-detector row spiral computed tomography and multiplanar reconstruction. Circulation. 2003;107:664-666.
7. Mollet NR, Cademartiri F, Nieman K, et al. Multislice spiral computed tomography coronary angiography in patients with stable angina pectoris. J Am Coll Cardiol. 2004;43:2265-2270.
8. Martuscelli E, Romagnoli A, D'Eliseo A, et al. Accuracy of thin-slice computed tomography in the detection of coronary stenoses. Eur Heart J. 2004;25:1043-1048.
9. Hoffmann U, Moselewski F, Cury RC, et al. Predictive value of 16-slice multidetector spiral computed tomography to detect significant obstructive coronary artery disease in patients at high risk for coronary artery disease: patient-versus segment-based analysis. Circulation. 2004;110:2638-2643.
10. Morgan-Hughes GJ, Roobottom CA, Owens PE, et al. Highly accurate coronary angiography with submillimetre, 16-slice computed tomography. Heart. 2005;91:308-313.
11. Mollet NR, Cademartiri F, Krestin GP, et al. Improved diagnostic accuracy with 16-row multi-slice computed tomography coronary angiography. J Am Coll Cardiol. 2005;45:128-132.
12. Hoffmann MH, Shi H, Schmitz BL, et al. Noninvasive coronary angiography with multislice computed tomography. JAMA. 2005;293:2471-2478.
13. Kuettner A, Beck T, Drosch T, et al. Diagnostic accuracy of noninvasive coronary imaging using 16-detector slice spiral computed tomography with 188 ms temporal resolution. J Am Coll Cardiol. 2005;45:123-127.
14. Schuijf JD, Bax JJ, Salm LP, et al. Noninvasive coronary imaging and assessment of left ventricular function using 16-slice computed tomography. Am J Cardiol. 2005;95:571-574.
15. Achenbach S, Ropers D, Pohle FK, et al. Detection of coronary artery stenoses using multi-detector CT with 16x0.75 collimation and 375 ms rotation. Eur Heart J. 2005;26:1978-1986.
16. Desjardins B, Kazerooni EA. ECG-Gated Cardiac CT. AJR Am J Roentgenol. 2004, 182:993-1010.
17. Greuter MJ, Dorgelo J, Tukker WG, et al. Study on motion artefacts in coronary arteries with anthropomorphic moving heart phantom on an ECG-gated multidetector computed tomography unit. Eur Radiol. 2005(15):995-1007.
18. Manzke R, Grass M, Hawkes D. Artifact analysis and reconstruction improvement in helical cardiac cone beam CT. IEEE Trans Med Imaging. 2004;23:1150-1164.
19. Vembar M, Garcia MJ, Heuscher DJ, et al. A dynamic approach to identifying desired physiological phases for cardiac imaging using multislice spiral CT. Med Phys. 2003;30:1683-1693.
20. Lu B, Zhuang N, Mao SS, et al. Image quality of three-dimensional electron beam coronarography angiography. J Comput Assist Tomogr. 2002;26:202-209.
21. Fayad ZA, Fuster V, Nikolaou K, et al. Computed tomography and magnetic resonance imaging for noninvasive coronary angiography and plaque imaging: current and potential future concepts. Circulation. 2002;106:2026-2034.
22. Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J. 2005;26:1482-1487.
23. Leber AW, Knez A, von Ziegler F, et al. Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol. 2005;46:147-154.
24. Giesler T, Baum U, Ropers D, et al. Noninvasive visualization of coronary arteries using contrast-enhanced multidetector CT: influence of heart rate on image quality and stenosis detection. AJR Am J Roentgenol. 2002;179:911-916.
25. Bley TA, Ghanem NA, Foell D, et al. Computed tomography coronary angiography with 370-millisecond gantry rotation time: evaluation of the best image reconstruction interval. J Comput Assist Tomogr. 2005;29:1-5.
26. Hoffmann MH, Shi H, Manzke R, et al. Noninvasive coronary angiography with 16-detector row CT: effect of heart rate. Radiology. 2005;234:86-97.
27. Nakanishi T, Kayashima Y, Inoue R, et al. Pitfalls in 16-detector row CT of the coronary arteries. Radiographics. 2005;25:425-440.
28. Raff GL, Gallagher MJ, O'Neill WW, et al. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol. 2005;46:552-557.
29. Kitagawa T, Fujii T, Tomohiro Y, et al. Noninvasive assessment of coronary stents in patients by 16-slice computed tomography. Int J Cardiol. 2006;109:188-194.
30. Paul JF, Wartski M, Caussin C, et al. Late defect on delayed contrast-enhanced multi-detector row CT scans in the prediction of SPECT infarct size after reperfused acute myocardial infarction: initial experience. Radiology. 2005;236:485-489.
31. Kim TH, Hur J, Kim SJ, et al. Two-phase reconstruction for the assessment of left ventricular volume and function using retrospective ECG-gated MDCT: comparison with echocardiography. AJR Am J Roentgenol. 2005;185:319-325.
32. Mahnken AH, Koos R, Katoh M, et al. Assessment of myocardial viability in reperfused acute myocardial infarction using 16-slice computed tomography in comparison to magnetic resonance imaging. J Am Coll Cardiol. 2005;45:2042-2047.
33. Gosalia A, Haramati LB, Sheth MP, et al. CT detection of acute myocardial infarction. AJR Am J Roentgenol. 2004;182:1563-1566.
34. Quiroz R, Kucher N, Zou KH, et al. Clinical validity of a negative computed tomography scan in patients with suspected pulmonary embolism a systematic review. JAMA. 2005;293:2012-2017.
35. Eyer1, LR Goodman, L Washington. Clinicians' response to radiologists' reports of isolated subsegmental pulmonary embolism or inconclusive interpretation of pulmonary embolism using MDCT. AJR Am J Roentgenol. 2005;184:623-628.
36. MacMahon H, Austin JHM, Gamsu G, et al. Guidelines for management of small pulmonary nodules detected on CT scans: a statement from the Fleischner Society. Radiology 2005;237:395-400.
37. Woodard PK, Li D, Zheng J, et al. Coronary MR angiography. Magn Reson Imaging Clin N Am. 1999;7:365-378.
38. Van Geuns RJ, Wielopolski PA, de Bruin HG, et al. MR coronary angiography with breath-hold targeted volumes: preliminary clinical results. Radiology. 2000;217:270-277.
39. Rensing BJ, Bongaerts A, Van Geuns RJ, et al. Intravenous coronary angiography by electron beam computed tomography: a clinical evaluation. Circulation. 1998;98:2509-2512.
40. Achenbach S, Moshage W, et al. Value of electron-beam computed tomography for the noninvasive detection of high-grade coronary-artery stenoses and occlusions. N Engl J Med. 1998;339:1964-1971.
41. Ha JW, Cho SY, Shim WH, et al. Noninvasive evaluation of coronary artery bypass graft patency using three-dimensional angiography obtained with contrast-enhanced electron beam CT. AMJ Am J Roentgenol. 1999;172:1055-1059.
42. Budoff MJ, Oudiz RJ, Zalace CP, et al. Intravenous three-dimensional coronary angiography using contrast enhanced electron beam computed tomography. Am J Cardiol. 1999;83:840-845.
43. Pump H, Mohlenkamp S, Sehnert CA, et al. Coronary arterial stent patency: assessment with electron-beam CT. Radiology. 2000;214:447-452.
44. Reddy GP, Chernoff DM, Adams JR, et al. Coronary artery stenoses: contrast-enhanced electron-beam CT and axial reconstructions. Radiology. 1998;208:167-172.
45. Pugliese F, Mollet NRA, Runza G, et al. Diagnostic accuracy of non-invasive 64-slice CT coronary angiography in patients with stable angina pectoris. Eur Radiol. 2006;16:575-582.
46. Mollet NR, Cademartiri F, Van Mieghem CAG, et al. High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation. 2005;112:2318-2323.
47. Ropers D, Rixe J, Anders K, et al. Usefulness of multidetector row spiral computed tomography with 64- x 0.6-mm collimation and 330-ms rotation for the noninvasive detection of significant coronary artery stenoses. Am J Cardiol. 2006;97:343-348.
48. Fine JJ, Hopkins CB, Ruff N, et al. Comparison of accuracy of 64-slice cardiovascular computed tomography with coronary angiography in patients with suspected coronary artery disease. Am J Cardiol. 2006;97:173-174.
49. Flohr T, Stierstorfer K, Raupach R, et al. Performance evaluation of a 64-slice CT system with z-flying focal spot. Rofo. 2004;176:1803-1810.
50. Choi HS, Choi BW, Choe KO, et al. Pitfalls, artifacts, and remedies in multi-detector row CT coronary angiography. RadioGraphics. 2004;24:787-800.
51. Heuschmid M, Kuettner A, Schroeder S, et al. ECG-gated 16-MDCT of the coronary arteries: assessment of image quality and accuracy in detecting stenoses. AJR Am J Roentgenol. 2005;184:1413-1419.
52. Mollet NR, Cademartiri F, de Feyter PJ. Non-invasive multislice CT coronary imaging. Heart. 2005;91:401-407.
53. Cademartiri F, Mollet NR, Lemos PA, et al. Impact of coronary calcium score on diagnostic accuracy for the detection of significant coronary stenosis with multislice computed tomography angiography. Am J Cardiol. 2005;95:1225-1227.
54. Coles DR, Smail MA, Negus IS, Wilde P, Oberhoff , Karsch KR, Baumbach A. Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography. J Am Coll Cardiol. 2006;47:1840-1845.
55. Rumberger J, Simons D, Fitzpatrick L, et al. Coronary artery calcium area by electron-beam computed tomography and coronary atherosclerotic plaque area. A histopathologic correlative study. Circulation. 1995;92:2157-2162.
56. Janowitz WR. Computed tomographic detection of coronary artery calcification. Semin Roentgenol. 2003;38:309-313.
57. Agatston AS, Janowitz WR, Hildner FJ, et al. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 1990;15:827-832.
58. Callister TQ, Raggi P, Cooil B, et al: Effect of HMG-CoA reductase inhibitors on coronary artery disease as assessed by electron-beam computed tomography. N Engl J Med 1998;339:1972-1978.
59. Hong C, Becker CR, Schoepf UJ, et al. Coronary artery calcium: absolute quantification in nonenhanced and contrastenhanced multi-detector row CT studies. Radiology. 2002;223:474-480.
60. Rumberger JA, Kaufman L. A rosetta stone for coronary calcium risk stratification: Agatston, volume, and mass scores in 11,490 individuals. AJR Am J Roentgenol. 2003;(181):743-748.
61. Kondos GT, Hoff JA, Sevrukov A, et al. Electron-beam tomography coronary artery calcium and cardiac events: a 37-month follow-up of 5635 initially asymptomatic low- to intermediate-risk adults. Circulation. 2003;107:2571-2576.
62. Pletcher MJ, Tice JA, Pignone M, et al. Using the coronary artery calcium score to predict coronary heart disease events: a systematic review and meta-analysis. Arch Intern Med. 2004;164:1285-1292.
63. Greenland P, LaBree L, Azen SP, et al. Coronary artery calcium score combined with Framingham score for risk prediction in asymptomatic individuals. JAMA. 2004;291:210-215.
64. Virmani R, Burke A, Kolodgie FD, et al. Vulnerable plaque : the pathology of unstable coronary lesions. J Interven Cardiol 2002;15:439-446.
65. Naghavi M, Libby P, Falk E, et al. From vulnerable plaque to vulnerable patient: a call for new definitions and risk assessment strategies: Part II. Circulation. 2003;108:1772-1778.
66. Huang H, Virmani R, Younis H, et al. The impact of calcification on the biomechanical stability of atherosclerotic plaques. Circulation 2001;103:1051-1056.
67. Achenbach S, Ropers D, Hoffmann U, et al. Assessment of coronary remodeling in stenotic and nonstenotic coronary atherosclerotic lesions by multidetector spiral computed tomography. J Am Coll Cardiol. 2004;43:842-847.
68. Becker C, Nikolaou K, Muders M, et al. Ex vivo coronary atherosclerotic plaque characterization with multi-detector-row CT. Eur Radiol. 2003;13:2094-2098.
69. Schroeder S, Kuettner A, Leitritz M, et al. Reliability of differentiating human coronary plaque morphology using contrast-enhanced multislice spiral computed tomography: a comparison with histology. J Comput Assist Tomogr. 2004;28:449-454.
70. Schroeder S, Kopp AF, Baumbach A, et al. Noninvasive detection and evaluation of atherosclerotic coronary plaques with multislice computed tomography. J Am Coll Cardiol. 2001;37:1430-1435.
71. Leber AW, Knez A, Becker A, et al. Accuracy of multidetector spiral computed tomography in identifying and differentiating the composition of coronary atherosclerotic plaques: a comparative study with intracoronary ultrasound. J Am Coll Cardiol. 2004;43:1241-1247.
72. Cademartiri F, Mollet NR, Runza G, et al. Influence of intracoronary attenuation on coronary plaque measurements using multislice computed tomography: observations in an ex vivo model of coronary computed tomography angiography. Eur Radiol. 2005;15:1426-1431.
73. Achenbach S, Moselewski F, Ropers D, et al. Detection of calcified and noncalcified coronary atherosclerotic plaque by contrast-enhanced, submillimeter multidetector spiral computed tomography: a segment-based comparison with intravascular ultrasound. Circulation. 2004;109:14-17.
74. Song M, Ito T, Watanabe T, et al. Multidetector computed tomography versus coronary angiogram in evaluation of coronary artery bypass grafts. Ann Thorac Surg. 2005;79:585-588.
75. Frazier AA, Qureshi F, Read KM, et al. Coronary artery bypass grafts: assessment with multidetector CT in the early and late postoperative settings. Radiographics. 2005;25:881-896.
76. Ropers D, Ulzheimer S, Wenkel E, et al. Investigation of aortocoronary artery bypass grafts by multislice spiral computed tomography with electrocardiographic-gated image reconstruction. Am J Cardiol. 2001;88:792-795.
77. Nieman K, Pattynama P, Rensing B, et al. Evaluation of patients after coronary artery bypass surgery: CT angiographic assessment of grafts and coronary arteries. Radiology. 2003;229:749-756.
78. Marano R, Storto ML, Maddestra N, et al. Non-invasive assessment of coronary artery bypass graft with retrospectively ECG-gated four-row multi-detector spiral computed tomography. Eur J Radiol. 2004;(14):1353-1362.
79. Chiurlia E, Menozzi M, Ratti C, et al. Follow-up of coronary artery bypass graft patency by multislice computed tomography. Am J Cardiol. 2005;95:1094-1097.
80. Anders K, Baum U, Schmid M, Ropers D, et al.Coronary artery bypass graft (CABG) patency: Assessment with high-resolution submillimeter 16-slice multidetector-row computed tomography (MDCT) versus coronary angiography. Eur J of Radiol. 2006;57:336-344.
81. Pannu Harpreet K, Flohr Thomas G, Corl Frank M, et al. Multi-Detector Row CT Evaluation of the coronary arteries: principles, techniques, and anatomy. RadioGraphics. 2003;23:S111-S125.
82. Aviram G, Sharony R, Kramer A, et al. Modification of surgical planning based on cardiac multidetector computed tomography in reoperative heart surgery. Ann Thorac Surg. 2005;79:589-595.
83. Kruger S, Mahnken AH, Sinha AM, et al. Multislice spiral computed tomography for the detection of coronary stent restenosis and patency. Int J Cardiol. 2003;89:167-172.
84. Seifarth H, Ozgun M, Raupach R, et al. 64- versus 16-slice CT angiography for coronary artery stent assessment: In vitro experience. Invest Radiol. 2006;41:22-27.
85. Ligabue G, Rossi R, Ratti C, et al. Noninvasive evaluation of coronary artery stents patency after PTCA: role of multislice computed tomography. Radiol Med (Torino). 2004;108:128-137.
86. Schuijf JD, Bax JJ, Jukema JW, et al. Feasibility of assessment of coronary stent patency using 16-slice computed tomography. Am J Cardiol. 2004 15;94:427-30.
87. Gilard M, Cornily JC, Pennec PY, et al. Assessment of coronary artery stents by 16 slice computed tomography. Heart. 2006;92:58-61.
88. Gilard M, Cornily JC, Rioufol G, et al. Noninvasive assessment of left main coronary stent patency with 16-slice computed tomography. Am J Cardiol. 2005;95:110-112.
89. Gaspar T, Halon DA, Lewis BS, et al. Diagnosis of coronary in-stent restenosis with multidetector row spiral computed tomography. J Am Coll Cardiol. 2005;46:1573-9.
90. Maintz D, Seifarth H, Flohr T, et al. Improved coronary artery stent visualization and in-stent stenosis detection using 16-slice computed-tomography and dedicated image reconstruction technique. Invest Radiol. 2003;38:790-795.
91. Hong C, Chrysant GS, Woodard PK, et al. Coronary artery stent patency assessed with in-stent contrast enhancement measured at multi-detector row CT angiography: Initial experience. Radiology. 2004;233:286-291.
92. Suzuki S, Furui S, Kaminaga T et al. Evaluation of coronary stents in vitro with CT angiography effect of stent diameter, convolution kernel, and vessel orientation to the Z-axis. Circ J. 2005;69:1124-1131.
93. Garg N, Tewari S, Kapoor A, et al. Primary congenital anomalies of the coronary arteries: a coronary: arteriographic study. Int J Cardiol. 2000;74:39-46.
94. Datta J, White CS, Gilkeson RC, et al. Anomalous coronary arteries in adults: depiction at multi-detector row CT angiography. Radiology. 2005;235:812-818.
95. Manghat NE, Morgan-Hughes GJ, et al. Multidetector-row computed tomography: imaging congenital coronary artery anomalies in adults. Heart. 2005;91:1515-1522.
96. Ropers D, Moshage W, Daniel WG, et al. Visualization of coronary artery anomalies and their anatomic course by contrast-enhanced electron beam tomography and three-dimensional reconstruction. Am J Cardiol. 2001;87:193-197.
97. Schmid M, Achenbach S, Ludwig J, et al. Visualization of coronary artery anomalies by contrast-enhanced multi-detector row spiral computed tomography. Int J Cardiol. 2006;111(3):430-435.
98. Flohr TG, McCollough CH, Bruder H, et al. First performance evaluation of a dual-source CT system. Eur Radiol. 2006;16:256-268.
99. Achenbach S, Ropers D, Kuettner K, et al.Contrast-enhanced coronary artery visualization by dual-source computed tomography - Initial experience. Eur J Radiol. 2006;57:331-335.