由冠的计算断层摄影术 angiography 的冠的匾成像

• 作者: Akira Sato
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: CORONARY COMPUTED tomography ANGIOGRAPHY CORONARY PLAQUE VULNERABLE PLAQUE Clinical OUTCOME
• 年，卷（期）: 2014,（5）
• 页码范围: 148-159
• 页数: 12页
• 分类号: R541.4

摘要

Coronary computed tomography angiography(CTA) has become the useful noninvasive imaging modality alternative to the invasive coronary angiography for detecting coronary artery stenoses in patients with suspected coronary artery disease(CAD). With the development of technical aspects of coronary CTA, clinical practice and research are increasingly shifting toward defining the clinical implication of plaque morphology and patients outcomes by coronary CTA. In this review we discuss the coronary plaque morphology estimated by CTA beyond coronary angiography including the comparison to the currently available other imaging modalities used to examine morphological characteristics of the atherosclerotic plaque. Furthermore, this review underlies the value of a combined assessment of coronary anatomy and myocardial perfusion in patients with CAD, and adds to an increasing body of evidence suggesting an added diagnostic value when combining both modalities. We hope that an integrated, multi-modality imaging approach will become the gold standard for noninvasive evaluation of coronary plaque morphology and outcome data in clinical practice.