Here is an overview of a few of the biggest technology advances in cardiovascular computed tomography (CT).
Computed Tomography (CT)
Cardiac computed tomography CT systems use a series of X-ray images to create an image volume dataset that can be sliced or manipulated on any plane using advanced visualization software. This channel includes content on CT scanners, CT contrast agents, CT angiography (CTA and CCTA), CT perfusion, spectral CT (also called dual souce or dual energy CT), and interative image reconstruction software that can reduce dose and make lower-quality CT images diagnostic.
Two examples of CT myocardial perfusion (CTP) imaging assessment software. Canon is on the left and GE Healthcare is on the right. Both of these technologies have been around for a few years, but there has been an increasing amount of clinical data from studies showing the accuracy of the technology compared to nuclear imaging, the current standard of care for myocardial perfusion imaging, and cardiac MRI.
Figure 4 for the study. Images of a 65-year-old man (patient 6). (a) Cardiac MRI perfusion shows perfusion deficit of anterior/anterolateral wall attributed to left anterior descending artery/left circumflex artery (*). (b) CT coronary angiography. (c) Coronary angiography, left anterior oblique projection with caudal angulation. (d) Three-dimensional image fusion helped refine diagnosis: perfusion deficits (*) were most likely caused by narrow first diagonal branch and its first, stented side branch (arrowhead). Retrospectively, denoted lesion could also be found at CT coronary angiography and coronary angiography (arrowheads in b and c, respectively). CT FFR = CT-derived fractional flow reserve, LGE = late gadolinium enhancement. Image courtesy of RSNA, Radiology.
Figure 2: Pulmonary CT angiography of a 68 year old male. The CT scan was obtained 10 days after the onset of COVID-19 symptoms and on the day the patient was transferred to the intensive care unit. Axial CT images (lung windows) (a,b) show peripheral ground-glass opacities (arrow) associated with areas of consolidation in dependent portions of the lung (arrowheads). Interlobular reticulations, bronchiectasis (black arrow) and lung architectural distortion are present. Involvement of the lung volume was estimated to be between 25% and 50%. Coronal CT reformations (mediastinum windows) (c,d) show bilateral lobar and segmental pulmonary embolism (black arrows). Courtesy of RSNA