Dynamic CT myocardial perfusion imaging

被引:52
|
作者
Nieman, Koen [1 ,2 ]
Balla, Sujana [1 ,2 ]
机构
[1] Stanford Univ, Sch Med, Room H2157,300 Pasteur Dr, Palo Alto, CA 94304 USA
[2] Stanford Univ, Sch Med, Cardiovasc Inst, Room H2157,300 Pasteur Dr, Palo Alto, CA 94304 USA
关键词
Computed tomography; Myocardial perfusion imaging; Coronary artery disease; Myocardial blood flow; BEAM HARDENING CORRECTION; COMPUTED-TOMOGRAPHY; BLOOD-FLOW; INFARCTION; STENOSIS; QUANTIFICATION; VIABILITY;
D O I
10.1016/j.jcct.2019.09.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 the MPICT acquisition protocol, post-image acquisition processing and calculation of quantitative parameters, the diagnostic performance of MPICT and the potential incremental value of this technique in comparison to alternative approaches. Further technical innovation using different scanner platforms and establishment of reproducible diagnostic thresholds to differentiate significant coronary artery disease will be crucial in the path to broader clinical implementation.
引用
收藏
页码:303 / 306
页数:4
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