Use of cardiac CT and calcium scoring for detecting coronary plaque: implications on prognosis and patient management

被引:32
|
作者
Divakaran, S. [1 ,2 ]
Cheezum, M. K. [2 ,3 ,4 ]
Hulten, E. A.
Bittencourt, M. S. [5 ]
Silverman, M. G. [2 ,6 ]
Nasir, K. [7 ]
Blankstein, R. [2 ,3 ,4 ]
机构
[1] Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Brigham & Womens Hosp, Dept Med, Div Cardiovasc, Noninvas Cardiovasc Imaging Program, Boston, MA 02115 USA
[4] Brigham & Womens Hosp, Dept Radiol, Boston, MA 02115 USA
[5] Univ Sao Paulo, Div Internal Med, Ctr Clin & Epidemiol Res, Univ Hosp, Sao Paulo, Brazil
[6] Brigham & Womens Hosp, Dept Med, Div Cardiovasc, Boston, MA 02115 USA
[7] Baptist Hlth South Florida, Ctr Wellness & Prevent Res, Miami, FL USA
来源
BRITISH JOURNAL OF RADIOLOGY | 2015年 / 88卷 / 1046期
关键词
COMPUTED-TOMOGRAPHY ANGIOGRAPHY; AMERICAN-HEART-ASSOCIATION; APPROPRIATE USE CRITERIA; ARTERY CALCIUM; CLINICAL-OUTCOMES; RISK-FACTORS; TASK-FORCE; CARDIOVASCULAR ANGIOGRAPHY; DIAGNOSTIC PERFORMANCE; MYOCARDIAL-INFARCTION;
D O I
10.1259/bjr.20140594
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Clinicians often use risk factor-based calculators to estimate an individual's risk of developing cardiovascular disease. Non-invasive cardiovascular imaging, particularly coronary artery calcium (CAC) scoring and coronary CT angiography (CTA), allows for direct visualization of coronary atherosclerosis. Among patients without prior coronary artery disease, studies examining CAC and coronary CTA have consistently shown that the presence, extent and severity of coronary atherosclerosis provide additional prognostic information for patients beyond risk factor-based scores alone. This review will highlight the basics of CAC scoring and coronary CTA and discuss their role in impacting patient prognosis and management.
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页数:10
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