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A systematic approach for analysis, interpretation, and reporting of coronary CTA studies.

Karlo CA, Leschka S, Stolzmann P, Glaser-Gallion N, Wildermuth S, Alkadhi H - Insights Imaging (2012)

Bottom Line: The secondary mainstay is represented by the correct analysis and interpretation of the acquired data, as well as reporting of the pertinent imaging findings to the referring physician.The latter process requires knowledge of the advantages and disadvantages of various post-processing methods.By implementing various radiation dose reduction techniques, care needs to be taken to keep the radiation dose of coronary CTA as low as reasonably achievable while maintaining the diagnostic capacity of the examination.

View Article: PubMed Central - PubMed

Affiliation: Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

ABSTRACT
Over the past years, the number of coronary computed tomography angiography (CTA) studies performed worldwide has been steadily increasing. Performing a coronary CTA study with appropriate protocols tailored to the individual patient and clinical question is mandatory to obtain an image quality that is diagnostic for the study purpose. This process can be considered the primary mainstay of each coronary CTA study. The secondary mainstay is represented by the correct analysis and interpretation of the acquired data, as well as reporting of the pertinent imaging findings to the referring physician. The latter process requires knowledge of the advantages and disadvantages of various post-processing methods. In addition, a standardized approach can be helpful to avoid false-positive and false-negative findings regarding the presence or absence of coronary artery disease. By implementing various radiation dose reduction techniques, care needs to be taken to keep the radiation dose of coronary CTA as low as reasonably achievable while maintaining the diagnostic capacity of the examination. This review describes a practical approach to the analysis and interpretation of coronary CTA data, including the standardized reporting of the relevant imaging findings to the referring physicians.

No MeSH data available.


Related in: MedlinePlus

a Guide for adjusting imaging planes from the CT standard planes to the standard cardiac planes [i.e., short axis (white line), orthographic long axis (blue lines), and horizontal long axis view (orange lines)]. b Guide for adjusting imaging planes from the standard cardiac planes to the “three- and four-chamber view.” The four-chamber view is achieved by adjusting a perpendicular plane to the short axis crossing the middle of the mitral valve and the acute margin (white line). The three-chamber view is achieved by adjusting a perpendicular plane to the short axis crossing the middle of the mitral valve and the middle of the aortic valve (blue line)
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Fig2: a Guide for adjusting imaging planes from the CT standard planes to the standard cardiac planes [i.e., short axis (white line), orthographic long axis (blue lines), and horizontal long axis view (orange lines)]. b Guide for adjusting imaging planes from the standard cardiac planes to the “three- and four-chamber view.” The four-chamber view is achieved by adjusting a perpendicular plane to the short axis crossing the middle of the mitral valve and the acute margin (white line). The three-chamber view is achieved by adjusting a perpendicular plane to the short axis crossing the middle of the mitral valve and the middle of the aortic valve (blue line)

Mentions: The horizontal long axis plane provides longitudinal views of the LAD, the distal RCA, and the PDA, and perpendicular views of the middle parts of the RCA and LCX (Fig. 2).


A systematic approach for analysis, interpretation, and reporting of coronary CTA studies.

Karlo CA, Leschka S, Stolzmann P, Glaser-Gallion N, Wildermuth S, Alkadhi H - Insights Imaging (2012)

a Guide for adjusting imaging planes from the CT standard planes to the standard cardiac planes [i.e., short axis (white line), orthographic long axis (blue lines), and horizontal long axis view (orange lines)]. b Guide for adjusting imaging planes from the standard cardiac planes to the “three- and four-chamber view.” The four-chamber view is achieved by adjusting a perpendicular plane to the short axis crossing the middle of the mitral valve and the acute margin (white line). The three-chamber view is achieved by adjusting a perpendicular plane to the short axis crossing the middle of the mitral valve and the middle of the aortic valve (blue line)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3369123&req=5

Fig2: a Guide for adjusting imaging planes from the CT standard planes to the standard cardiac planes [i.e., short axis (white line), orthographic long axis (blue lines), and horizontal long axis view (orange lines)]. b Guide for adjusting imaging planes from the standard cardiac planes to the “three- and four-chamber view.” The four-chamber view is achieved by adjusting a perpendicular plane to the short axis crossing the middle of the mitral valve and the acute margin (white line). The three-chamber view is achieved by adjusting a perpendicular plane to the short axis crossing the middle of the mitral valve and the middle of the aortic valve (blue line)
Mentions: The horizontal long axis plane provides longitudinal views of the LAD, the distal RCA, and the PDA, and perpendicular views of the middle parts of the RCA and LCX (Fig. 2).

Bottom Line: The secondary mainstay is represented by the correct analysis and interpretation of the acquired data, as well as reporting of the pertinent imaging findings to the referring physician.The latter process requires knowledge of the advantages and disadvantages of various post-processing methods.By implementing various radiation dose reduction techniques, care needs to be taken to keep the radiation dose of coronary CTA as low as reasonably achievable while maintaining the diagnostic capacity of the examination.

View Article: PubMed Central - PubMed

Affiliation: Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

ABSTRACT
Over the past years, the number of coronary computed tomography angiography (CTA) studies performed worldwide has been steadily increasing. Performing a coronary CTA study with appropriate protocols tailored to the individual patient and clinical question is mandatory to obtain an image quality that is diagnostic for the study purpose. This process can be considered the primary mainstay of each coronary CTA study. The secondary mainstay is represented by the correct analysis and interpretation of the acquired data, as well as reporting of the pertinent imaging findings to the referring physician. The latter process requires knowledge of the advantages and disadvantages of various post-processing methods. In addition, a standardized approach can be helpful to avoid false-positive and false-negative findings regarding the presence or absence of coronary artery disease. By implementing various radiation dose reduction techniques, care needs to be taken to keep the radiation dose of coronary CTA as low as reasonably achievable while maintaining the diagnostic capacity of the examination. This review describes a practical approach to the analysis and interpretation of coronary CTA data, including the standardized reporting of the relevant imaging findings to the referring physicians.

No MeSH data available.


Related in: MedlinePlus