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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

Review segments and bifurcations where lesions are often missed: distal RCA/PDA (MIP maximum intensity projections, VR volume rendering)
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Related In: Results  -  Collection


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Fig5: Review segments and bifurcations where lesions are often missed: distal RCA/PDA (MIP maximum intensity projections, VR volume rendering)

Mentions: The distal segment of the RCA and the origin of the PDA: the distal RCA travels longitudinally in the transverse images and the short axis plane, while the PDA commonly runs transverse in a cranial direction until reaching the posterior interventricular groove. Owing to this course in relation to the transverse orientation of the source images, stenosis assessment can sometimes be challenging in the small diameter vessels (Fig. 5).


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)

Review segments and bifurcations where lesions are often missed: distal RCA/PDA (MIP maximum intensity projections, VR volume rendering)
© Copyright Policy
Related In: Results  -  Collection

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

Fig5: Review segments and bifurcations where lesions are often missed: distal RCA/PDA (MIP maximum intensity projections, VR volume rendering)
Mentions: The distal segment of the RCA and the origin of the PDA: the distal RCA travels longitudinally in the transverse images and the short axis plane, while the PDA commonly runs transverse in a cranial direction until reaching the posterior interventricular groove. Owing to this course in relation to the transverse orientation of the source images, stenosis assessment can sometimes be challenging in the small diameter vessels (Fig. 5).

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