Vembar Mani, Walker Matthew J, Johnson Peter C
Clinical Science, Computed Tomography Division, Philips Medical Systems, Cleveland, Ohio 44143, USA.
Coron Artery Dis. 2006 Mar;17(2):115-23. doi: 10.1097/00019501-200603000-00004.
Conventional coronary angiography is currently the gold standard in the detection and diagnosis of coronary artery disease. This modality, however, is invasive in nature. Hence, there is a need for noninvasive imaging techniques to provide comprehensive assessment of coronary artery disease, especially in stable patients at low to moderate risk of disease. In recent years, a number of noninvasive modalities have found wide applications in cardiac imaging. Most recent investigations have used magnetic resonance imaging, multislice computed tomography and electron-beam computed tomography scanners. This review discusses the clinical challenges existing in the field of cardiac imaging and focuses on the technical advancements of multislice computed tomography scanners that have made them a very attractive noninvasive option for the detection and diagnosis of coronary artery disease.
传统冠状动脉造影术目前是检测和诊断冠状动脉疾病的金标准。然而,这种方法本质上是有创的。因此,需要非侵入性成像技术来全面评估冠状动脉疾病,特别是在疾病风险低至中度的稳定患者中。近年来,一些非侵入性方法已在心脏成像中得到广泛应用。最近的研究使用了磁共振成像、多层计算机断层扫描和电子束计算机断层扫描扫描仪。本综述讨论了心脏成像领域存在的临床挑战,并重点介绍了多层计算机断层扫描扫描仪的技术进步,这些进步使其成为检测和诊断冠状动脉疾病极具吸引力的非侵入性选择。