Department of Radiology, Erasmus Medical Center University, 's Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands.
Eur Radiol. 2013 Mar;23(3):607-13. doi: 10.1007/s00330-012-2767-9. Epub 2013 Jan 24.
Computed tomography coronary angiography (CTCA) has reached very high standards both in terms of diagnostic performance and radiation dose reduction. This commentary follows a report on CTCA using less than 0.1 mSv in selected patients. This is an extraordinary accomplishment, both for technology and for medicine. The difficult task is now to implement this tool in clinical practice so it can play the best possible role. CTCA can improve diagnostic pathways, can save money for healthcare systems and could even improve pharmacological therapy. All of this may happen, but it will require the combined effort of all the experienced operators in this field, including the referring clinicians. In times of financial constraint, CTCA may also help to restrict ineffective medical expenses.
计算机断层冠状动脉成像（CTCA）在诊断性能和降低辐射剂量方面都达到了非常高的标准。本评论是基于一篇关于在选定患者中使用低于 0.1 mSv 剂量进行 CTCA 的报告。这不仅是技术上的，也是医学上的非凡成就。现在面临的艰巨任务是将这一工具应用于临床实践，使其发挥最大作用。CTCA 可以改进诊断途径，为医疗保健系统节省资金，甚至可以改善药物治疗。所有这些都有可能实现，但需要该领域所有有经验的操作人员，包括转诊临床医生的共同努力。在财政紧张时期，CTCA 也可能有助于限制无效的医疗费用。
