André F, Buß S J, Katus H A
Klinik für Kardiologie, Angiologie und Pneumologie, Universität Heidelberg, Im Neuenheimer Feld 410, 69120, Heidelberg, Deutschland.
Herz. 2016 Aug;41(5):405-12. doi: 10.1007/s00059-016-4452-2.
Technological advances in computed tomography (CT) resulted in an expansion of (the spectrum of) indications and numbers of examination in cardiology. Thus, CT found it's way into cardiological clinical practice as well as in current guidelines. This article describes the state of the technology, current developments, and the clinical significance of cardiac CT. Determination of indications, conduct, and assessment of coronary CT affect the core content of cardiological expertise. On the basis of the expected further increase in coronary CT examinations, cardiologists need to be familiar with this modality. Hence, the curriculum "Cardiac CT" for the additional qualification of cardiologists has been introduced. The conduct and interpretation of cardiac CT require the expertise of cardiologists and radiologists to ensure its diagnostic value and patient safety in the best possible way. Therefore, structures for cooperation between the two disciplines need to be established in outpatient and in inpatient care.
计算机断层扫描(CT)技术的进步使得心脏病学的适应症范围和检查数量得以扩大。因此,CT已进入心脏病学临床实践以及现行指南。本文描述了心脏CT的技术现状、当前进展以及临床意义。冠状动脉CT适应症的确定、操作及评估影响着心脏病学专业知识的核心内容。基于冠状动脉CT检查预计会进一步增加,心脏病学家需要熟悉这种检查方式。因此,已推出了用于心脏病学家额外资质认证的“心脏CT”课程。心脏CT的操作和解读需要心脏病学家和放射科医生的专业知识,以尽可能确保其诊断价值和患者安全。因此,需要在门诊和住院护理中建立这两个学科之间的合作架构。