Detrano R C
Am J Card Imaging. 1996 Apr;10(2):97-100.
Coronary artery scanning using electron beam computed tomography is a diagnostic tool with application to high-risk and symptomatic subjects that can assist in diagnosing or excluding coronary artery disease. Although there is ample evidence for the utility of this and related technologies for diagnosis in symptomatic subjects, this remains an unproven technology for screening healthy asymptomatic subjects. Because of its potential in this regard, further research should be encouraged to determine its place in the armamentarium of diagnostic tools. In contrast to its unproven utility for screening asymptomatic populations, electron beam computed tomographic coronary calcium has shown fairly accurate association with coronary angiographic findings in symptomatic patients referred for angiography for chest pain syndromes.
使用电子束计算机断层扫描进行冠状动脉扫描是一种诊断工具，适用于高危和有症状的受试者，可协助诊断或排除冠状动脉疾病。尽管有充分证据表明该技术及相关技术在有症状受试者的诊断中有用，但对于健康无症状受试者的筛查，这仍是一项未经证实的技术。鉴于其在这方面的潜力，应鼓励进一步研究以确定其在诊断工具中的地位。与在无症状人群筛查中未经证实的效用形成对比的是，对于因胸痛综合征而接受血管造影的有症状患者，电子束计算机断层扫描冠状动脉钙化与冠状动脉造影结果显示出相当准确的相关性。
