Kardiologie up2date 2016; 12(02): 126-129
DOI: 10.1055/s-0042-106009
Hotline – Diagnostische Verfahren und Bildgebung
© Georg Thieme Verlag KG Stuttgart · New York

Optionen zur Reduktion der Strahlenbelastung in der Kardio-CT

K. M. Sveric
,
U. Speiser
,
R. H. Strasser
Further Information

Publication History

Publication Date:
23 June 2016 (online)

Abstract

Cardiovascular disease is the leading cause of death in Europe, causing far more deaths as cancer. Cardiac computed tomography (CT) has evolved into a powerful non-invasive diagnostic tool with excellent sensitivity for the detection of coronary artery disease and plaque characterisation. Numerous technological advances in CT have occurred, including dual-energy CT, permitting a substantial reduction of x-ray exposure. These advances broadened the field of application beyond the original evaluation of coronary stenosis. Novel CT devices permit an exact anatomical evaluation of the great vessels or aortic valves prior to interventional repair, therefore, improve patients’ safety and outcome. Recently myocardial perfusion imaging enriched the cardiologist's armamentarium to assess myocardial function with dual-energy CT.

 
  • Literatur

  • 1 Townsend N et al. Cardiovascular disease in Europe – Epidemiological update 2015. Eur Heart J 2015; 36: 2696-2705
  • 2 Brenner DJ, Hall EJ. Computed tomography – an increasing source of radiation exposure. N Engl J Med 2007; 357: 2277-2284
  • 3 Hoffmann U et al. Coronary CT Angiography versus Standard Evaluation in Acute Chest Pain. N Engl J Med 2012; 367: 299-308
  • 4 Min JK et al. Age- and Sex-Related Differences in All-Cause Mortality Risk Based on Coronary Computed Tomography Angiography Findings. J Am Coll Cardiol 2011; 58: 849-860
  • 5 Achenbach S et al. Coronary computed tomography angiography with a consistent dose below 1 mSv using prospectively electrocardiogram-triggered high-pitch spiral acquisition. Eur Heart J 2010; 31: 340-346
  • 6 Schuhbaeck A et al. Image quality of ultra-low radiation exposure coronary CT angiography with an effective dose < 0.1 mSv using high-pitch spiral acquisition and raw data-based iterative reconstruction. Eur Radiol 2013; 23: 597-606
  • 7 Marwan M, Achenbach S. Role of Cardiac CT Before Transcatheter Aortic Valve Implantation (TAVI). Current Cardiology Reports 2016; 18: 21
  • 8 Nieman K et al. Cardiac computed tomography core syllabus of the european association of cardiovascular imaging (EACVI). Eur Heart J Cardiovasc Imaging 2015; 16: 351-352
  • 9 Bourque JM, Beller GA. Value of exercise ECG for risk stratification in suspected or known CAD in the era of advanced imaging technologies. JACC: Cardiovascular Imaging 2015; 8: 1309-1321
  • 10 Ko SM et al. Direct comparison of stress- and rest-dual-energy computed tomography for detection of myocardial perfusion defect. Int J Cardiovasc Imaging 2014; 30: 4-12
  • 11 Norgaard BL et al. Influence of Coronary Calcification on the Diagnostic Performance of CT Angiography Derived FFR in Coronary Artery Disease A Substudy of the NXT Trial. JACC: Cardiovascular Imaging 2015; 8: 1045-1055