Clinical applications of cardiac computed tomography: a consensus paper of the European Association of Cardiovascular Imaging - part II

Gianluca Pontone*, Alexia Rossi, Marco Guglielmo, Marc R. Dweck, Oliver Gaemperli, Koen Nieman, Francesca Pugliese, Pal Maurovich-Horvat, Alessia Gimelli, Bernard Cosyns, Stephan Achenbach

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Cardiac computed tomography (CT) was initially developed as a non-invasive diagnostic tool to detect and quantify coronary stenosis. Thanks to the rapid technological development, cardiac CT has become a comprehensive imaging modality which offers anatomical and functional information to guide patient management. This is the second of two complementary documents endorsed by the European Association of Cardiovascular Imaging aiming to give updated indications on the appropriate use of cardiac CT in different clinical scenarios. In this article, emerging CT technologies and biomarkers, such as CT-derived fractional flow reserve, perfusion imaging, and pericoronary adipose tissue attenuation, are described. In addition, the role of cardiac CT in the evaluation of atherosclerotic plaque, cardiomyopathies, structural heart disease, and congenital heart disease is revised.

Original languageEnglish
Pages (from-to)E136-E161
JournalEuropean Heart Journal Cardiovascular Imaging
Volume23
Issue number4
DOIs
Publication statusPublished - 1 Apr 2022
Externally publishedYes

Keywords

  • artificial intelligence
  • cardiac computed tomography
  • cardiomyopathy
  • coronary computed tomography angiography (CCTA)
  • CT perfusion imaging
  • FFR
  • fractional flow reserve
  • myocardial ischaemia
  • plaque imaging
  • radiomics
  • structural heart disease

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