Open AccessRecent Improvement in Coronary Computed Tomography Angiography Diagnostic Accuracy
Author(s) -
Alani Anas,
Nakanishi Rine,
Budoff Matthew J.
Publication year - 2014
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.22286
Subject(s) - medicine , coronary artery disease , cad , radiology , artifact (error) , coronary angiography , gold standard (test) , diagnostic accuracy , computed tomography angiography , angiography , coronary arteries , computed tomography , artery , cardiology , myocardial infarction , artificial intelligence , engineering drawing , computer science , engineering
Although invasive coronary angiography has been the gold standard for evaluating coronary artery disease ( CAD ), it should not be routinely performed as an initial test to assess CAD in subjects with suspected CAD by the recent guidelines, due to cost, invasiveness, and measurable risk. Coronary computed tomography angiography ( CCTA ) is a rapidly growing, noninvasive imaging modality that developed quickly over the last decade, and its role for evaluation of CAD becomes of great promise with high diagnostic accuracy. Although artifact issues have created some challenges for CCTA , recent advances—including the introduction of more detectors, leading to broader coverage, and faster and higher‐definition scanners—allow improved precision and fewer uninterpretable studies. This review article summarizes the current key literature regarding the diagnostic accuracy of CCTA in native coronary arteries, stents, coronary artery bypass grafts, lesions with high calcification, and the functional assessment of CAD .