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Coronary CT angiography (CTA or CCTA) is the use of computed tomography (CT) angiography to assess the coronary arteries of the heart.The patient receives an intravenous injection of radiocontrast and then the heart is scanned using a high speed CT scanner, allowing physicians to assess the extent of occlusion in the coronary arteries, usually in order to diagnose coronary artery disease.
Image of contrast enhanced dual-source coronary CT-angiograph. Computed tomography angiography (CTA), an imaging methodology using a ring-shaped machine with an X-ray source spinning around the circular path so as to bathe the inner circle with a uniform and known X-ray density. Cardiology uses are growing with the incredible developments in CT ...
To better visualize the anatomy, post-processing of the images is common. [54] Most common are multiplanar reconstructions (MPR) and volume rendering. For more complex anatomies and procedures, such as heart valve interventions, a true 3D reconstruction or a 3D print is created based on these CT images to gain a deeper understanding. [62] [63 ...
Volume rendered CT scan of abdominal and pelvic blood vessels. CT angiography is a contrast CT where images are taken with a certain delay after injection of radiocontrast material. The contrast material is radiodense causing it to light up brightly within the blood vessels of interest. In order for the CT scanner to be able to scan the correct ...
A typical coronary CT calcium scan is done without the use of radiocontrast agent but it can also be performed using contrast-enhanced images as well, such as in coronary CT angiography. [4] The exam is best performed with cardiac gating to eliminate motion but can also be estimated in the presence of motion.
For all structures except the heart, the images are usually taken using a technique called digital subtraction angiography or DSA. Images in this case are usually taken at 2–3 frames per second, which allows the interventional radiologist to evaluate the flow of the blood through a vessel or vessels. This technique "subtracts" the bones and ...
Instead of a catheter being inserted into a vein or artery, CT angiography involves only the injection of a CT-visible dye into the arm or hand via an IV line. CT angiography lowers the risk of arterial perforation and catheter site infection. It provides 3D images that can be studied on computer, and also allows measurement of heart ventricle ...
By contrast, the spatial resolution of flat-panel volume CT (rotational angiography using a C-Arm) can be much better than that of a multislice CT scanner, with resolution ranges between 200 and 300 μm in high-resolution mode, compared to up to 600μm for a multislice CT. [2] Contrast resolution, measured in hounsfield units (HU), is only ...
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