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The tomographic slices of the heart are 3 millimeters thick and average about 50–60 slices from the coronary artery ostia to the inferior wall of the heart. The calcium score of every calcification in each coronary artery for all of the tomographic slices is then summed up to give the total coronary artery calcium score (CAC score). [9]
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.
Specifically, it looks for calcium deposits in the coronary arteries that can narrow arteries and increase the risk of heart attack. [17] This severity can be presented as Agatston score or Coronary Artery Calcium (CAC) score. The CAC score is an independent marker of risk for cardiac events, cardiac mortality, and all-cause mortality. [18]
Third-generation spiral CT designs, especially those with 64 detector rows, 3×360°/sec rotation speeds, and designed for cardiac imaging, are largely replacing the EBT design from a commercial and medical perspective. However, electron beam CT still offers sweep speeds of effectively 50×360°/sec rotation speeds and lower radiation exposure.
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, but it can possibly be done from contrast-enhanced images as well. [61] To better visualize the anatomy, post-processing of the images is common. [54] Most common are multiplanar reconstructions (MPR) and volume rendering.
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Myocardial perfusion imaging or scanning (also referred to as MPI or MPS) is a nuclear medicine procedure that illustrates the function of the heart muscle (). [1]It evaluates many heart conditions, such as coronary artery disease (CAD), [2] hypertrophic cardiomyopathy and heart wall motion abnormalities.
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