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Lesion specific calcium score. The Agatston score, named after its developer Arthur Agatston, is a measure of calcium on a coronary CT calcium scan. [7] The original work, published in 1990, [8] was based on electron beam computed tomography (also known as ultrafast CT or EBCT). The score is calculated using a weighted value assigned to the ...
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]
Coronary CT angiography (CCTA) is the use of CT angiography to assess the arteries of the heart. The patient receives an intravenous injection of contrast and then the heart is scanned using a high speed CT scanner. With the advances in CT technology, patients are typically able to be scanned without needing medicines by simply holding their ...
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.
[5] The method also uses the coronary artery calcium score (CAC), [5] a measurement of the amount of calcium in the walls of the arteries that supply the heart muscle, using a coronary CT calcium scan of the heart. [6] [7] CAC has been shown to be an independent marker of risk for cardiac events, cardiac mortality, and all-cause mortality. [8]
Cardiac stress testing is used to determine to assess cardiac function and to disclose evidence of exertion-related cardiac hypoxia. Radionuclide testing using thallium or technetium can be used to demonstrate areas of perfusion abnormalities. With a maximal stress test the level of exercise is increased until the person's heart rate will not ...
Examples of anatomical detection methods include coronary calcium scoring by CT, carotid IMT (intimal media thickness) measurement by ultrasound, and intravascular imaging techniques, such as intravascular ultrasound (IVUS), and intravascular optical coherence tomography (OCT) [83] [84], allowing direct visualization of atherosclerotic plaques.
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