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A coronary CT calcium scan is a computed tomography (CT) scan of the heart for the assessment of severity of coronary artery disease. Specifically, it looks for calcium deposits in atherosclerotic plaques in the coronary arteries that can narrow arteries and increase the risk of heart attack. [ 1 ]
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.
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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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 ...
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