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New applications of cardiac computed tomography for evaluation of myocardial ischemia

https://doi.org/10.24835/10.24835/1607-0763-983

Abstract

MSCT is known for its extremely high diagnostic accuracy in coronary artery stenosis detection and quantification. However, there are still questions about physiological assessment of myocardial ischemia, since the degree of arterial stenosis and clinical outcomes do not always correlate. It is also noted that the exclusive use of functional non-invasive tests to assess the grade of stenosis can lead to false-negative results and worsen the long-term prognosis of cardiovascular events. Thus, the combined use of anatomical and functional tests can improve the prognosis in coronary heart disease patient. MSCT coronary angiography, combined with stress perfusion and/or CT derived fractional flow reserve, could be used as an all-in-one approach. This review describes new applications of cardiac MSCT.

About the Authors

M. V. Lisitskaya
Medical Research and Education Center of Lomonosov Moscow State University
Russian Federation

Maria V. Lisitskaya – Cand. of Sci. (Med.), Radiologist at Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow

Phone: +7-196-550-88-11 



E. A. Mershina
Medical Research and Education Center of Lomonosov Moscow State University
Russian Federation

Elena A. Mershina – Cand. of Sci. (Med.), Head of Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow



O. M. Larina
Medical Research and Education Center of Lomonosov Moscow State University
Russian Federation

Olga M. Larina – Cand. of Sci. (Med.), Radiologist at Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow



M. L. Plotnikova
Medical Research and Education Center of Lomonosov Moscow State University
Russian Federation

Maria L. Plotnikova – Radiologist at Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow



O. S. Shlyapkina
Medical Research and Education Center of Lomonosov Moscow State University
Russian Federation

Olga S. Shlyapkina – Radiologist at Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow



References

1.


Review

For citations:


Lisitskaya M.V., Mershina E.A., Larina O.M., Plotnikova M.L., Shlyapkina O.S. New applications of cardiac computed tomography for evaluation of myocardial ischemia. Medical Visualization. 2022;26(1):70-77. (In Russ.) https://doi.org/10.24835/10.24835/1607-0763-983

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ISSN 1607-0763 (Print)
ISSN 2408-9516 (Online)