Clinical Advances in Cardiovascular Computed Tomography: From Present Applications to Promising Developments.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Current Cardiology Reports Pub Date : 2024-08-20 DOI:10.1007/s11886-024-02110-w

Alexander Schulz, James Otton, Tarique Hussain, Tayaba Miah, Andreas Schuster

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Abstract

Purpose of the review: This review aims to provide a profound overview on most recent studies on the clinical significance of Cardiovascular Computed Tomography (CCT) in diagnostic and therapeutic pathways. Herby, this review helps to pave the way for a more extended but yet purposefully use in modern day cardiovascular medicine.

Recent findings: In recent years, new clinical applications of CCT have emerged. Major applications include the assessment of coronary artery disease and structural heart disease, with corresponding recommendations by major guidelines of international societies. While CCT already allows for a rapid and non-invasive diagnosis, technical improvements enable further in-depth assessments using novel imaging parameters with high temporal and spatial resolution. Those developments facilitate diagnostic and therapeutic decision-making as well as improved prognostication. This review determined that recent advancements in both hardware and software components of CCT allow for highly advanced examinations with little radiation exposure. This particularly strengthens its role in preventive care and coronary artery disease. The addition of functional analyses within and beyond coronary artery disease offers solutions in wide-ranging patient populations. Many techniques still require improvement and validation, however, CCT possesses potential to become a "one-stop-shop" examination.

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心血管计算机断层扫描的临床进展：从当前应用到未来发展

综述的目的：本综述旨在深刻概述有关心血管计算机断层扫描（CCT）在诊断和治疗过程中的临床意义的最新研究。因此，这篇综述有助于为现代心血管医学中更广泛但有针对性的应用铺平道路：近年来，CCT 出现了新的临床应用。主要应用包括评估冠状动脉疾病和结构性心脏病，国际学会的主要指南也提出了相应的建议。虽然 CCT 已能进行快速、无创的诊断，但技术上的改进使其能利用具有高时间和空间分辨率的新型成像参数进行更深入的评估。这些发展促进了诊断和治疗决策，并改善了预后。本综述认为，CCT 硬件和软件组件的最新进展使其能够在很少辐射的情况下进行高度先进的检查。这尤其加强了它在预防保健和冠状动脉疾病方面的作用。增加冠状动脉疾病内外的功能分析为广泛的患者群体提供了解决方案。许多技术仍需要改进和验证，但是，CCT 具有成为 "一站式 "检查的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Cardiology Reports CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

6.20

自引率

2.70%

发文量

209

期刊介绍： The aim of this journal is to provide timely perspectives from experts on current advances in cardiovascular medicine. We also seek to provide reviews that highlight the most important recently published papers selected from the wealth of available cardiovascular literature. We accomplish this aim by appointing key authorities in major subject areas across the discipline. Section editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.