计算机断层扫描和冠状动脉斑块分析。

IF 2.2 4区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Tomography Pub Date : 2025-07-30 DOI:10.3390/tomography11080085

Hashim Alhammouri, Ramzi Ibrahim, Rahmeh Alasmar, Mahmoud Abdelnabi, Eiad Habib, Mohamed Allam, Hoang Nhat Pham, Hossam Elbenawi, Juan Farina, Balaji Tamarappoo, Clinton Jokerst, Kwan Lee, Chadi Ayoub, Reza Arsanjani

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引用次数: 0

摘要

斑块成像技术的进步已经改变了心血管诊断，通过对动脉粥样硬化斑块的详细描述，超越了传统的狭窄评估。本文综述了不同模式的临床应用，包括双层光谱CT、光子计数CT、双能CT和CT衍生的分流储备（CT- ffr）。这些技术提高了冠状动脉病变的空间分辨率、组织分化和功能评估。此外，人工智能已经成为自动化斑块检测、量化负担和改进风险预测的强大工具。总的来说，这些创新为冠状动脉疾病的评估提供了更全面的方法，并支持个性化的管理策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Computed Tomography and Coronary Plaque Analysis.

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Computed Tomography and Coronary Plaque Analysis.

Advances in plaque imaging have transformed cardiovascular diagnostics through detailed characterization of atherosclerotic plaques beyond traditional stenosis assessment. This review outlines the clinical applications of varying modalities, including dual-layer spectral CT, photon-counting CT, dual-energy CT, and CT-derived fractional flow reserve (CT-FFR). These technologies offer improved spatial resolution, tissue differentiation, and functional assessment of coronary lesions. Additionally, artificial intelligence has emerged as a powerful tool to automate plaque detection, quantify burden, and refine risk prediction. Collectively, these innovations provide a more comprehensive approach to coronary artery disease evaluation and support personalized management strategies.

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来源期刊

Tomography Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

2.70

自引率

10.50%

发文量

222

期刊介绍： TomographyTM publishes basic (technical and pre-clinical) and clinical scientific articles which involve the advancement of imaging technologies. Tomography encompasses studies that use single or multiple imaging modalities including for example CT, US, PET, SPECT, MR and hyperpolarization technologies, as well as optical modalities (i.e. bioluminescence, photoacoustic, endomicroscopy, fiber optic imaging and optical computed tomography) in basic sciences, engineering, preclinical and clinical medicine. Tomography also welcomes studies involving exploration and refinement of contrast mechanisms and image-derived metrics within and across modalities toward the development of novel imaging probes for image-based feedback and intervention. The use of imaging in biology and medicine provides unparalleled opportunities to noninvasively interrogate tissues to obtain real-time dynamic and quantitative information required for diagnosis and response to interventions and to follow evolving pathological conditions. As multi-modal studies and the complexities of imaging technologies themselves are ever increasing to provide advanced information to scientists and clinicians. Tomography provides a unique publication venue allowing investigators the opportunity to more precisely communicate integrated findings related to the diverse and heterogeneous features associated with underlying anatomical, physiological, functional, metabolic and molecular genetic activities of normal and diseased tissue. Thus Tomography publishes peer-reviewed articles which involve the broad use of imaging of any tissue and disease type including both preclinical and clinical investigations. In addition, hardware/software along with chemical and molecular probe advances are welcome as they are deemed to significantly contribute towards the long-term goal of improving the overall impact of imaging on scientific and clinical discovery.