DMW - Deutsche Medizinische Wochenschrift, Table of Contents Dtsch Med Wochenschr 2009; 134(19): 993-997DOI: 10.1055/s-0029-1222557 Aktuelle Diagnostik | Review articleKardiologie, Radiologie© Georg Thieme Verlag KG Stuttgart · New YorkComputertomographie des HerzensCardiac computed tomographyL. Lehmkuhl1 , M. Grothoff1 , S. Nitzsche1 , H. Thiele2 , G. Schuler2 , F.-W Mohr3 , M. Gutberlet1 1Abteilung für Diagnostische und Interventionelle Radiologie, Universität Leipzig – Herzzentrum 2Klinik für Innere Medizin/Kardiologie, Universität Leipzig – Herzzentrum 3Klinik für Herzchirurgie, Universität Leipzig – Herzzentrum Recommend Article Abstract Buy Article(opens in new window) Schlüsselwörter kardiale Computertomographie - Koronarangiographie Keywords cardiac computed tomography - coronary angiography Full Text References Literatur 1 AG Herzdiagnostik .Leitlinien CT. Deutschen Röntgengesellschaft 19.Mai 2004 2 Bluemke D A, Achenbach S, Budoff M, Gerber T C, Gersh B, Hillis L D. et al . Noninvasive coronary artery imaging: magnetic resonance angiography and multidetector computed tomography angiography: a scientific statement from the american heart association committee on cardiovascular imaging and intervention of the council on cardiovascular radiology and intervention, and the councils on clinical cardiology and cardiovascular disease in the young. Circulation. 2008; 118 (5) 586-606 3 Budoff M J, Achenbach S, Blumenthal R S, Carr J J, Goldin J G, Greenland P. et al . Assessment of coronary artery disease by cardiac computed tomography: a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation. 2006; 114 (16) 1761-1791 4 Buuren v F, Horstkotte D. [21st report about the statistics of the heart catheterization laboratory in the German Federal Republic. Results of the joint inquiry of the Commission for Clinical Cardiology and of the Working Groups for Interventional Cardiology and Angiology of the German Society for Cardiology and Circulatory Research in the year 2004]. Clin Res Cardiol. 2006; 95 (7) 383-387 5 Chang S A, Choi S I, Choi E K, Kim H K, Jung J W, Chun E J. et al . Usefulness of 64-slice multidetector computed tomography as an initial diagnostic approach in patients with acute chest pain. Am Heart J. 2008; 156 (2) 375-383 6 Coles D R, Smail M A, Negus I S, Wilde P, Oberhoff M, Karsch K R. et al . Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography. J Am Coll Cardiol. 2006; 47 (9) 1840-1845 7 Cury R C, Feutchner G, Pena C S, Janowitz W R, Katzen B T, Ziffer J A. Acute chest pain imaging in the emergency department with cardiac computed tomography angiography. J Nucl Cardiol. 2008; 15 (4) 564-575 8 Dambrin G, Wartski M, Toussaint M, Ghostine S, Caussin C, Angel C. et al . [Anomalies in myocardial contrast uptake revealed by multislice cardiac CT during acute myocarditis]. Arch Mal Coeur Vaiss. 2004; 97 (10) 1031-1034 9 Dewey M, Muller M, Eddicks S, Schnapauff D, Teige F, Rutsch W. et al . Evaluation of global and regional left ventricular function with 16-slice computed tomography, biplane cineventriculography, and two-dimensional transthoracic echocardiography: comparison with magnetic resonance imaging. J Am Coll Cardiol. 2006; 48 (10) 2034-2044 10 Feuchtner G, Postel T, Weidinger F, Frick M, Alber H, Dichtl W. et al . Is there a relation between non-calcifying coronary plaques and acute coronary syndromes? A retrospective study using multislice computed tomography. Cardiology. 2008; 110 (4) 241-248 11 Feuchtner G M, Dichtl W, Muller S, Jodocy D, Schachner T, Klauser A. et al . 64-MDCT for diagnosis of aortic regurgitation in patients referred to CT coronary angiography. AJR Am J Roentgenol. 2008; 191 (1) W1-W7 12 Hausleiter J, Meyer T, Hadamitzky M, Huber E, Zankl M, Martinoff S. et al . Radiation dose estimates from cardiac multislice computed tomography in daily practice: impact of different scanning protocols on effective dose estimates. Circulation. 2006; 113 (10) 1305-1130 13 Hausleiter J, Meyer T, Hadamitzky M, Kastrati A, Martinoff S, Schomig A. Prevalence of noncalcified coronary plaques by 64-slice computed tomography in patients with an intermediate risk for significant coronary artery disease. J Am Coll Cardiol. 2006; 48 (2) 312-318 14 Hendel R C, Patel M R, Kramer C M, Poon M, Hendel R C, Carr J C. et al . ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, and Society of Interventional Radiology. J Am Coll Cardiol. 2006; 48 (7) 1475-1497 15 Hurwitz L M, Reiman R E, Yoshizumi T T, Goodman P C, Toncheva G, Nguyen G. et al . Radiation dose from contemporary cardiothoracic multidetector CT protocols with an anthropomorphic female phantom: implications for cancer induction. Radiology. 2007; 245 (3) 742-750 16 Janne D B, Siebert U, Cury R, Jadvar H, Dunn E J, Hoffmann U. A systematic review on diagnostic accuracy of CT-based detection of significant coronary artery disease. Eur J Radiol. 2008; 65 (3) 449-461 17 Kiedrowski H, Wiemer M, Franzke K, Preuss R, Vaske B, Butz T. et al . Non-invasive coronary angiography: the clinical value of multi-slice computed tomography in the assessment of patients with prior coronary bypass surgery : Evaluating grafts and native vessels. Int J Cardiovasc Imaging. 2009; 25 (2) 161-170 18 Lehmkuhl L, Gosch D, Nagel H D, Kahn T, Gutberlet M. Quantification of radiation dose savings in cardiac-computed tomography using prospectively triggered scan mode and ECG pulsing: a phantom study. Eur Radiol. 2009; 19 (Suppl.1) 168 19 Leschka S, Alkadhi H, Plass A, Desbiolles L, Grunenfelder J, Marincek B. et al . Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J. 2005; 26 (15) 1482-1487 20 Mahnken A H, Bruners P, Muhlenbruch G, Emmerich M, Hohl C, Gunther R W. et al . Low tube voltage improves computed tomography imaging of delayed myocardial contrast enhancement in an experimental acute myocardial infarction model. Invest Radiol. 2007; 42 (2) 123-129 21 Meyer T S, Martinoff S, Hadamitzky M, Will A, Kastrati A, Schomig A. et al . Improved noninvasive assessment of coronary artery bypass grafts with 64-slice computed tomographic angiography in an unselected patient population. J Am Coll Cardiol. 2007; 49 (9) 946-950 22 Miller J M, Rochitte C E, Dewey M, rbab-Zadeh A, Niinuma H, Gottlieb I. et al . Diagnostic Performance of Coronary Angiography by 64-Row CT. New Engl J Med. 2008; 359 (22) 2324-2336 23 Mollet N R, Cademartiri F, van Mieghem C A, Runza G, McFadden E P, Baks T. et al . High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation. 2005; 112 (15) 2318-2323 24 Nickoloff E L, Alderson P O. A comparative study of thoracic radiation doses from 64-slice cardiac CT. Br J Radiol. 2007; 80 (955) 537-544 25 Orakzai S H, Orakzai R H, Nasir K, Budoff M J. Assessment of cardiac function using multidetector row computed tomography. J Comput Assist Tomogr. 2006; 30 (4) 555-563 26 Pugliese F, Mollet N R, Runza G, MC, Meijboom W B, Malagutti P. et al . Diagnostic accuracy of non-invasive 64-slice CT coronary angiography in patients with stable angina pectoris. Eur Radiol. 2006; 16 (3) 575-582 27 Raff G L, Gallagher M J, O’Neill W W, Goldstein J A. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol. 2005; 46 (3) 552-557 28 Ropers D, Rixe J, Anders K, Kuttner A, Baum U, Bautz W. et al . Usefulness of multidetector row spiral computed tomography with 64- x 0.6-mm collimation and 330-ms rotation for the noninvasive detection of significant coronary artery stenoses. Am J Cardiol. 2006; 97 (3) 343-348 29 Rosamond W, Flegal K, Furie K, Go A, Greenlund K, Haase N. et al . Heart disease and stroke statistics – 2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2008; 117 (4) e25-146 30 Schroeder S, Kopp A F, Baumbach A, Meisner C, Kuettner A, Georg C. et al . Noninvasive detection and evaluation of atherosclerotic coronary plaques with multislice computed tomography. J Am Coll Cardiol. 2001; 37 (5) 1430-1435 31 Shuman W P, Branch K R, May J M, Mitsumori L M, Lockhart D W, Dubinsky T J. et al . Prospective versus retrospective ECG gating for 64-detector CT of the coronary arteries: comparison of image quality and patient radiation dose. Radiology. 2008; 248 (2) 431-437 32 Smith I R, Rivers J T. Measures of radiation exposure in cardiac imaging and the impact of case complexity. Heart Lung Circ. 2008; 17 (3) 224-231 33 Ueno K, Anzai T, Jinzaki M, Yamada M, Kohno T, Kawamura A. et al . Diagnostic Capacity of 64-Slice Multidetector Computed Tomography for Acute Coronary Syndrome in Patients Presenting with Acute Chest Pain. Cardiology. 2008; 112 (3) 211-218 34 Vleuten V P, Willems T P, Gotte M J, Tio R A, Greuter M J, Zijlstra F. et al . Quantification of global left ventricular function: comparison of multidetector computed tomography and magnetic resonance imaging. a meta-analysis and review of the current literature. Acta Radiol. 2006; 47 (10) 1049-1057 35 Weber T F, Klemm H, Koops A, Nagel H D, Willems S, Adam G. et al . [Integration of cardiac computed tomography into pulmonary vein isolation in patients with paroxysmal atrial fibrillation]. Röfo. 2007; 179 (12) 1264-1271 Dr. med. Lukas Lehmkuhl Universität Leipzig – Herzzentrum, Diagnostische und Interventionelle Radiologie Strümpellstraße 39 04289 Leipzig Phone: 0341/865-1702 Fax: 0341/865-1803 Email: lukas.lehmkuhl@med.uni-leipzig.de