[Coronary CT-angiography].
| Autor: | Velle HO; Medisinsk avdeling, Volda sjukehus, 6100 Volda. helge.ose.velle@helse-sunnmore.no, Kolnes K, Høgalmen G, Gudim LP, Wiseth R, Rødevand O |
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| Jazyk: | norština |
| Zdroj: | Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke [Tidsskr Nor Laegeforen] 2008 Oct 09; Vol. 128 (19), pp. 2177-80. |
| Abstrakt: | Background: Recent advances in computed tomography (CT) has made noninvasive imaging of the coronary arteries possible. Multidetector-CT (MDCT)-scanners capable of visualizing the coronary arteries will be available in most Norwegian hospitals within a few years. If the examinations have acceptable quality, diagnostics of coronary pathology could to some extent be decentralized. Material and Methods: Our overview is based on non-systematic review of relevant literature, as well as our own experience. Results and Discussion: Good results have been shown for 16 and especially for 64 detector scanners in several comparative studies with invasive coronary angiography. The predictive value of a negative test is impressive in all the published studies. Significant coronary pathology is unlikely with a normal MDCT investigation of good quality, but MDCT's imprecise assessment of stenoses generates too many false positive findings. CT-technology is evolving rapidly. Yet, variable image quality and a high radiation dose are still challenging, even with modern CT-scanners. Interpretation: We advocate against uncritical use of the method, however, there is reason for optimism regarding the method's future contribution to coronary diagnostics. |
| Databáze: | MEDLINE |
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