Chapter 1: Basics and Performance of Cardiac Computed Tomography 3 Xavier Alomar-Serrallach, Ernesto Castillo-Gallo, Guillem Pons-Lladó 1. 1 Introduction 3 1. 2 Historical Perspective of Computed Tomography 3 1. 3 Basic Principles of Multidetector Computed Tomography in the Study of the Heart 4 1. 3. 1 Detectors 5 1. 3. 2 Image reconstruction 5 1. 3. 3 Temporal resolution 7 1. 3. 4 Spatial resolution 7 1. 3. 5 Control of radiation dose 8 1. 4 Performance of a Cardiac MDCT Study 9 1. 4. 1 Preparation of the patient 9 1. 4. 2 Image acquisition and contrast administration 9 1. 4. 3 Image reconstruction 11 Chapter 2: Normal Anatomy and Congenital Abnormalities of the Coronary Arteries 15 Rubén Leta-Petracca 2. 1 Introduction 15 2. 2 Left Coronary Artery 17 2. 2. 1 Left main (LM) artery 17 2. 2. 2 Left anterior descending (LAD) 18 2. 2. 3 Left circum?ex (LCx) 22 2. 2. 4 Intermediate coronary artery 23 2. 3 Right Coronary Artery (RCA) 26 2. 4 Pattern of Dominance of the Coronary Arteries 302. 5 Congenital Anomalies of the Coronary Arteries 33 2. 5. 1 Anomalies relatable to myocardial ischemia 35 2. 5. 2 Anomalies not leading to myocardial ischemia 37 Chapter 3: Detection and Quanti?cation of Coronary Artery Calcium by MDCT 43 Francesc Carreras 3. 1 Introduction 43 3. 2 CAC Quanti?cation: The Agatston Method 44 3.
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Guillem Pons-Llado, MD is the Director of the Cardiac Imaging Unit and Ruben Leta-Petracca, MD is in the Cardiac Imaging Unit at the Hospital de la Santa Creu I Santa Pau, Universitat Autonoma de Barcelona in Barcelona, Spain.
The multidetector CT scanner speeds diagnosis and treatment of patients. One of its many uses is to perform CT coronary angiography. Multidetector CT has generated excitement within the cardiology and radiology community as it provides clear pictures and takes less time than other non-invasive techniques, including conventional spiral and electron-beam CT which can take up to an hour or more. This atlas presents over 160 illustrations, with 116 in color and illustrates the capacity of multidetector CT for the analysis of the anatomy of the coronary arteries.
Guillem Pons-Llado, MD is the Director of the Cardiac Imaging Unit and at the Hospital de la Santa Creu I Santa Pau, Universitat Autonoma de Barcelona in Barcelona, Spain.
Ruben Leta-Petracca, MD is part of the Cardiac Imaging Unit at the Hospital de la Santa Creu I Sant Pau, Universitat Autonoma de Barcelona in Barcelona, Spain.
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