Nuclear cardiology will remain the “gatekeeper” over CT angiography

  title={Nuclear cardiology will remain the “gatekeeper” over CT angiography},
  author={Rory Hachamovitch and Marcelo F. Di Carli},
  journal={Journal of Nuclear Cardiology},
Evaluation of plaques and stenosis.
Emerging Role of Computed Tomography Angiography in the Evaluation of Coronary Atherosclerosis
The use of CCTA is being rapidly extended to assess the haemodynamic significance of atherosclerotic plaque, associated myocardial ischaemia and to predict clinical outcomes.
usiness Aspects of Cardiovascular Computed omography : Tackling the Challenges
New developments in noninvasive imaging portend significant changes in how coronary artery disease (CAD) will be evaluated, but most attention is focused on multidetector computed omographic angiography (CTA) for coronary maging.
Evidence for myocardial CT perfusion imaging in the diagnosis of hemodynamically significant coronary artery disease.
  • Zhonghua Sun
  • Medicine
    Cardiovascular diagnosis and therapy
  • 2015
This editorial discusses a recent paper published in the August issue of Radiology about the diagnostic value of myocardial computer tomography (CT) perfusion imaging in the detection of
Dual-energy CT of the heart--principles and protocols.
Applications and limitations of cardiac computed tomography in the evaluation of coronary artery disease
To justify greater use of CCTA in the current healthcare environment, future studies need to demonstrate improvements in patient outcomes, better accuracy compared with established tests, and/or reductions in healthcare costs.
SPECT vs CT: CT is not the first line test for the diagnosis and prognosis of stable coronary artery disease
It is argued that SPECT retains its superiority over CCTA as the first line imaging modality for establishing the diagnosis and prognosis in stable CAD.


New technology for noninvasive evaluation of coronary artery disease.
Current and potential future applications of cardiovascular CT, PET, and hybrid PET/CT, with a particular focus on ischemic heart disease are discussed, including the potential for a comprehensive noninvasive cardiac evaluation of anatomy and function.
Fractional Flow Reserve to Determine the Appropriateness of Angioplasty in Moderate Coronary Stenosis A Randomized Trial
Coronary pressure–derived fractional flow reserve (FFR) is an invasive index of stenosis severity that is a reliable substitute for noninvasive stress testing and identifies stenoses with hemodynamic significance.
Value of fractional flow reserve in making decisions about bypass surgery for equivocal left main coronary artery disease
FFR supports decision making in equivocal left main coronary artery disease and if FFR is below 0.75, the decision for bypass surgery is supported and a conservative approach is justified.
Physiological assessment of coronary artery disease in the cardiac catheterization laboratory: a scientific statement from the American Heart Association Committee on Diagnostic and Interventional Cardiac Catheterization, Council on Clinical Cardiology.
The goal of this statement is to provide a logical approach to the use of coronary physiological measurements in the catheterization lab to assist both clinicians and investigators in improving patient care.