Published in:
Open Access
01-10-2011 | Editorial Comment
IVUS detects more coronary calcifications than MSCT; matter of both resolution and cross-sectional assessment?
Authors:
E. E. van der Wall, F. R. de Graaf, J. E. van Velzen, J. W. Jukema, J. J. Bax, J. D. Schuijf
Published in:
The International Journal of Cardiovascular Imaging
|
Issue 7/2011
Login to get access
Excerpt
Amongst the advanced cardiac imaging modalities, multi-slice computed tomography MSCT has emerged as a reliable non-invasive method for the assessment of coronary anatomy, coronary artery disease, and cardiac function [
1‐
16]. Multiple studies involving over several thousands of patients have established that MSCT is highly accurate for delineation of the presence and severity of coronary atherosclerosis [
17‐
30]. MSCT may also reveal the total plaque burden, i.e., both calcified and non-calcified components, for individual patients with coronary atherosclerosis [
31‐
38]. The advent of prospectively gated acquisition techniques for 64-slice MSCT has deepened our insight in soft versus hard plaques together with a significant reduction in dose exposure [
39‐
43]. Apart from MSCT, plaque calcifications can also be recognized by MRI and, in particular, by intravascular ultrasound (IVUS) [
44‐
49]. However, smaller calcifications might be missed on MSCT due to its lower resolution and it is unknown to which extent calcifications can be detected with MSCT. …