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Italian Registry of Cardiac Computed Tomography

  • CARDIAC RADIOLOGY
  • Published:
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Abstract

Purpose

Cardiac CT (CCT) is an imaging modality that is becoming a standard in clinical cardiology. We evaluated indications, safety, and impact on patient management of routine CCT in a multicenter national registry.

Materials and methods

During a period of 6 months, 47 centers in Italy enrolled 3,455 patients.

Results

CCT was performed mainly with 64-slice CT scanners (73.02 %). Contrast agents were administrated in 3,185 patients (92.5 %). Mean DLP changes with type of scanner and was lower in >64 row detector scanner. The most frequent indication for CCT was suspected CAD (44.8 %), followed by calcium scoring (9.6 %), post-angioplasty/stenting (8.3 %), post-CABGs (7.5 %), study of cardiac anatomy (4.22 %) and assessment in patients with known CAD (4.1 %) and acute chest pain (1.99 %). Most of the CCTs were performed in outpatient settings (2,549; 74 %) and a minority in inpatient settings (719, 20.8 %). Adverse clinical events (mild–moderate) occurred in 26 examinations (0.75 %). None of them was severe. In 45.3 % of the cases CCT findings impacted patient management.

Conclusion

CCT is performed with different workloads in participating centers. It is a safe procedure and its results have a strong impact on patient management.

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Conflict of interest

The authors declare no conflict of interest.

Ethical standards

This article does not contain any studies with human participants or animals performed by any of the authors.

Author information

Author notes

    Authors and Affiliations

    1. Cardio-Vascular Imaging Unit, Giovanni XXIII Hospital, Monastier di Treviso, Italy

      Filippo Cademartiri & Erica Maffei

    2. Erasmus Medical Center University, Rotterdam, The Netherlands

      Filippo Cademartiri & Erica Maffei

    3. Dipartimento di Scienze Cliniche Applicate e Biotecnologie, Università di L’Aquila, Via Vetoio 1, 67100, L’Aquila, Italy

      Ernesto Di Cesare & Lucia Patriarca

    4. Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, Italy

      Marco Francone & Iacopo Carbone

    5. IRCCS Centro Cardiologico Monzino, Milan, Italy

      Giovanni Ballerini

    6. Azienda Ospedaliera-Universitaria Policlinico di Modena, Modena, Italy

      Guido Ligabue

    7. Policlinico Universitario Tor Vergata, Rome, Italy

      Andrea Romagnoli

    8. Azienda ospedaliera G Brotzu, Cagliari, Italy

      Giovanni Maria Argiolas

    9. Policlinico S. Orsola, Bologna, Italy

      Vincenzo Russo

    10. Ospedale San Camillo Folanini, Rome, Italy

      Vitaliano Buffa

    11. Policlinico Gemelli, Università Cattolica, Rome, Italy

      Riccardo Marano

    12. Azienda Ospedale-Università, Padua, Italy

      Maria Guzzetta

    13. UOC di Radiologia OspCattinara, Trieste, Italy

      Manuel Belgrano

    14. Department of Diagnostic Imaging, University of Foggia, Foggia, Italy

      Luca Macarini

    15. Radiologia Ospedale,Valduce, Como, Italy

      Claudia Borghi

    16. Fate Bene Fratelli Isola tiberina, Rome, Italy

      Paolo Di Renzi

    17. Ospedale di Villa D’Agri, Masciovetere, Italy

      Vicenzo Barile

    Authors
    1. Filippo Cademartiri
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    2. Ernesto Di Cesare
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    3. Marco Francone
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    4. Giovanni Ballerini
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    5. Guido Ligabue
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    6. Erica Maffei
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    7. Andrea Romagnoli
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    8. Giovanni Maria Argiolas
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    9. Vincenzo Russo
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    10. Vitaliano Buffa
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    11. Riccardo Marano
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    12. Maria Guzzetta
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    13. Manuel Belgrano
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    14. Iacopo Carbone
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    15. Luca Macarini
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    16. Claudia Borghi
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    18. Vicenzo Barile
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    19. Lucia Patriarca
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    Consortia

    CCT Italian Registry Group

    Corresponding author

    Correspondence to Ernesto Di Cesare.

    Additional information

    F. Cademartiri and E. Di Cesare contributed equally to this work.

    The list of members of the CCT Italian Registry Group is given in "Appendix”.

    CCT Italian Registry Group

    CCT Italian Registry Group

    Rocco Donato*1, Filippo Zerboni*2, Silvia Tresoldi*3, Carlo Tessa*4, Marco Rengo*5, Giuseppina Manglaviti*6, Massimiliano Danti*7, Federico Crusco*8, Lucia Carotti*9, Bruno Beomonte Zobel*10, Antonio Bernardini*11, Arnaldo Scardapane*12, Simone Banderali*13, Manlio Acquafresca*14, Luca Maria Carusi*15, Umberto Negro*16, Roberto Priotto*17, Francesco De Cobelli*18, Matteo Quarenghi*19, Silvia Paganoni*20, Francesco Secchi*21, Nicola Sforza*22, Domenico Lumia*23, Roberto De Rosa*24, Ernesto Bissoli*25, Luca Olivotti*26, Giulio Barbiero*27, Maurizio Centonze*28, Rodolfo Leurini*29, Roberto Malagò*30, Dario Pinto*31.

    *1Azienda Ospedaliera Universitaria G. Martino Me IRCCS Policlinico San Donato, Radiology Unit, Mi.

    *2Radiologia, Ospedale Saronno, Va.

    *3Ospedale San Paolo, Mi.

    *4Ospedale Verilia Camaiore,Lucca.

    *5ICOT Latina, Polo Pontino, Università Sapienza.

    *6Centro Diagnostico Italiano, MI.

    *7M.G. Vannini “Figlie di San Camillo”, Roma.

    *8Nuovo Ospedale San Giovanni Battista, Foligno, PG.

    *9Ospedale S. Croce, Fano, PU.

    *10Diagnostica per Immagini Università Campus Bio-medico, Roma.

    *11Ospedale Civile Mazzini, Te.

    *12AUO Policlinico Consorziale, Bari.

    *13EO Ospedali Galliera, GE.

    *14Azienda Ospedaliera-Universitaria Careggi, FI.

    *15Ospedale San Giovanni di Dio, FI.

    *16ASUR 8 Civitanova Marche, MC.

    *17Osp S. Croce e Carle, FI.

    *18Radiologia IRCCS San Raffaele, MI.

    *19Policlinico, Monza.

    *20Ospedale Bolognini, Seriate, BG.

    *21IRCCS Policlinico San Donato, San Donato Milanese, MI.

    *22San Giovanni Rotondo, FG.

    *23Circolo e Fondazione Macchi, Varese.

    *24Cliniche Riunite, Napoli.

    *25Ospedale Civile Città di Camposampietro, PD.

    *26Ospedale Santa Corona, Pietra Ligure, SV.

    *27Ospedale San Bassiano, Bassano del Grappa, VI.

    *28Ospedale Santa Chiara, Trento.

    *29Ospedale Infermi, Rimini.

    *30Policlinico Universitario G. Rossi, Verona.

    *31Ricerche Radiologiche SRL, Molfetta, BA.

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    Cite this article

    Cademartiri, F., Di Cesare, E., Francone, M. et al. Italian Registry of Cardiac Computed Tomography. Radiol med 120, 919–929 (2015). https://doi.org/10.1007/s11547-015-0518-0

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