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From Inception to 2020: a Review of Dynamic Myocardial CT Perfusion Imaging

  • Molecular Imaging (J.C. Wu and P.K.P. Nguyen, Section Editor)
  • Published:
Current Cardiovascular Imaging Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Dynamic myocardial CT perfusion imaging (CTP) is an emerging new approach to establish the hemodynamic severity of coronary artery obstructions. Literature and consensus documents on its practical applicability are limited.

Recent Findings

Despite significant amount of literature supporting the diagnostic accuracy of dynamic CTP and its incremental value over CTA in the last decade, its use has been relatively limited.

Summary

Obstacles to its broader clinical use may include knowledge gaps associated with dynamic CTP imaging. We review patient preparation, scanning protocols, scanner requirements, optimization of the scan and image reconstruction, interpretation of the results, and the reported diagnostic performance of dynamic CTP.

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Authors and Affiliations

  1. Internal Medicine, University of California San Francisco Fresno, 155 N Fresno St, Fresno, CA, 93701, USA

    Sujana Balla M.B.B.S

  2. Stanford University School of Medicine and Cardiovascular Institute, Room H2157, 300 Pasteur Drive, Stanford, CA, 94304, USA

    Sujana Balla M.B.B.S & Koen Nieman MD Ph.D

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  1. Sujana Balla M.B.B.S
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  2. Koen Nieman MD Ph.D
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Correspondence to Koen Nieman MD Ph.D.

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Koen Nieman reports institutional research support from Siemens Healthineers, Bayer Healthcare, GE Healthcare and HeartFlow Inc.

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

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This article is part of the Topical Collection on Molecular Imaging

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Balla, S., Nieman, K. From Inception to 2020: a Review of Dynamic Myocardial CT Perfusion Imaging. Curr Cardiovasc Imaging Rep 14, 1 (2021). https://doi.org/10.1007/s12410-020-09551-1

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