ABSTRACT

Coronary imaging remains the ultimate challenge for any non-invasive imaging technique. Great strides have been made in Computed Tomography (CT) technology, including the introduction of dual-source 64-slice CT technology; however, various problems remain to be resolved before CT coronary angiography becomes a mainstream diagnostic tool within the clinical arena. Invasive coronary angiography is considered to be the standard reference technique and will probably remain so for the foreseeable future. CT technology has been demonstrated to be useful in various applications, most notably the prognostic value of CT coronary calcium. CT coronary angiography has also gained clinical acceptance in various clinical situations. Non-invasive high-quality CT coronary angiography has enormous potential for the evaluation of the absence or presence of coronary atherosclerosis and its consequences which may significantly impact on patient management.