We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Non-Invasive Diagnosis of Chronic Coronary Syndrome: A Focus on Stress Computed Tomography Perfusion and Stress Cardiac Magnetic Resonance.
- Authors
Groenhoff, Léon; De Zan, Giulia; Costantini, Pietro; Siani, Agnese; Ostillio, Eleonora; Carriero, Serena; Muscogiuri, Giuseppe; Bergamaschi, Luca; Patti, Giuseppe; Pizzi, Carmine; Sironi, Sandro; Pavon, Anna Giulia; Carriero, Alessandro; Guglielmo, Marco
- Abstract
Coronary artery disease is still a major cause of death and morbidity worldwide. In the setting of chronic coronary disease, demonstration of inducible ischemia is mandatory to address treatment. Consequently, scientific and technological efforts were made in response to the request for non-invasive diagnostic tools with better sensitivity and specificity. To date, clinicians have at their disposal a wide range of stress-imaging techniques. Among others, stress cardiac magnetic resonance (S-CMR) and computed tomography perfusion (CTP) techniques both demonstrated their diagnostic efficacy and prognostic value in clinical trials when compared to other non-invasive ischemia-assessing techniques and invasive fractional flow reserve measurement techniques. Standardized protocols for both S-CMR and CTP usually imply the administration of vasodilator agents to induce hyperemia and contrast agents to depict perfusion defects. However, both methods have their own limitations, meaning that optimizing their performance still requires a patient-tailored approach. This review focuses on the characteristics, drawbacks, and future perspectives of these two techniques.
- Subjects
CARDIAC magnetic resonance imaging; PERFUSION; CORONARY artery disease; DIAGNOSIS; PROGNOSIS
- Publication
Journal of Clinical Medicine, 2023, Vol 12, Issue 11, p3793
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm12113793