Strategies for Radiation-dose Reduction and Image-quality Optimization in Multidetector Computed Tomographic Coronary Angiography

Author:

Torres Felipe S.1,Crean Andrew M.1,Nguyen Elsie T.1,Paul Narinder1

Affiliation:

1. Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, University of Toronto and University Health Network, Toronto General Hospital, Toronto, Ontario, Canada

Abstract

The technological evolution of computed tomography (CT) in the last decade has placed CT coronary angiography (CTCA) in the spotlight of imaging modalities available to evaluate patients with coronary artery disease. Widespread utilisation of CTCA has generated concern from the medical community regarding potential health issues related to the significant radiation exposure associated with this method, and several modifications of the CTCA technique have been proposed to reduce the radiation exposure without affecting the diagnostic image quality. This review will discuss a practical approach to performing CTCA to ensure that the radiation dose is minimized while maintaining diagnostic image quality.

Publisher

SAGE Publications

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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