CAR and CSTR Cardiac Computed Tomography (CT) Practice Guidelines: Part 1 Coronary CT Angiography (CCTA)

Author:

Nguyen Elsie T.1ORCID,Green Courtney R.2ORCID,Adams Scott J.3,Bishop Helen4,Gleeton Guylaine5,Hague Cameron J.6,Hanneman Kate1ORCID,Harris Scott7,Strzelczyk Jacek8,Dennie Carole9ORCID

Affiliation:

1. Department of Medical Imaging, University of Toronto, Toronto, ON, Canada

2. Canadian Association of Radiologists, Ottawa, ON, Canada

3. Department of Medical Imaging, Royal University Hospital, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

4. Division of Cardiology, Department of Medicine, Dalhousie University, Halifax, NS, Canada

5. Department of Radiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Laval University, Quebec City, QC, Canada

6. Department of Diagnostic Radiology, University of British Columbia, Vancouver, BC, Canada

7. Department of Radiology, Memorial University, St. John’s, NL, Canada

8. Department of Radiology, University of Manitoba, Winnipeg, MB, Canada

9. Department of Radiology, Radiation Oncology and Medical Physics, University of Ottawa, Ottawa, ON, Canada

Abstract

Imaging the heart is one of the most technically challenging applications of Computed Tomography (CT) due to the presence of cardiac motion limiting optimal visualization of small structures such as the coronary arteries. Electrocardiographic gating during CT data acquisition facilitates motion free imaging of the coronary arteries. Since publishing the first version of the Canadian Association of Radiologists (CAR) cardiac CT guidelines, many technological advances in CT hardware and software have emerged necessitating an update. The goal of these cardiac CT practice guidelines is to present an overview of the current evidence supporting the use of cardiac CT in various clinical scenarios and to outline standards of practice for patient safety and quality of care when establishing a cardiac CT program in Canada.

Publisher

SAGE Publications

Reference67 articles.

1. Canadian Association of Radiologists: Consensus Guidelines and Standards for Cardiac CT

2. Image quality in coronary CT angiography: challenges and technical solutions

3. Selecting a CT scanner for cardiac imaging: the heart of the matter

4. American College of Radiology, North American Society of Cardiovascular Imaging, Society for Pediatric Radiology. ACR–NASCI–SPR practice parameter for the performance and interpretation of cardiac computed tomography (CT). 2021. Accessed July 10, 2023. https://www.acr.org/-/media/ACR/Files/Practice-Parameters/CardiacCT.pdf

5. Radiation Dose at Cardiac Computed Tomography

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