Patient Preparation

Patient preparation is the key to success in coronary CT angiography, and the relevant aspects of this step are discussed in detail in this chapter.

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Marc Dewey

Coronary CT Angiography

Privatdozent Dr. med. Marc Dewey Charité - Universitätsmedizin Berlin Humboldt-Universität zu Berlin Freie Universität Berlin Institut für Radiologie Charitéplatz 1 10117 Berlin Germany [email protected]

ISBN 978-3-540-79843-9

e-ISBN 978-3-540-79844-6

DOI: 10.1007/978-3-540-79844-6 Library of Congress Control Number: 2008926106 © 2009 Springer-Verlag Berlin Heidelberg This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudio Calamar Steinen, Barcelona Printed on acid-free paper 9 8 7 6 5 4 3 2 1 springer.com

Foreword

Computed tomography has been going through a dramatic evolution of technology in the past years. The increased spatial and temporal resolution directly translate into improved image quality and more versatile applications. Indeed, entirely new areas of clinical application have emerged, one of the most prominent being the recent advent of cardiac computed tomography. Especially CT angiography of the coronary arteries – often referred to as coronary CT angiography – has received tremendous interest and is currently entering the clinical arena. In fact, it has the potential to greatly alter the way in which many patients with suspected coronary artery disease will be worked up. However, the technique is new to the medical community. At this stage, it is crucial that all those potentially involved in the new imaging technology – those who perform and interpret the scan, and also those who order a coronary

CT angiogram and advise their patients as to whether a computed tomography examination might be the right test for them – are well informed about the technology and which answers it can provide, about its limitations and problems and about how to best apply it in a given clinical situation. This is why the textbook edited by Dr. Dewey is most welcome. With ample illustrations, it provides the technological background and principles of scan acquisition and interpretation, as well as examples of clinical applications of coron