The role of the wide detector in the CT of the heart

Abstract

Cardio-CT is a noninvasive diagnostic investigation capable to obtain accurate and detailed information about the heart chambers and coronary circulation. The examination is characterized by high sensitivity and specificity in the identification of coronary artery stenoses, the main contributors to ischemic heart disease. Thanks to modern multi-detector CT equipment, the examination enjoys high resolution spatial and temporal, which is of paramount importance considering myocardial kinetics. Referring to the European Society of Cardiology 2019 guidelines, cardio-CT appears to be indicated in symptomatic patients with intermediate cardiovascular risk. Continued technological developments, resulting in the ability to obtain diagnostic images even in difficult patients such as those with irregular rhythm, tachycardia, and extensive calcifications, suggest future use of this technique even in selected cases of high-risk patients.