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DOI:10.2214/AJR.07.3484
AJR 2008; 191:64-72
© American Roentgen Ray Society

Pictorial Essay

Comprehensive Evaluation of Ischemic Heart Disease Using MDCT

I-Chen Tsai1,2,3,4, Wen-Lieng Lee2,3,4,5, Chen-Rong Tsao2,3,4,5, Yen Chang5, Min-Chi Chen1, Tain Lee1,2,3,4 and Wan-Chun Liao1

1 Department of Radiology, 407, Taichung Veterans General Hospital, No. 160, Section 3, Taichung Harbor Rd., Taichung, Taiwan, ROC.
2 Faculty of Medicine, Medical College of Chung Shan Medical University, Taiwan, ROC.
3 Department of Medicine, National Yang Ming University, Taiwan, ROC.
4 Institute of Clinical Medicine and Cardiovascular Research Center, National Yang Ming University, Taiwan, ROC.
5 Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.

OBJECTIVE. Recently MDCT has become widely used for the evaluation of ischemic heart disease, but clinically the evaluation is primarily focused on the coronary artery only. We describe why and how to comprehensively evaluate the cardiac CT scan, including myocardium, motion, viability, valve, and perfusion aspects related to ischemic heart disease.

CONCLUSION. Radiologists should be familiar with the protocol design and comprehensive interpretation of cardiac MDCT to provide comprehensive treatment suggestions for the patients.

Keywords: coronary artery • ischemic heart disease • MDCT • myocardium • viability


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