Atlas of Non-Invasive Coronary Angiography by Multidetector Computed Tomography

Chapter 1: Basics and Performance of Cardiac Computed Tomography 3 Xavier Alomar-Serrallach, Ernesto Castillo-Gallo, Guillem Pons-Lladó 1. 1 Introduction 3 1. 2 Historical Perspective of Computed Tomography 3 1. 3 Basic Principles of Multidetector Computed Tomography in the Study of the Heart 4 1. 3. 1 Detectors 5 1. 3. 2 Image reconstruction 5 1. 3. 3 Temporal resolution 7 1. 3. 4 Spatial resolution 7 1. 3. 5 Control of radiation dose 8 1. 4 Performance of a Cardiac MDCT Study 9 1. 4. 1 Preparation of the patient 9 1. 4. 2 Image acquisition and contrast administration 9 1. 4. 3 Image reconstruction 11 Chapter 2: Normal Anatomy and Congenital Abnormalities of the Coronary Arteries 15 Rubén Leta-Petracca 2. 1 Introduction 15 2. 2 Left Coronary Artery 17 2. 2. 1 Left main (LM) artery 17 2. 2. 2 Left anterior descending (LAD) 18 2. 2. 3 Left circum?ex (LCx) 22 2. 2. 4 Intermediate coronary artery 23 2. 3 Right Coronary Artery (RCA) 26 2. 4 Pattern of Dominance of the Coronary Arteries 30 2. 5 Congenital Anomalies of the Coronary Arteries 33 2. 5. 1 Anomalies relatable to myocardial ischemia 35 2. 5. 2 Anomalies not leading to myocardial ischemia 37 Chapter 3: Detection and Quanti?cation of Coronary Artery Calcium by MDCT 43 Francesc Carreras 3. 1 Introduction 43 3. 2 CAC Quanti?cation: The Agatston Method 44 3.