In 10 years, computed tomography coronary angiography (CTCA) has shifted from an investigational tool to clinical reality. Even though CT technologies are very advanced and widely available, a large body of evidence supporting the clinical role of CTCA is missing. The reason is that the speed of technological development has outpaced the ability of the scientific community to demonstrate the clinical utility of the technique. In addition, with each new CT generation, there is a further broadening of actual and potential applications. In this review we examine the state of the art on CTCA. In particular, we focus on issues concerning technological development, radiation dose, implementation, training and organisation.

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Keywords Computed tomography coronary angiography, Conventional coronary angiography, Coronary artery disease, Radiation dose, Training
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Journal La Radiologia Medica
Note Article in press - dd August 2010
Maffei, E, Martini, C, de Crescenzo, S, Arcadi, T, Clemente, A, Capuano, E, … Cademartiri, F. (2010). Low dose CT of the heart: a quantum leap into a new era of cardiovascular imaging. La Radiologia Medica, 115(8), 1179–1207. doi:10.1007/s11547-010-0566-4