Technical development in cardiac CT: current standards and future improvements—a narrative review
Patrizia Toia, Ludovico La Grutta, Giulia Sollami, Alberto Clemente, Cesare Gagliardo, Massimo Galia, Erica Maffei, Massimo Midiri, Filippo Cademartiri
Abstract
Non-invasive depiction of coronary arteries has been a great challenge for imaging specialists since the introduction of computed tomography (CT). Technological development together with improvements in spatial, temporal, and contrast resolution, progressively allowed implementation of the current clinical role of the CT assessment of coronary arteries. Several technological evolutions including hardware and software solutions of CT scanners have been developed to improve spatial and temporal resolution. The main challenges of cardiac computed tomography (CCT) are currently plaque characterization, functional assessment of stenosis and radiation dose reduction. In this review, we will discuss current standards and future improvements in CCT.