Non-invasive imaging of the coronary arteries

Eur Heart J. 2019 Aug 1;40(29):2444-2454. doi: 10.1093/eurheartj/ehy670.

Abstract

Non-invasive imaging of the coronary arteries is an enterprise in rapid development. From the research perspective, there is great demand for in vivo techniques that can reliably identify features of high-risk plaque that may offer insight into pathophysiological processes and act as surrogate indicators of response to therapeutic intervention. Meanwhile, there is clear clinical need for greater accuracy in diagnosis and prognostic stratification. Fortunately, ongoing technological improvements and emerging data from randomized clinical trials are helping make these elusive goals a reality. This review provides an update on the current status of non-invasive coronary imaging with computed tomography, magnetic resonance, and positron emission tomography with a focus on current clinical applications and future research directions.

Keywords: Computed tomography; Coronary heart disease; Magnetic resonance imaging; Positron emission tomography.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Computed Tomography Angiography
  • Coronary Disease / diagnostic imaging
  • Coronary Stenosis / diagnostic imaging
  • Coronary Vessels / diagnostic imaging*
  • Humans
  • Magnetic Resonance Angiography
  • Plaque, Atherosclerotic / diagnostic imaging
  • Positron-Emission Tomography