Myocardial Characterization on CT: Late Iodine Enhancement and Extracellular Volume

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Autores principales: Axel Bartoli, Chiara Gnasso, Anna Palmisano, Andrea Bettinelli, Davide Vignale, Antonio Esposito
Formato: Artículo Open Access
Publicado: Wiley 2025
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author Axel Bartoli
Chiara Gnasso
Anna Palmisano
Andrea Bettinelli
Davide Vignale
Antonio Esposito
author_facet Axel Bartoli
Chiara Gnasso
Anna Palmisano
Andrea Bettinelli
Davide Vignale
Antonio Esposito
Axel Bartoli
Chiara Gnasso
Anna Palmisano
Andrea Bettinelli
Davide Vignale
Antonio Esposito
collection Wiley Open Access
contents Myocardial Characterization on CT: Late Iodine Enhancement and Extracellular Volume Axel Bartoli Chiara Gnasso Anna Palmisano Andrea Bettinelli Davide Vignale Antonio Esposito Echocardiography ABSTRACT Myocardial tissue characterization is fundamental in diagnosing, treating, and managing various cardiac diseases. In recent years, cardiac computed tomography (CCT) emerged as a valuable alternative to cardiac magnetic resonance (CMR) for myocardial tissue characterization, with the possibility to detect myocardial scar and quantify the extracellular volume fraction in a single CT study with the advantage of combined coronary arteries evaluation, shorter scanning time, and less susceptibility to device artifacts compared to CMR. However, CCT is typically affected by a lower contrast‐to‐noise ratio and potentially increased radiation exposure. Therefore, a deep understanding of the available technology and the strategies for acquisition optimization is of fundamental importance to improve image quality and accuracy, while minimizing radiation exposure. This review summarizes principles of myocardial characterization on CCT, acquisition protocols according to the different technologies available including the dual‐energy CT and the innovative photon‐counting detector CT, and setting of clinical utility. 10.1111/echo.70108 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1111/echo.70108
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spellingShingle Myocardial Characterization on CT: Late Iodine Enhancement and Extracellular Volume
Axel Bartoli
Chiara Gnasso
Anna Palmisano
Andrea Bettinelli
Davide Vignale
Antonio Esposito
Echocardiography
Myocardial Characterization on CT: Late Iodine Enhancement and Extracellular Volume Axel Bartoli Chiara Gnasso Anna Palmisano Andrea Bettinelli Davide Vignale Antonio Esposito Echocardiography ABSTRACT Myocardial tissue characterization is fundamental in diagnosing, treating, and managing various cardiac diseases. In recent years, cardiac computed tomography (CCT) emerged as a valuable alternative to cardiac magnetic resonance (CMR) for myocardial tissue characterization, with the possibility to detect myocardial scar and quantify the extracellular volume fraction in a single CT study with the advantage of combined coronary arteries evaluation, shorter scanning time, and less susceptibility to device artifacts compared to CMR. However, CCT is typically affected by a lower contrast‐to‐noise ratio and potentially increased radiation exposure. Therefore, a deep understanding of the available technology and the strategies for acquisition optimization is of fundamental importance to improve image quality and accuracy, while minimizing radiation exposure. This review summarizes principles of myocardial characterization on CCT, acquisition protocols according to the different technologies available including the dual‐energy CT and the innovative photon‐counting detector CT, and setting of clinical utility. 10.1111/echo.70108 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Myocardial Characterization on CT: Late Iodine Enhancement and Extracellular Volume
topic Echocardiography
url https://onlinelibrary.wiley.com/doi/10.1111/echo.70108