Cardiac CT grows beyond stenosis assessment into a comprehensive cardiovascular imaging platform

Cardiac CT now goes beyond stenosis: in selected stable chest pain it is a first-line test, and CT-derived fractional flow reserve, perfusion, late iodine enhancement, extracellular volume, strain, and pericoronary fat add functional and prognostic information for personalized c…

• Coronary CT angiography is endorsed as a first-line test in appropriately selected patients with stable chest pain or suspected chronic coronary syndromes.
• Beyond luminal stenosis, cardiac CT now supports functional and tissue characterization with CT-derived fractional flow reserve, myocardial CT perfusion, late iodine enhancement, CT-derived extracellular volume fraction, myocardial strain, and pericoronary fat attenuation index.
• Photon-counting detector CT and artificial intelligence are expanding spatial resolution, spectral quantification, automated segmentation, quantitative plaque analysis, image reconstruction, and structured reporting.

Automated summary

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