David Cutler, MD, FACC, is an invasive cardiologist and chairman of the CT Committee. Dr. Cutler is also an assistant clinical professor at NEOUCOM.

Article published in March issue of MD News.

Noninvasive, high-quality imaging of the coronary arteries has arrived! The newest generation of CT scanners, the 64-slice version, allows rapid acquisition of the cardiac structures within a 10-second breath hold.

With this technology, three-dimensional images of the coronary arteries can be reliably obtained without resorting to invasive cardiac catheterization.

Although not for everyone, coronary CT angiogram (CCTA) is an ideal outpatient procedure, only requiring that an IV be placed and intravenous contrast be injected. Most scans can be completed within 30 minutes, including preparation time and brief observation afterward. The CCTA does require a stable slow rhythm, so patients in atrial fibrillation or those who cannot receive a beta-blocker are not good candidates. Routine contrast issues such as allergy and renal insufficiency also must be addressed beforehand.

"The 3-D images easily created from the CTA are stunning. Coronary arteries are well seen, and can be assessed for calcium, plaque, and stenosis. The workstation on which the CTA is viewed allows 360-degree rotation and visualization of the arteries to best define anatomy and pathology. In fact, the arterial wall is better assessed for calcium and plaque with CTA, compared with standard catheterization." states Dr. Cutler.

NEOCS has a 64-slice CT scanner and is located at the Cedar Pine Office. Call 330.376.0500 for more information.