6533b838fe1ef96bd12a4656

RESEARCH PRODUCT

CT coronary angiography at an ultra-low radiation dose (< 0.1 mSv): feasible and viable in times of constraint on healthcare costs

Onofrio A. CatalanoFilippo CademartiriErica Maffei FTeresa ArcadiMassimo Midiri

subject

Coronary angiographymedicine.medical_specialtylow radiation dosePharmacological therapyCT coronary angiographyCoronary Artery DiseaseCoronary AngiographyRadiation DosageSensitivity and Specificityhealthcare costsRadiation ProtectionHealth careCardiac CTHumansMedicineLow dose ctRadiology Nuclear Medicine and imagingMedical physicsConstraint (mathematics)Neuroradiologymedicine.diagnostic_testbusiness.industryscreeningRadiation doseReproducibility of ResultsInterventional radiologyHealth Care CostsGeneral MedicineUnited StatesFeasibility StudiesRadiologyTomography X-Ray Computedbusiness

description

Computed tomography coronary angiography (CTCA) has reached very high standards both in terms of diagnostic performance and radiation dose reduction. This commentary follows a report on CTCA using less than 0.1 mSv in selected patients. This is an extraordinary accomplishment, both for technology and for medicine. The difficult task is now to implement this tool in clinical practice so it can play the best possible role. CTCA can improve diagnostic pathways, can save money for healthcare systems and could even improve pharmacological therapy. All of this may happen, but it will require the combined effort of all the experienced operators in this field, including the referring clinicians. In times of financial constraint, CTCA may also help to restrict ineffective medical expenses.

10.1007/s00330-012-2767-9https://hdl.handle.net/1765/39266