 |
| A patient is receiving a CT scan for cancer. Outside of the scanning room is an imaging computer that reveals a 3D image of the body's interior. |
A computed tomography (CT) scan is a medical imaging method that uses X-rays to create tomographic images of a specific part of the human body. A tomographic image is an image that is create in cross sections or "slices".
CT scans have been in use for medical imaging since the 1970s. The evolution and the development of the imaging process started with Italian radiologist Alsessandro Vallebona who came up with the idea of tomographic imaging in the early 1900s and built a machine in 1930 to actualize his idea.
But it wasn't until William Oldendorf in 1961 when he created a machine that could create an x-ray tomographic image that CT scanning became a possible imaging method. By the early 1970s, CT scanning started to gain foothold as an important tool in medical imaging.
An advantage of CT scanning is that the image produced by the method removes the over and under-lying objects or structures. A CT scan of the heart would produce a 3d image of the heart in its actual position without the lungs and ribs obstructing it.
With tomographic imaging, the use of x-rays for signal acquisition is the most popular. Other imaging modalities such as ultrasound (sound waves), magnetic resonance (magnetic field), nuclear medicine (photons), and microwave can be used to create tomographic images.
Advanced CT scans accurately assess coronary blockages
An ultra-fast, 320-detector computed tomography (CT) scanner can accurately sort out which people with chest pain need – or don't need – an invasive procedure such as cardiac angioplasty or bypass surgery to restore blood flow to the heart, according to an international study. Results of the study, which involved 381 patients at 16 hospitals in eight countries, are scheduled to be presented at the European Society of Cardiology Congress in Munich, Germany, on August 28.
"The CORE 320 study is the first prospective, multicenter study to examine the diagnostic accuracy of CT for assessing blockages in blood vessels and determining which of those blockages may be preventing the heart from getting adequate blood flow," says Joao A. C. Lima, M.D., senior author of the study and professor of medicine and radiology at the Johns Hopkins University School of Medicine. "We found an excellent correlation in results when we compared the 320-detector CT testing with the traditional means of assessment using a stress test with imaging and cardiac catheterization."
The study findings, says Lima, would apply to people who have chest pain but are not having a heart attack. Many people in that situation are sent to a cardiac catheterization laboratory for further evaluation with angiography, an invasive test to look for blockages in the coronary arteries using dye and special X-rays. About 30 percent of people who have such catheterization are found to have minimal disease or no blockage requiring an intervention to open or bypass the vessel.
Lima explains that a nuclear medicine stress test with imaging, known as SPECT, shows reduced blood flow to the heart without indicating the number or specific location of blockages.
