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1/2023
vol. 88 Cardiovascular radiology
abstract:
Review paper
3D computed tomography intravascular endoscopy
Haris Huseinagić
1
,
Alma Efendić
1
,
Irma Rušidović
2
1.
Medical Institute Bayer in Tuzla, Bosnia and Herzegovina
2.
Pharmamaac d.o.o., Bosnia and Herzegovina
Pol J Radiol 2023; 88: e435-e444
Online publish date: 2023/09/22
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Using coronary computed tomography angiography (CCTA), coronary plaques can be characterized based on both their morphology and composition. Coronary plaques are generally assessed on 2D axial and multiplanar reformatted images. Nevertheless, these visualization tools are limited to observing extraluminal changes in the coronary artery. The presence of plaques prevents them from providing a visual representation of the intraluminal coronary wall. Since its invention in 2000, coronary fly-through or virtual angioscopy (VA) has been extensively studied. However, its application was limited because it required an optimal CT scan and time-consuming post-processing. In recent years, advances in post-processing software have made construction of VA easier, but until recently the quality of the images was insufficient for most patients. Using 3D intravascular endoscopy (3DIE) visualization, we present various intraluminal appearances of the coronary wall and plaque in relation to various types of plaque.
keywords:
coronary CT angiography, coronary artery disease, plaque, 3D intravascular endoscopy, visualization |