المؤلفون: Giuseppe, Runza, Filippo, Barbiera, Erica, Maffei, Bruna, Punzo, Carlo, Cavaliere, Filippo, Cademartiri

المصدر: Acta Bio Medica : Atenei Parmensis

مصطلحات موضوعية: Male, Jejunum, Intestine, Small, Humans, Gastrointestinal Hemorrhage, Tomography, X-Ray Computed, Letter to the Editor, Aged, Angiodysplasia

الوصف: The small bowel angiodysplasia is a rare cause of intestinal bleeding. Usually, the diagnosis is performed with selective conventional angiography. We report a case of 73-year-old man, who was hospitalized after recurrent episodes of melena and anaemia. MDCT-enterography performed before and after intravenous administration of contrast medium, detected an increased density area which was confirmed to be a jejunal angiodysplasia.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=pmid________::39d541f110b45a5f73d24774a2e24596Test
https://pubmed.ncbi.nlm.nih.gov/33988165Test

المؤلفون: Giuseppe, Runza, Erica, Maffei, Filippo, Cademartiri

المصدر: Acta Bio Medica : Atenei Parmensis

مصطلحات موضوعية: Hernia, Humans, Case Report, Brown-Séquard Syndrome, Magnetic Resonance Imaging, Idiopathic Spinal Cord Herniation, Spinal Cord Diseases, Thoracic Vertebrae

الوصف: Since 1974, when Wortzman et al were the first to describe a case of idiopathic spinal cord herniation (ISCH), the number of reported cases has increased owing to magnetic resonance imaging (MRI) now is routinely available for patients with myelopathy and spinal surgeons are becoming more familiar with this clinical entity. This extremely rare herniation occurs exclusively in the thoracic spine, causing slowly progressive myelopathy. Diagnosis is based on ventral displacement of the spinal cord in the thoracic spine. MRI is the technique of choice to exclude a posterior arachnoid cyst, the most common mistaken diagnosis, and to recognize a spinal cord herniation when an anterior dural defect is present. A case of ISCH is reported and a Literature review of this clinical entity often mis-diagnosed has been obtained. (www.actabiomedica.it)

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=pmid________::e0e4e48eaa9309f8350b18fef75cf066Test
https://pubmed.ncbi.nlm.nih.gov/33944828Test

المؤلفون: Fabrizio Ricci, Roberto Malago, Ludovico La Grutta, Alberto Clemente, Antonio Raffaele Cotroneo, Giuseppe Runza, Filippo Cademartiri, Sara Seitun, Patrizia Toia, Erica Maffei, Massimo Midiri, Ernesto Forte, Cesare Mantini

المساهمون: Mantini, Cesare, Maffei, Erica, Toia, Patrizia, Ricci, Fabrizio, Seitun, Sara, Clemente, Alberto, Malagò, Roberto, Runza, Giuseppe, La Grutta, Ludovico, Midiri, Massimo, Cotroneo, Antonio Raffaele, Forte, Ernesto, Cademartiri, Filippo

مصطلحات موضوعية: Male, Accuracy and precision, Radiology, Nuclear Medicine and Imaging, Cardiac computed tomography, Computed Tomography Angiography, Computed tomography, Iterative reconstruction, Coronary Artery Disease, 030204 cardiovascular system & hematology, Risk Assessment, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, Image reconstruction algorithm, Risk Factors, Image Processing, Computer-Assisted, Medicine, Humans, Reconstruction parameter, Prospective Studies, Vascular Calcification, Aged, Reconstruction parameters, medicine.diagnostic_test, Coronary artery calcium score, business.industry, Cardiovascular risk classification, General Medicine, Middle Aged, Cardiovascular risk, Concordance correlation coefficient, Cardiovascular Diseases, Female, business, Agatston score, Nuclear medicine, Settore MED/36 - Diagnostica Per Immagini E Radioterapia, Coronary Artery Calcium Scoring, Algorithms

الوصف: Objective: To investigate the influence of different CT reconstruction parameters on coronary artery calcium scoring (CACS) values and reclassification of predicted cardiovascular (CV) risk. Methods: CACS was evaluated in 113 patients undergoing ECG-gated 64-slice CT. Reference CACS protocol included standard kernel filter (B35f) with slice thickness/increment of 3/1.5 mm, and field-of-view (FOV) of 150–180 mm. Influence of different image reconstruction algorithms (reconstructed slice thickness/increment 2.0/1.0–1.5/0.8–3.0/2.0–3.0/3.0 mm; slice kernel B30f-B45f; FOV 200–250 mm) on Agatston score was assessed by Bland-Altman plots and concordance correlation coefficient (CCC) analysis. Classification of CV risk was based on the Mayo Clinic classification. Results: Different CACS reconstruction parameters showed overall good accuracy and precision when compared with reference protocol. Protocols with larger FOV, thinner slices and sharper kernels were associated with significant CV risk reclassification. Use of kernel B45f showed a moderate positive correlation with reference CACS protocol (Agatston CCC = 0.67), and yielded significantly higher CACS values (p

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d7fb3b47ae5d6bf6566289f9c7aed183Test
http://hdl.handle.net/11562/976879Test

المؤلفون: Filippo Cademartiri, Alberto Clemente, Sara Seitun, Ludovico La Grutta, Patrizia Toia, Erica Maffei, Massimo Midiri, Giuseppe Runza

المساهمون: Radiology & Nuclear Medicine, Cademartiri, Filippo, Seitun, Sara, Clemente, Alberto, La Grutta, Ludovico, Toia, Patrizia, Runza, Giuseppe, Midiri, Massimo, Maffei, Erica

المصدر: Cardiovascular Diagnosis and Therapy, 7(2), 129-150. AME Publishing Company

مصطلحات موضوعية: medicine.medical_specialty, Cardiac computed tomography, Myocardial blood flow quantification, Perfusion scanning, Fractional flow reserve, Review Article, 030204 cardiovascular system & hematology, 030218 nuclear medicine & medical imaging, Coronary artery disease, 03 medical and health sciences, Myocardial perfusion imaging, 0302 clinical medicine, Stress imaging, Internal medicine, medicine, medicine.diagnostic_test, business.industry, medicine.disease, Regadenoson, Dipyridamole, Coronary artery disease (CAD), Stenosis, Cardiology, Radiology, Coronary vasodilator, business, Cardiology and Cardiovascular Medicine, Settore MED/36 - Diagnostica Per Immagini E Radioterapia, medicine.drug

الوصف: During the last decade coronary computed tomography angiography (CTA) has become the preeminent non-invasive imaging modality to detect coronary artery disease (CAD) with high accuracy. However, CTA has a limited value in assessing the hemodynamic significance of a given stenosis due to a modest specificity and positive predictive value. In recent years, different CT techniques for detecting myocardial ischemia have emerged, such as CT-derived fractional flow reserve (FFR-CT), transluminal attenuation gradient (TAG), and myocardial CT perfusion (CTP) imaging. Myocardial CTP imaging can be performed with a single static scan during first pass of the contrast agent, with monoenergetic or dual-energy acquisition, or as a dynamic, time-resolved scan during stress by using coronary vasodilator agents (adenosine, dipyridamole, or regadenoson). A number of CTP techniques are available, which can assess myocardial perfusion in both a qualitative, semi-quantitative or quantitative manner. Once used primarily as research tools, these modalities are increasingly being used in routine clinical practice. All these techniques offer the substantial advantage of combining anatomical and functional evaluation of flow-limiting coronary stenosis in the same examination that would be beneficial for clinical decision-making. This review focuses on the state-of the-art and future trends of these evolving imaging modalities in the field of cardiology for the physiologic assessments of CAD.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::427ba2dc87e4843c25caf6160b70296dTest
https://pure.eur.nl/en/publications/94bc04b2-2c9e-4eb5-9dda-3d122868233eTest

المؤلفون: Egle Corrado, Khalil Fattouch, Giuseppe Runza, Marco Moscarelli, Salvatore Novo, C Trumello, R Patni, E Incalcatera, Giovanni Ruvolo, Ludovico La Grutta, Massimo Midiri

المساهمون: Fattouch, K, Runza, G, Moscarelli, M, Trumello, C, Incalcaterra, E, Corrado, E, La Grutta, L, Patni, R, Midiri, M, Novo, S, Ruvolo, G

المصدر: Perfusion. 26:401-408

مصطلحات موضوعية: Male, medicine.medical_specialty, Time Factors, Coronary Artery Bypass, Off-Pump, Disease-Free Survival, Blood vessel prosthesis, Internal medicine, medicine, Humans, Vascular Patency, Radiology, Nuclear Medicine and imaging, Prospective Studies, Myocardial infarction, Prospective cohort study, Survival rate, Aged, Advanced and Specialized Nursing, business.industry, Mortality rate, General Medicine, Middle Aged, medicine.disease, Blood Vessel Prosthesis, coronary artery bypass, Survival Rate, Coronary arteries, surgical procedures, operative, medicine.anatomical_structure, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, Safety Research, Mace, Follow-Up Studies

الوصف: Objective: The aim of our study was to assess the long-term clinical outcomes and the grafts patency rates of patients with ST-segment elevation myocardial infarction (STEMI) who underwent urgent or emergency coronary artery bypass grafting (CABG). Materials: Participants in two previous studies comprising 207 STEMI patients undergoing on-pump (145 patients) or off-pump (62 patients) coronary artery bypass graft (CABG) surgery in our institution were prospectively followed to assess late mortality, graft patency, and major adverse cardiac-related event (MACE) rates. Graft patency was evaluated by multi-detector computed tomography angiography 64-slice scan. Mean times of graft implantation were 38±16 months and 37±14 months in on-pump and off-pump, respectively. Follow-up data were obtained in all patients and was 100% complete. Results: Late mortality rate was 7.4% (10 patients) in the on-pump and 6.5% (4 patients) in off-pump groups (p=0.45). Five-year overall survival rate (±SE) was 93.5±2.1% and 92.6±1.9% in the off-pump vs on-pump, respectively. Five years’ freedom from cardiac-related death was 94.9±2.9% in the on-pump group vs 96.8±3.2% in the off-pump group (p=0.25). Five years’ freedom from cardiac-related events was 89.7±1.6% in the on-pump group versus 93.5±1.8% in the off-pump group (p=0.32). In all patients, a total of 449/491 (91.5%) grafts were patent. Percentages of overall grafts classified as patent were similar in the on-pump group (90.7% - 322/355 conduits) versus the off-pump group (91% - 133/146 conduits). Graft patency rates were also similar between the two groups with regard to arterial and saphenous vein conduits, and with regard to different branches of the coronary arteries grafted. Conclusion: Our data suggest that off-pump CABG patients have the same late mortality, MACEs, and graft patency rates as conventional cardioplegic cardiac arrest CABG patients. In our opinion, urgent or emergency CABG for patients with STEMI can be done either way.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::10d094cf8a4864a07e14b8476273b4e0Test
https://doi.org/10.1177/0267659111411354Test

المؤلفون: Francesco Borrelli, Gennaro Ratti, Bernardino Tuccillo, Massimo Midiri, Maurizio Sacco, Giuseppe Runza, P. Tammaro, R Pepe, Filippo Cademartiri, Roberto De Rosa, Gregorio Covino, Carlo Tedeschi, Emilio Montemarano, Paolo Capogrosso

المساهمون: TEDESCHI C, RATTI G, DE ROSA R, SACCO M, BORRELLI F, TAMMARO P, COVINO G, MONTEMARANO E, CADEMARTIRI F, RUNZA G, MIDIRI M, PEPE R, TUCCILLO B, CAPOGROSSO P

المصدر: Europe PubMed Central

مصطلحات موضوعية: Male, medicine.medical_specialty, medicine.medical_treatment, Coronary Angiography, Sensitivity and Specificity, Computed tomography angiography, Coronary stents, Multidetector computed tomography, Non-invasive imaging, Coronary Restenosis, Restenosis, Predictive Value of Tests, Positive predicative value, Occlusion, medicine, Humans, cardiovascular diseases, medicine.diagnostic_test, business.industry, Stent, General Medicine, Multislice computed tomography, Middle Aged, equipment and supplies, medicine.disease, Coronary Vessels, surgical procedures, operative, medicine.anatomical_structure, Concomitant, Angiography, Female, Stents, Radiology, Tomography, X-Ray Computed, Cardiology and Cardiovascular Medicine, business, Artery

الوصف: BACKGROUND: The aim of the present study was to assess the in-stent restenosis and occlusion of coronary artery stents by multislice computed tomography (MSCT) compared with conventional coronary angiography in patients with atypical chest pain and not practicable/non-conclusive stress test. METHODS: Between December 2004 and March 2006, 81 patients were scheduled and of these 72 (65 men, mean age 61 years) with 90 stents underwent MSCT angiography using a 16-slice scanner, Toshiba Aquilion 16, 8-12 months after stent placement. RESULTS: Of the 90 stents, 71 (79%) could be assessed and 19 (21%) were excluded because the image quality at the stent level was incompatible with diagnostic assessment. This results in sensitivity, specificity, and positive and negative predictive values for all assessable stents in the identification of occlusion and/or in-stent restenosis of 82, 96, 87, and 94%, respectively. When the 19 uninterpretable stents were included in the analysis, the diagnostic accuracy of MSCT in detecting in-stent restenosis and occlusion resulted in a sensitivity of 82%, specificity of 71%, positive predictive value of 40%, and negative predictive value of 94%. CONCLUSION: The results of the study suggest that MSCT angiography is a useful method for evaluating patency/occlusion of large (≥3 mm) coronary stents in symptomatic patients with atypical chest pain and concomitant not practicable/non-conclusive exercise or stress imaging test.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::704b3ef68973db0a38dd09b45e08aa13Test
https://doi.org/10.2459/jcm.0b013e3282f2c9e3Test

المؤلفون: Massimo Midiri, G. Lo Re, Giacomo Luccichenti, Massimo Galia, Roberto Lagalla, Giuseppe Runza, Filippo Cademartiri, A. La Fata, M. De Maria, Tommaso Vincenzo Bartolotta, Laura Damiani, Ludovico La Grutta, F. Alberghina, Valerio Alaimo

المساهمون: Radiology & Nuclear Medicine, RUNZA G, LA GRUTTA L, ALAIMO V, DAMIANI L, LA FATA A, ALBERGHINA F, GALIA M, LO RE G, LUCCICHENTI G, BARTOLOTTA TV, CADEMARTIRI F, MIDIRI M, DE MARIA M, LAGALLA R

المصدر: Radiologia Medica, 113(5), 644-657. Springer-Verlag Italia
Europe PubMed Central

مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Coronary Angiography, Heart Rate, Heart rate, Image Processing, Computer-Assisted, Humans, Medicine, Radiology, Nuclear Medicine and imaging, Multislice, cardiovascular diseases, Selection (genetic algorithm), Aged, Neuroradiology, Aged, 80 and over, medicine.diagnostic_test, business.industry, Ultrasound, Window (computing), Interventional radiology, General Medicine, Middle Aged, cardiovascular system, Female, Tomography, Radiology, Artifacts, Tomography, X-Ray Computed, business

الوصف: Purpose. The aim of our study was to assess the influence of heart rate on the selection of the optimal reconstruction window with 40-slice multidetector-row computed tomography (40-MDCT) coronary angiography. Materials and methods. We studied 170 patients (114 men, age 60 +/- 11.3 years) with suspected or known coronary artery disease with 40-MDCT coronary angiography. Patients [mean heart rate (HR) 62.9 +/- 9.3 bpm, range 42-94 bpm] were clustered in two groups (group A: HR 65 bpm). Multiphase reconstruction data sets were obtained with a retrospective electrocardiogram (ECG)-gated 40-MDCT coronary angiography scan from 0% to 95% every 5% of the R-R interval. Two radiologists in consensus evaluated the best data sets for diagnostic purposes. Results. In group A, the optimal reconstruction windows were at 70% (55/110, 71/110 and 69/110 for the right coronary artery, left anterior descending and the left circumflex, respectively) and 75 % (26/110, 28/110 and 28/110, respectively) of the R-R interval. In group B, a wide range of reconstruction windows were employed, both in the end-systolic phase at 40% (32/60, 18/60 and 17/60, for the right coronary artery, left anterior descending and circumflex, respectively) and diastolic phases at 70% (12/60, 22/60 and 19/60, respectively). Six scans were excluded due to severe respiratory artefacts. Conclusions. Optimal position of the image reconstruction window relative to the cardiac cycle is significantly influenced by the heart rate during scanning. Diastolic reconstruction phases often allowed an optimal assessment in group A. Reconstruction phases from 30% to 45% are advisable for higher heart rates.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d7a563e8bf4121b7bcaba908e1a737a4Test
https://doi.org/10.1007/s11547-008-0303-4Test

المؤلفون: Massimo Midiri, Silvia Tresoldi, Sara Seitun, Roberto Malago, Annachiara Aldrovandi, Filippo Cademartiri, Matteo Romano, Valerio Brambilla, Alessandro Palumbo, Carlo Tedeschi, M. Fusaro, Giuseppe Runza, Erica Maffei, Giancarlo Messalli, Nico R. Mollet, Ludovico La Grutta, Giancarlo Casolo

المساهمون: CADEMARTIRI F, ROMANO M, SEITUN S, MAFFEI E, PALUMBO A, FUSARO M, ALDROVANDI A, MESSALLI G, TRESOLDI S, MALAGÒ R, LA GRUTTA L, RUNZA G, BRAMBILLA V, TEDESCHI C, CASOLO G, MIDIRI M, MOLLET NR, Radiology & Nuclear Medicine

المصدر: Europe PubMed Central
Radiologia Medica, 113(3), 363-372. Springer-Verlag Italia

مصطلحات موضوعية: Male, medicine.medical_specialty, CT coronary angiography, Population, Myocardial Ischemia, Coronary Artery Disease, Coronary Angiography, Sensitivity and Specificity, Coronary artery disease, Predictive Value of Tests, Internal medicine, Epidemiology, Prevalence, medicine, Humans, risk factors, Radiology, Nuclear Medicine and imaging, Myocardial infarction, education, Aged, Netherlands, Neuroradiology, education.field_of_study, Framingham Risk Score, medicine.diagnostic_test, business.industry, Reproducibility of Results, suspected coronary artery disease, Interventional radiology, General Medicine, Middle Aged, medicine.disease, CT coronary angiography, Risk factors, Epidemiology, Suspected coronary artery disease, Cardiology, Female, epidemiology, Presentation (obstetrics), Tomography, X-Ray Computed, Settore MED/36 - Diagnostica Per Immagini E Radioterapia, business

الوصف: Purpose. This study was undertaken to describe the correlation between the distribution of coronary artery disease (CAD) in a symptomatic population with suspected ischaemic heart disease, cardiovascular risk factors (RF) and clinical presentation. Materials and methods. We studied 163 patients (mean age 65.5 years; 101 men and 62 women) referred for multidetector computed tomography coronary angiography (MDCT-CA) to rule out CAD. The patients had no prior history of revascularisation or myocardial infarction. We analysed how the characteristics of CAD (severity and type of plaque) can change with the increase in RF and how they are related to different clinical presentations. Results. Patients were divided into three groups according to the number of RF: zero or one, two or three, and four or more. The percentage of coronary arteries with no plaque, nonsignificant disease and significant disease was 55%, 41% and 4%, respectively, in patients with zero or one RF; 27%, 51% and 22%, respectively, in patients with two or three RF; and 19%, 38% and 44%, respectively, in patients with four or more RF. Plaque in patients with nonsignificant disease was mixed in 65%, soft in 18% and calcified in 17%. The percentage of coronaries with no plaque in the three RF groups was 50%, 20% and 0% in patients with typical chest pain and 46%, 24% and 12% in those with atypical pain. The percentage of significant disease in patients with typical pain was 0%, 47% and 86% and in those with atypical pain 4%, 20% and 29%. Conclusions. MDCT plays an important role in the identification of CAD in patients with suspected ischaemic heart disease. Severity and type of disease is highly correlated with RF number and assumes different characteristics according to clinical presentation.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ff8122662c55be910e637c21a209d828Test
https://hdl.handle.net/1765/29136Test

المؤلفون: Maria Teresa Patti, Stefano Puleo, F. Coppolino, Dimitrios Tsetis, Antonio Basile, Cesare Massa Saluzzo, Giovanni Carlo Ettorre, A. Montineri, Giuseppe Runza

المصدر: CardioVascular and Interventional Radiology. 31:349-358

مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Carcinoma, Hepatocellular, medicine.medical_treatment, Collateral Circulation, Contrast Media, Sensitivity and Specificity, medicine.artery, Multidetector computed tomography, medicine, Right inferior phrenic artery, Humans, Radiology, Nuclear Medicine and imaging, Prospective Studies, cardiovascular diseases, Embolization, Chemoembolization, Therapeutic, Aged, Aorta, business.industry, Arterial Embolization, Liver Neoplasms, Ultrasound, Angiography, Middle Aged, medicine.disease, Anatomic Variation, digestive system diseases, Treatment Outcome, Hepatocellular carcinoma, cardiovascular system, Female, Radiology, Tomography, X-Ray Computed, Cardiology and Cardiovascular Medicine, business

الوصف: To prospectively assess the anatomic variation of the right inferior phrenic artery (RIPA) origin with multidetector computed tomography (MDCT) scans in relation to the technical and angiographic findings during transcatheter arterial embolization of hepatocellular carcinoma (HCC).Two hundred patients with hepatocellular carcinomas were examined with 16-section CT during the arterial phase. The anatomy of the inferior phrenic arteries was recorded, with particular reference to their origin. All patients with subcapsular HCC located at segments VII and VIII underwent arteriography of the RIPA with subsequent embolization if neoplastic supply was detected.The RIPA origin was detected in all cases (sensitivity 100%), while the left inferior phrenic artery origin was detected in 187 cases (sensitivity 93.5%). RIPAs originated from the aorta (49%), celiac trunk (41%), right renal artery (5.5%), left gastric artery (4%), and proper hepatic artery (0.5%), with 13 types of combinations with the left IPA. Twenty-nine patients showed subcapsular HCCs in segments VII and VIII and all but one underwent RIPA selective angiography, followed by embolization in 7 cases.MDCT assesses well the anatomy of RIPAs, which is fundamental for planning subsequent cannulation and embolization of extrahepatic RIPA supply to HCC.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::70c22e9fd476c68564939619ab8315aeTest
https://doi.org/10.1007/s00270-007-9236-xTest

المؤلفون: Tommaso Vincenzo Bartolotta, F. Lo Re, Salvatore Evola, Ludovico La Grutta, Massimo Midiri, Giuseppe Runza, Valerio Alaimo, Filippo Cademartiri

المساهمون: Radiology & Nuclear Medicine, RUNZA G, LA GRUTTA L, ALAIMO V, EVOLA S, LO RE F, BARTOLOTTA TV, CADEMARTIRI, MIDIRI M

المصدر: European Journal of Radiology, 64(1), 41-47. Elsevier Ireland Ltd
Europe PubMed Central

مصطلحات موضوعية: Thorax, Chest Pain, medicine.medical_specialty, Acute coronary syndrome, Critical Care, Myocardial Infarction, Chest pain, Electrocardiography, Internal medicine, medicine, Humans, Radiology, Nuclear Medicine and imaging, Angina, Unstable, cardiovascular diseases, Myocardial infarction, Practice Patterns, Physicians', Aortic dissection, business.industry, Syndrome, General Medicine, Emergency department, medicine.disease, Triage, Pulmonary embolism, Radiographic Image Enhancement, Practice Guidelines as Topic, cardiovascular system, Cardiology, Radiology, medicine.symptom, Tomography, X-Ray Computed, business

الوصف: Acute myocardial infarction, pulmonary embolism, and aortic dissection are diseases associated with acute chest pain and may lead to severe morbidity and mortality. These diseases may not be trivial to diagnose in the settings of emergency room. ECG-gated multi-detector computed tomography (MDCT), already established for the assessment of pulmonary embolism and aortic dissection, provides reliable information regarding the triage of patients with acute coronary syndrome in the emergency room. MDCT recently appeared to be logistically feasible and a promising comprehensive method for the evaluation of cardiac and non-cardiac chest pain in emergency department patients. The possibility to scan the entire thorax visualizing the thoracic aorta, the pulmonary arteries, and the coronary arteries could provide a new approach to the triage of acute chest pain. The inherent advantage of MDCT with cardiac state-of-the-art capabilities is the rapid investigation of the main sources of acute chest pain with a high negative predictive value. Recent studies also reports an advantage in terms of costs. With current evidence, the selection of patients with acute chest pain candidates to MDCT should remain restricted to avoid unjustified risk of ionizing radiation.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6ca167bf803375d3fd5638d3d505190cTest
https://doi.org/10.1016/j.ejrad.2007.06.020Test