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CT Coronary Angiography: Technical Approach and Atherosclerotic Plaque Characterization.

Serena Dell'AversanaRaffaele AscioneRaffaella Antonia VitaleFabrizia CavalierePiercarmine PorcaroBasile LuigiGiovanni NapolitanoMarco BoccalatteGerolamo SibilioGiovanni EspositoAnna FranzoneGiuseppe Di CostanzoGiuseppe MuscogiuriSandro SironiRenato CuocoloEnrico CavagliàAndrea PonsiglioneMassimo Imbriaco
Published in: Journal of clinical medicine (2023)
Coronary computed tomography angiography (CCTA) currently represents a robust imaging technique for the detection, quantification and characterization of coronary atherosclerosis. However, CCTA remains a challenging task requiring both high spatial and temporal resolution to provide motion-free images of the coronary arteries. Several CCTA features, such as low attenuation, positive remodeling, spotty calcification, napkin-ring and high pericoronary fat attenuation index have been proved as associated to high-risk plaques. This review aims to explore the role of CCTA in the characterization of high-risk atherosclerotic plaque and the recent advancements in CCTA technologies with a focus on radiomics plaque analysis.
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