TY - JOUR
T1 - Coronary Computed Tomography Angiography Derived Fractional Flow Reserve and Plaque Stress
AU - Nørgaard, Bjarne Linde
AU - Leipsic, Jonathon
AU - Koo, Bon-Kwon
AU - Zarins, Christopher K
AU - Jensen, Jesper Møller
AU - Sand, Niels Peter
AU - Taylor, Charles A
PY - 2016/3/5
Y1 - 2016/3/5
N2 - Fractional flow reserve (FFR) measured during invasive coronary angiography is an independent prognosticator in patients with coronary artery disease and the gold standard for decision making in coronary revascularization. The integration of computational fluid dynamics and quantitative anatomic and physiologic modeling now enables simulation of patient-specific hemodynamic parameters including blood velocity, pressure, pressure gradients, and FFR from standard acquired coronary computed tomography (CT) datasets. In this review article, we describe the potential impact on clinical practice and the science behind noninvasive coronary computed tomography (CT) angiography derived fractional flow reserve (FFRCT) as well as future applications of this technology in treatment planning and quantifying forces on atherosclerotic plaques.
AB - Fractional flow reserve (FFR) measured during invasive coronary angiography is an independent prognosticator in patients with coronary artery disease and the gold standard for decision making in coronary revascularization. The integration of computational fluid dynamics and quantitative anatomic and physiologic modeling now enables simulation of patient-specific hemodynamic parameters including blood velocity, pressure, pressure gradients, and FFR from standard acquired coronary computed tomography (CT) datasets. In this review article, we describe the potential impact on clinical practice and the science behind noninvasive coronary computed tomography (CT) angiography derived fractional flow reserve (FFRCT) as well as future applications of this technology in treatment planning and quantifying forces on atherosclerotic plaques.
KW - Atherosclerosis
KW - Axial plaque stress
KW - Computational fluid dynamics
KW - Coronary artery disease
KW - Coronary computed tomography angiography
KW - Coronary plaque
KW - Fractional flow reserve
KW - Invasive coronary angiography
KW - Myocardial ischemia
KW - Noninvasive cardiac imaging
KW - Noninvasive diagnostic testing
KW - Prognosis
KW - Wall shear stress
UR - http://www.scopus.com/inward/record.url?scp=84953283213&partnerID=8YFLogxK
U2 - 10.1007/s12410-015-9366-5
DO - 10.1007/s12410-015-9366-5
M3 - Journal article
C2 - 26941886
SN - 1941-9066
VL - 9
SP - 2
JO - Current cardiovascular imaging reports
JF - Current cardiovascular imaging reports
IS - 1
M1 - 2
ER -