1. West Hertfordshire NHS Trust
CARDIAC CT SCANNING
DR Kevin Rosenfeld
West Hertfordshire NHS Trust
Spire Harpenden
Spire Bushey

3. CARDIAC CT
Coronary calcium scoring
CT coronary angiography

4. Coronary calcium scoring
Assess calcium load in the coronary arteries
Indirectly measures the degree of atheroma in ca
Calcium score based on site and density
Risk of coronary artery disease

6. CT Coronary angiography
CTA and MRA
Peripheral,carotid,renal,intracranial
Cardiac- pulsation artefacts
Spatial resolution
Temporal resolution

7. NORMAL RCA

8. NORMAL LT CA

9. 3D IMAGE OF HEART

10. CT Coronary angiography

11. Coronary artery disease

12. CABG evaluation

13. STENT EVALUATION

14. CT Coronary angiograms
Nice guidelines march 2010
Acute and stable chest pain

15. Chest pain of recent onset
Assessment and diagnosis of recent onset chest pain or discomfort of suspected cardiac origin
This guidance partially updates NICE technology appraisal guidance 73 (published November 2003)
Issue date: March 2010

18. CARDIAC CT How can I arrange for myself or my patient to have a scan?
Is it available in all hospitals?
Cost?