medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/10.24835/1607-0763-983medvis-983Research ArticleОТ ПРИГЛАШЕННОГО РЕДАКТОРАFROM THE INVITED EDITORНовые области применения компьютерной томографии сердца в диагностике ишемии миокардаNew applications of cardiac computed tomography for evaluation of myocardial ischemiahttps://orcid.org/0000-0002-8402-7643ЛисицкаяМ. В.LisitskayaM. V.

Лисицкая Мария Валерьевна – канд. мед. наук, врач-рентгенолог отделения рентгенодиагностики с кабинетами КТ и МРТ

Scopus ID 57210604921

119192 Москва, Ломоносовский проспект, 27, к. 10

Тел.: +7-196-550-88-11

Maria V. Lisitskaya – Cand. of Sci. (Med.), Radiologist at Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow

Phone: +7-196-550-88-11 

lissenok@inbox.ruhttps://orcid.org/0000-0002-1266-4926МершинаЕ. А.MershinaE. A.

Мершина Елена Александровна – канд. мед. наук, заведующая отделением рентгенодиагностики с кабинетами КТ и МРТ; доцент кафедры лучевой диагностики факультета фундаментальной медицины

Scopus ID 12787891900 

119192 Москва, Ломоносовский проспект, 27, к. 10

Elena A. Mershina – Cand. of Sci. (Med.), Head of Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow

elena_mershina@mail.ruhttps://orcid.org/0000-0002-2484-5249ЛаринаО. М.LarinaO. M.

Ларина Ольга Михайловна – канд. мед. наук, врач-рентгенолог, отделения рентгенодиагностики с кабинетами КТ и МРТ

119192 Москва, Ломоносовский проспект, 27, к. 10

Olga M. Larina – Cand. of Sci. (Med.), Radiologist at Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow

larina-olga@yandex.ruhttps://orcid.org/0000-0001-7533-9867ПлотниковаМ. Л.PlotnikovaM. L.

Плотникова Мария Леонидовна – врач-рентгенолог отделения рентгенодиагностики с кабинетами КТ и МРТ 

119192 Москва, Ломоносовский проспект, 27, к. 10

Maria L. Plotnikova – Radiologist at Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow

mashamotyleva@mail.ruhttps://orcid.org/0000-0002-1435-4729ШляпкинаО. С.ShlyapkinaO. S.

Шляпкина Ольга Сергеевна – врач-рентгенолог отделения рентгенодиагностики с кабинетами КТ и МРТ

119192 Москва, Ломоносовский проспект, 27, к. 10

Olga S. Shlyapkina – Radiologist at Radiology department with CT and MRI 

27-10, Lomonosovsky prospekt, 119192 Moscow

shlyapkinaolga571@gmail.comМедицинский научно-образовательный центр ФГБОУ ВО “Московский государственный университет имени М.В. Ломоносова”РоссияMedical Research and Education Center of Lomonosov Moscow State UniversityRussian Federation2022050320222617077Copyright © Лисицкая М.В., Мершина Е.А., Ларина О.М., Плотникова М.Л., Шляпкина О.С., 20222022Лисицкая М.В., Мершина Е.А., Ларина О.М., Плотникова М.Л., Шляпкина О.С.Lisitskaya M.V., Mershina E.A., Larina O.M., Plotnikova M.L., Shlyapkina O.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/983

КТ-коронарография показала высокую диагностическую точность в диагностике ишемической болезни сердца (ИБС) и стенозов венечных артерий. Тем не менее остаются вопросы функциональной оценки ишемии миокарда, так как степень стеноза артерий и клинические исходы не всегда коррелируют, а оценка гемодинамической значимости стенозов коронарных артерий остается сложной. Отмечено, что исключительное проведение функциональных неинвазивных тестов для оценки возможных стенозов может приводить к ложноотрицательным результатам и, как следствие, ухудшать долгосрочный прогноз вероятности кардиоваскулярных событий. Таким образом, сочетанное применение анатомической и функциональной оценки венечных артерий может улучшить прогноз пациентов с ИБС. В качестве единого (“всё-в-одном”) метода обследования может выступать КТ-коронарография н, дополненная стресс-перфузией и/или измерением фракционного резерва кровотока.Данный обзор представляет собой описание новых методов диагностики ишемии миокарда при проведении КТ коронарных сосудов при стабильной ИБС и перспективы их применения.

MSCT is known for its extremely high diagnostic accuracy in coronary artery stenosis detection and quantification. However, there are still questions about physiological assessment of myocardial ischemia, since the degree of arterial stenosis and clinical outcomes do not always correlate. It is also noted that the exclusive use of functional non-invasive tests to assess the grade of stenosis can lead to false-negative results and worsen the long-term prognosis of cardiovascular events. Thus, the combined use of anatomical and functional tests can improve the prognosis in coronary heart disease patient. MSCT coronary angiography, combined with stress perfusion and/or CT derived fractional flow reserve, could be used as an all-in-one approach. This review describes new applications of cardiac MSCT.

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The authors declare that there are no conflicts of interest present.