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Comprehensive CT Cardiothoracic ImagingComprehensive CT Cardiothoracic Imaging: A New Challenge for Chest Imaging

Riccardo Marano, MD; Federica Pirro, MD; Valentina Silvestri, MD; Biagio Merlino, MD; Giancarlo Savino, MD; Claudia Rutigliano, MD; Agostino Meduri, MD; Luigi Natale, MD; Lorenzo Bonomo, MD
Author and Funding Information

From the Department of Radiological Sciences, Institute of Radiology, Catholic University, Rome, Italy.

CORRESPONDENCE TO: Riccardo Marano, MD, Department of Radiological Sciences, Institute of Radiology, Catholic University, “A. Gemelli” Hospital, L.go Agostino Gemelli, 8, 00168, Rome, Italy; e-mail: riccardo.marano@rm.unicatt.it


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(2):538-551. doi:10.1378/chest.14-1403
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In the past, thoracic and cardiac imaging were two distinct specialties of radiology. The technical evolution, however, has changed their boundaries with an important impact on CT imaging practices and has opened the new era of “cardiothoracic” imaging, due to the strong anatomic, mechanical, physiologic, physiopathologic, and therapeutic cardiopulmonary correlations. Modern thoracic radiologists can no longer avoid the assessment of heart and coronary arteries, as they used to do with earlier generations of CT scanner. The advent of ECG gating and state-of-art CT scanner faster rotation speed, high spatial and temporal resolution, high-pitch mode, shorter acquisition time, and dedicated cardiac reconstruction algorithms has opened new possibilities for chest imaging, integrating cardiac morphologic and even functional information within a diagnostic chest CT scan. The aim of this review is to briefly show and summarize the concept of integrated cardiothoracic imaging, which redefines the boundaries of chest CT imaging, opening the door to a new radiologic specialty.


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