Cardiac computed tomography angiography (CCTA) is known to have excellent anatomical imaging, but has lacked the ability for functional assessments, requiring chest pain patients with intermediate stenosis lesions to be sent to the cath lab or nuclear myocardial perfusion imaging. However, recent advances in CCTA image analysis software and the accumulation of supporting clinical data may soon enable CT perfusion imaging and virtual fractional flow reserve-CT (FFR-CT) to become mainstream in the coming years.
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