Computed Tomography Based Agatston Scoring in the Diagnosis of Coronary Artery Disease: A Case Report

Caroline Edward Ayad¹*, Monadhil Awad Fadl El Mola², Mohammed Abdelwahab Idriss Salih², Elsafi Ahmed Abdalla¹, and Samih Awad Kajoak³

¹College of Medical Radiological Science, Sudan University of Science and Technology, P.O. Box 1908 Khartoum-Sudan

²Royal Scan Center, Khartoum-Sudan

³College of Applied Medical Science, Diagnostic Radiology Department, Hail University- Saudi Arabia

*Corresponding Author E-mail: carolineayad@yahoo.com, carolineayad@sustech.edu; Phone: +249 0922044764

Accepted 23 June, 2014

Abstract

Coronary heart disease is the most common cause of death in the general population. Modern Computed Tomography (CT) systems meet the needs of sufficient resolution for imaging of the heart and coronary arteries. The detection of coronary artery calcium (CAC) is simple and is applied to detect and quantify subclinical coronary atherosclerosis even in asymptomatic individuals. This case of Coronary Artery Disease was studied during the period from January 2014 up to February 2014 using MSCT scanning. Volume Rendering Technique, Maximum Intensity Projection and axial cuts were obtained. Results from the study suggest that MDCT technology not only offers the possibility to visualize intracoronary stenosis non-invasively, but also to differentiate plaque morphology and the site of calcification. Contrast-enhanced MDCT is a promising non-invasive technique for the detection, visualization and characterization of stenotic artery disease.

Keywords: Coronary artery disease, Computed Tomography, Calcium scoring