Technical prerequisites and imaging protocols for dynamic and dual energy myocardial perfusion imaging

Eur J Radiol. 2015 Dec;84(12):2401-10. doi: 10.1016/j.ejrad.2015.02.010. Epub 2015 Feb 21.


Coronary CT angiography (CCTA) is an established imaging technique used for the non-invasive morphological assessment of coronary artery disease. As in invasive coronary angiography, CCTA anatomical assessment of coronary stenosis does not adequately predict hemodynamic relevance. However, recent technical improvements provide the possibility of CT myocardial perfusion imaging (CTMPI). Two distinct CT techniques are currently available for myocardial perfusion assessment: static CT myocardial perfusion imaging (sCTMPI), with single- or dual-energy modality, and dynamic CT myocardial perfusion imaging (dCTMPI). The combination of CCTA morphological assessment and CTMPI functional evaluation holds promise for achieving a comprehensive assessment of coronary artery anatomy and myocardial perfusion using a single image modality.

Keywords: Coronary CT angiography; Coronary artery disease; Dual energy CT; Invasive coronary angiography; Myocardial perfusion imaging.

Publication types

  • Review

MeSH terms

  • Coronary Angiography / methods*
  • Coronary Artery Disease / diagnostic imaging*
  • Coronary Stenosis / diagnostic imaging
  • Humans
  • Male
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed / methods*