[Coronary CT angiography derived fractional flow reserve: opportunity for a win-win cooperation between cardiologists and radiologists]

Zhonghua Yi Xue Za Zhi. 2022 Sep 6;102(33):2575-2577. doi: 10.3760/cma.j.cn112137-20220419-00850.
[Article in Chinese]

Abstract

The advent of coronary CT angiography derived fractional flow reserve (CT-FFR) calculation technology has brought great improvements to the clinical diagnostic process and treatment decision-making towards coronary artery disease. In recent years, CT-FFR technology has gradually begun to be taken into clinical practice in China, however, currently, the popularization is not widespread, and it is imperative to further standardize the clinical application of CT-FFR technology. This paper focused on the opportunities, significance and challenges of CT-FFR application in China from the advantages and disadvantages perspectives of this new technology based on three international studies. Combined with specific national conditions and the latest evidence-based clinical medical results, this paper proposes a win-win cooperation initiative between cardiologists and radiologists for the reference and caution of both clinical practitioners and medical affairs bureaus.

基于冠状动脉CT血管成像的血流储备分数(CT-FFR)计算的出现,给冠心病的临床诊断流程和治疗决策选择带来了极大的改进。近年来CT-FFR技术在我国逐渐开始运用,但目前的开展普及并不广泛,亟需进一步规范CT-FFR的临床应用。本文通过三项国际研究的发布,从CT-FFR的优势与劣势阐述我国 CT-FFR 开展的机遇、意义和挑战,结合最新循证临床医学证据和我国具体国情,提出了心脏科与放射科合作共赢的倡议,以及当前研究需要注意的事宜,以供临床从业者和医疗管理部门参考。.

MeSH terms

  • Cardiologists*
  • Computed Tomography Angiography / methods
  • Fractional Flow Reserve, Myocardial*
  • Humans
  • Radiologists
  • Tomography, X-Ray Computed