Medical Imaging and Radiotherapy Journal (MIRTJ) 41 (Suppl. 1) 45
Medical Imaging and Radiotherapy Journal (MIRTJ) 41 (Suppl. 1)
CT KORONAROGRAFIJA – POMEN CT KORONAROGRAFIJE V 
DIAGNOSTIKI BOLEZNI SRCA IN OŽILJA
CT CORONAROGRAPHY – IMPORTANCE OF CT CORONAROGRAPHY IN THE DIAGNOSIS 
OF CARDIOVASCULAR DISEASES
Kosta Zec, Svjetlana Ostojić, Vladan Savić
Oddelek za klinično radilogijo, UKC RS, Banja Luka, Republika Srpska
Department of Clinical Radiology UKC RS, Banja Luka, Republika Srpska
Korespondenca / Corresponding author: kostazec11@gmail.com
Prejeto/Recived: 31. 1. 2024
Sprejeto/Accepted: 17. 4. 2024
IZVLEČEK
Uvod:  Bolezni srca in ožilja so danes v razvitih državah eden 
glavnih vzrokov umrljivosti. Za diagnosticiranje bolezni srca 
in ožilja se kot zlati standard uporablja DSA. Izjemen razvoj 
CT z zmanjšanjem doze sevanja je privedel do tega, da se 
CT koronarografi ja, t.i. koronarna angiografi ja, vse pogosteje 
uporablja kot neinvazivna preiskava za oceno koronarnih 
arterij.
Metode: V tem prispevku bomo opisali način delovanja CT 
koronarografi je, njen pomen pri diagnostiki srčno-žilnih 
bolezni, pripravo bolnikov na to preiskavo ter prednosti in 
slabosti te vrste diagnostike srčno-žilnih bolezni v primerjavi z 
drugimi diagnostičnimi metodami. Prikazali bomo tudi nekaj 
zanimivih primerov, opravljenih na napravi Siemens Somatom 
Defi nition Edge.
Rezultati: Na Inštitutu za klinično radiologijo UKC RS je bilo 
od 10. aprila 2022 do danes v omenjenem postopku z napravo 
Siemens Somatom Defi nition Edge uspešno opravljenih 600 
preiskav. 
Razprava in zaključek: Na podlagi navedenega lahko 
sklepamo, da postaja CT koronarografi ja vse bolj priljubljena 
in zelo uporabna metoda za odkrivanje bolezni srca. Gre za 
obetavno tehniko, ki jo morajo izvajati izkušeni operaterji. 
Njeni klinični rezultati so zelo odvisni od optimizacije vsakega 
koraka postopka.
ABSTRACT
Introduction: Cardiovascular diseases are one of the leading 
causes of mortality in developed countries today. For the 
diagnosis of cardiovascular diseases, DSA is used as the gold 
standard. However, the exceptional development of CT, with 
the reduction of the radiation dose, has led to the fact that CT 
coronary angiography is increasingly used as a non-invasive 
examination for assessing coronary arteries. 
Methods: In this paper, we will describe the working method of 
CT coronary angiography itself, its importance in the diagnosis 
of cardiovascular diseases, the preparation of patients for this 
examination, and the advantages and disadvantages of this 
type of diagnosis of cardiovascular diseases in relation to 
other diagnostics. We will also show a couple of interesting 
cases performed on the Siemens Somatom Defi nition Edge 
device.
Results: From April 10, 2022, 600 examinations have been 
successfully performed at the Institute for Clinical Radiology, 
UKC RS to date, in the mentioned procedure using the Siemens 
Somatom Defi nition Edge device. 
Conclusion: We can conclude from the above that CT coronary 
angiography is becoming an increasingly popular and very 
useful method for detecting heart diseases. It is a promising 
technique that should be performed by experienced 
operators. Its clinical results are highly dependent on the 
optimization of each step of the procedure.
LITERATURA / REFERENCES
Dewey M (2009). Coronary CT Aangiography. Berlin: Springer: 
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Soschynski M et al. (2022). Update for the Performance of 
CT Coronary Angiography. Evidance-Based Application 
and technical Guidance According to Current Consensus 
Guidelines and Practical Advice from the Clinical Routine. 
Thieme.
Schoenhagen P, Schultz CJ, Halliburton SS (2014).  Cardiac 
CT Made Easy (An Introduction to Cardiovascular 
Multidetector Computed Tomagraphy) by Taylor & Francis 
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