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DOI: 10.1148/radiol.2453061481
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(Radiology 2007;245:672-681.)
© RSNA, 2007

Reviews

Chest Pain in the Emergency Department: Role of Multidetector CT1

Charles S. White, MD and Dick Kuo, MD

1 From the Department of Diagnostic Radiology (C.S.W.) and Division of Emergency Medicine, Department of Surgery (D.K.), University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201. Received August 26, 2006; revision requested October 27; revision received December 15; accepted February 1, 2007; final version accepted March 16; final review and update by C.S.W. May 31. C.S.W. receives research support from Philips Medical Systems. Address correspondence to C.S.W. (e-mail: cwhite{at}umm.edu).

The development of newer generations of multidetector computed tomographic (CT) scanners capable of enabling accurate assessment of the coronary arteries in conjunction with the increasing placement of CT scanners near the emergency department has raised interest in using CT to provide a comprehensive imaging evaluation of patients presenting with acute chest pain. In this article, the authors review the challenges surrounding the current clinical and imaging work-up of chest pain in the emergency room and provide a framework for understanding the potential role of CT.

© RSNA, 2007




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