Clinical applications of fractional flow reserve derived from computed tomography in coronary artery disease

Abstract

Computer tomography–derived fractional flow reserve (CT-FFR) represents a significant advancement in noninvasive cardiac functional assessment. This technology uses computer simulation and anatomical information from computer tomography of coronary angiogram to calculate the CT-FFR value at each point within the coronary vasculature. These values serve as a critical reference for cardiologists in making informed treatment decisions and planning. Emerging evidence suggests that CT-FFR has the potential to enhance the specificity of computer tomography of coronary angiogram, thereby reducing the need for additional diagnostic examinations such as invasive coronary angiography and cardiac magnetic resonance imaging. This could result in savings in financial cost, time, and resources for both patients and health care providers. However, it is important to note that although CT-FFR holds great promise, there are limitations to this technology. Users should be cautious of common pitfalls associated with its use. A comprehensive understanding of these limitations is essential for effectively applying CT-FFR in clinical practice.