Computed tomography (CT) is capable of comprehensively assessing the heart in order to provide information on anatomy, function, perfusion and viability. CT coronary angiography can assess both the coronary artery lumen and the characteristics of atherosclerotic plaques. CT myocardial perfusion imaging can provide additional information compared to CT coronary angiography by highlighting areas of myocardial hypo-perfusion and potential ischaemia. This article provides a brief overview of CT myocardial perfusion imaging protocols, current evidence and examples of its clinical uses.

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