After 15 years from its advent in the clinical field, coronary computed tomography (CCTA) is now widely considered as the best first-step test in patients with low-to-moderate pre-test probability of coronary artery disease. Technological innovation was of pivotal importance for the extensive clinical and scientific interest in CCTA. Recently, the advent of last generation wide-coverage CT scans paved the way for new clinical applications of this technique beyond coronary arteries anatomy evaluation. More precisely, both biventricular volume and systolic function quantification and myocardial fibrosis identification appeared to be feasible with last generation CT. In the present review we would focus on potential applications of cardiac computed tomography (CCT), beyond CCTA, for a comprehensive assessment patients with newly diagnosed cardiomyopathy, from technical requirements to novel clinical applications.

在临床领域问世 15 年后，冠状动脉计算机断层扫描 (CCTA) 现在被广泛认为是低至中等冠状动脉疾病预检概率患者的最佳第一步检查。技术创新对于 CCTA 的广泛临床和科学兴趣至关重要。最近，上一代宽覆盖 CT 扫描的出现为该技术在冠状动脉解剖评估之外的新临床应用铺平了道路。更准确地说，使用上一代 CT，双心室容积和收缩功能量化以及心肌纤维化识别似乎都是可行的。在本综述中，我们将重点关注心脏计算机断层扫描 (CCT) 的潜在应用，超越 CCTA，