Over the last 2 years, multi-detector row computed tomographic (MDCT) cardiac imaging has continued to rapidly develop and evolve from the experimental research setting to become a useful clinical tool. The increasing availability of MDCT presents today's clinicians with an additional non-invasive diagnostic cardiac imaging method, in particular for the coronary arteries. With the advent and increasing clinical use of 16-detector row machines, and now with the imminent clinical emergence of 64-channel machines, the improvements in spatial and temporal resolution and sophisticated ECG-gating are allowing motion-free, fast, accurate, detailed, contrast-enhanced cardiac imaging that begins to approach the accuracy of traditional invasive diagnostic techniques. Additional diagnostic information may also be provided.