Abstract. A prospective, electrocardiographically gated technique was recently adapted for use with coronary and cardiac multidetector row CT studies. The most widely available form of prospective gat�ing uses "step-and-shoot" axial data acquisition, an incrementally moving table, adaptive electrocar�diographic triggering, an improved image reconstruction algorithm, and multiphase reconstruction capability. Studies have shown a 77%-87% effective radiation dose reduction compared with retro-spective gating and equal to significantly improved image quality. Comparison with conventional an-giography has proven it to be as accurate as retrospective gating for coronary stenosis detection. The technique is not applicable to all patients because there are some restrictions for clinical use, including a limited number of reconstructed phases and a maximum scan heart rate of 68-75 beats/min. However, with careful patient selection and effective heart rate control, prospective gating can be used in a high percentage of cardiac CT examinations. This article reviews the scanning and patient selection proto�cols for prospective gating and discusses how it may be used in clinical practice. � 2009 Society of Cardiovascular Computed Tomography. All rights reserved.