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News You Need to Know Today
Gaps in access to AFib care | FFR-angio better than fluoro guided PCI | Cardiac CT for cardio-oncology
Wednesday, September 28, 2022
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Today's News and Trends

VIDEO: Gaps in the access to atrial fibrillation care

Interview with Dhanunjaya Lakkireddy, MD, executive medical director for the Kansas City Heart Rhythm Institute at HCA Midwest Health, on the need to speed access to electrophysiologists when a patient presents with atrial fibrillation.

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Dhanunjaya "DJ" Lakkireddy, MD, executive medical director for the Kansas City Heart Rhythm Institute at HCA Midwest Health, a professor of medicine at the University of Missouri, Columbia, and serves as deputy editor for the the Journal of Atrial Fibrillation, and serves on the HRS Board of Trustees, section steering committee chair for the ACC. He explains there is a big need to speed access to electrophysiologists (EPs) when a patient presents with atrial fibrillation (AFib). #AFibawareness
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VIDEO: Gaps in the access to atrial fibrillation care

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Dhanunjaya "DJ" Lakkireddy, MD, executive medical director for the Kansas City Heart Rhythm Institute at HCA Midwest Health, a professor of medicine at the University of Missouri, Columbia, and serves as deputy editor for the the Journal of Atrial Fibrillation, and serves on the HRS Board of Trustees, section steering committee chair for the ACC. He explains there is a big need to speed access to electrophysiologists (EPs) when a patient presents with atrial fibrillation (AFib). #AFibawareness
Interview with Dhanunjaya Lakkireddy, MD, executive medical director for the Kansas City Heart Rhythm Institute at HCA Midwest Health, on the need to speed access to electrophysiologists when a patient presents with atrial fibrillation.
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FFR-angiography guided lesion selection for PCI improves two-year outcomes in TCT late-breaker

Two-year outcomes of a QFR-guided vessel and lesion selection strategy showed that the benefits of QFR guidance continued to accrue over time compared with standard angiography guidance in patients undergoing PCI.

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Example of QFR technology, which uses a rotation of the C-arm around the patient to create a 3D model and a color coded map showing the FFR values and drops in blood flow.
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FFR-angiography guided lesion selection for PCI improves two-year outcomes in TCT late-breaker

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Example of QFR technology, which uses a rotation of the C-arm around the patient to create a 3D model and a color coded map showing the FFR values and drops in blood flow.
Two-year outcomes of a QFR-guided vessel and lesion selection strategy showed that the benefits of QFR guidance continued to accrue over time compared with standard angiography guidance in patients undergoing PCI.
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New recommendations for cardiac CT in cardio-oncology imaging

The statement was written to fill gaps in recommendations from prior consensus statements and guidelines in regards to the use of CCT in cardio-oncology, including use of calcium scoring and ruling out coronary disease when cardiac function is impaired.

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GE Revolution Apex CT CTA scanner_SCCT_2022_DFjpeg.jpeg
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New recommendations for cardiac CT in cardio-oncology imaging

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GE Revolution Apex CT CTA scanner_SCCT_2022_DFjpeg.jpeg
The statement was written to fill gaps in recommendations from prior consensus statements and guidelines in regards to the use of CCT in cardio-oncology, including use of calcium scoring and ruling out coronary disease when cardiac function is impaired.
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In Case You Missed It

Intrepid transcatheter mitral valve pilot study shows positive 3-year outcomes

New data on the Medtronic Intrepid transcatheter mitral valve replacement system from the Intrepid Pilot Study and Intermediate-Term Outcomes of the Intrepid Early Feasibility Study, were presented at the 2022 Transcatheter Cardiovascular Therapeutics (TCT) conference.

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The Medtronic Intrepid transcatheter mitral valve replacement (TMVR) system performed well in two studies presendted at TCT 2022. #TCT #TCT22 #TCT2022 #TMVR
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Intrepid transcatheter mitral valve pilot study shows positive 3-year outcomes

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The Medtronic Intrepid transcatheter mitral valve replacement (TMVR) system performed well in two studies presendted at TCT 2022. #TCT #TCT22 #TCT2022 #TMVR
New data on the Medtronic Intrepid transcatheter mitral valve replacement system from the Intrepid Pilot Study and Intermediate-Term Outcomes of the Intrepid Early Feasibility Study, were presented at the 2022 Transcatheter Cardiovascular Therapeutics (TCT) conference.
READ MORE >

Links to the American Heart Association 2022 late-breaking studies

The American Heart Association 2022 Scientific Sessions included 35 late-breaking studies and 39 featured science sessions presented at the meeting in Chicago, Nov. 5-7. Here is the list of all these studies with links to more information on the data.

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Image from the American Heart Association (AHA) annual scientific sessions where a large amount of late-breaking cardiology science is presented. #AHA #AHA22 #AHA2022
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Links to the American Heart Association 2022 late-breaking studies

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Image from the American Heart Association (AHA) annual scientific sessions where a large amount of late-breaking cardiology science is presented. #AHA #AHA22 #AHA2022
The American Heart Association 2022 Scientific Sessions included 35 late-breaking studies and 39 featured science sessions presented at the meeting in Chicago, Nov. 5-7. Here is the list of all these studies with links to more information on the data.
READ MORE >

VIDEO: CT imaging to plan coronary interventions — Interview with Jonathon Leipsic, MD

Jonathon Leipsic, MD, chairman of the Department of Radiology, University of British Columbia, explains how noninvasive computed tomography angiography (CTA) can be used to aid in planning interventional cardiology procedures for percutaneous coronary intervention (PCI) and chronic total occlusions (CTO). 

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Example of a patient's coronary tree extracted from a cardiac CT scan. CT allows very detailed anatomical imaging and now physiological and plaque information that can be useful in pre-planning interventional procedures. Imaging from the GE Revolution Apex system at SCCT 2022.
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VIDEO: CT imaging to plan coronary interventions — Interview with Jonathon Leipsic, MD

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Example of a patient's coronary tree extracted from a cardiac CT scan. CT allows very detailed anatomical imaging and now physiological and plaque information that can be useful in pre-planning interventional procedures. Imaging from the GE Revolution Apex system at SCCT 2022.
Jonathon Leipsic, MD, chairman of the Department of Radiology, University of British Columbia, explains how noninvasive computed tomography angiography (CTA) can be used to aid in planning interventional cardiology procedures for percutaneous coronary intervention (PCI) and chronic total occlusions (CTO). 
READ MORE >

VIDEO: Why plaque composition CT imaging may be the future of cardiology

Former European Society of Cardiology president Prof. Jeroen Bax explains the difficulty in quantifying these plaques manually and how artificial intelligence may change this to allow rapid, detailed quantitative analysis. 

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AI-generated coronary tree from a patient's CT scan showing a color code of areas of interest for plaque burden from the Cleerly software shown at SCCT 2022.
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VIDEO: Why plaque composition CT imaging may be the future of cardiology

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AI-generated coronary tree from a patient's CT scan showing a color code of areas of interest for plaque burden from the Cleerly software shown at SCCT 2022.
Former European Society of Cardiology president Prof. Jeroen Bax explains the difficulty in quantifying these plaques manually and how artificial intelligence may change this to allow rapid, detailed quantitative analysis. 
READ MORE >

Around the Web

Experts call for guidelines limiting interpretations during busy shifts, citing a reduction in error rates

When exam volumes increase, so too does the risk of diagnostic errors in interpretations, many of which can be clinically significant.

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Experts call for guidelines limiting interpretations during busy shifts, citing a reduction in error rates

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When exam volumes increase, so too does the risk of diagnostic errors in interpretations, many of which can be clinically significant.
READ MORE >

Vaccinated vs unvaccinated, Delta vs Omicron—how do these factors impact clinical and imaging features?

Vaccination rates likely had a role in reducing disease severity during Omicron, a new paper published in Radiology suggests.

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Representative cases showing pneumonia extents and patterns on chest X-ray (CXRs) and CT images. (E and F) A 36-year-old male with no history of vaccination for COVID- 19. The patient had no history of comorbidity. Axial chest CT image obtained on the same day showing unilateral ground-glass opacity with a nonrounded morphology and non-peripheral distribution in the left upper lobe (arrows). RSNA Image. COVID on X-ray, CT scan. What does COVID look like in medical imaging? Example of COVID imaging.
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Vaccinated vs unvaccinated, Delta vs Omicron—how do these factors impact clinical and imaging features?

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Representative cases showing pneumonia extents and patterns on chest X-ray (CXRs) and CT images. (E and F) A 36-year-old male with no history of vaccination for COVID- 19. The patient had no history of comorbidity. Axial chest CT image obtained on the same day showing unilateral ground-glass opacity with a nonrounded morphology and non-peripheral distribution in the left upper lobe (arrows). RSNA Image. COVID on X-ray, CT scan. What does COVID look like in medical imaging? Example of COVID imaging.
Vaccination rates likely had a role in reducing disease severity during Omicron, a new paper published in Radiology suggests.
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RSNA to shutter print journals

Collectors of medical memorabilia may want to plan on preserving the January 2023 print edition of Radiology.

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rsna_radiology_journal.jpg
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RSNA to shutter print journals

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rsna_radiology_journal.jpg
Collectors of medical memorabilia may want to plan on preserving the January 2023 print edition of Radiology.
READ MORE >

More than 100 medical societies push Congress to end destructive cycle of annual Medicare cuts

More than 120 medical societies have joined the AMA in a letter urging congressional leaders to enact long-term solutions to the systemic problems in the Medicare physician payment system and to address cuts that are going into effect in 2023.

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AMA analysis of Medicare Trustee data shows Medicare updates compared to inflation 2001-2021.
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More than 100 medical societies push Congress to end destructive cycle of annual Medicare cuts

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AMA analysis of Medicare Trustee data shows Medicare updates compared to inflation 2001-2021.
More than 120 medical societies have joined the AMA in a letter urging congressional leaders to enact long-term solutions to the systemic problems in the Medicare physician payment system and to address cuts that are going into effect in 2023.
READ MORE >

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