Computed Tomography

Cardiac computed tomography (CT) has become a primary cardiovascular imaging modality in the past 20 years, and was recommended as a 1A recommendation in the 2021 chest pain assessment guidelines. CT calcium scoring has became a primary risk assessment for coronary artery disease and whether patients should be on statins. Coronary CT angiography (CCTA) is used to for anatomical assessment of the arteries for plaque burden and to identify areas of blockage that may cause ischemia and heart attacks. Additional use of contrast CT perfusion or fractional flow reserve CT (FFR-CT) can offer physiological information on the function of the heart. CT plays a primary role in structural heart assessments for heart valves, repair of congenital defects and left atrial appendage occlusion (LAAO) for both pre-procedure planning and procedural guidance. Find more news on general radiology CT use.

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An example of a noninvasive coronary CT scan on the left and an invasive angiogram of the same patient on the right from a recent RSNA study. The CT shows more information on the calcified nature of the plaque and shows more anatomical information beyond what the angiogram provides.

CT a low-risk imaging alternative to invasive coronary angiography for suspected CAD

The new analysis focused on data from 16 different European countries. 

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‘A watershed moment’: HeartFlow praises new chest pain guidelines

The company showed its support for the guidelines in a new statement. 

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Radiologists should watch for these 3 pulmonary findings linked to increased COVID mortality

Experts looked beyond common pulmonary consolidations, finding a handful of accurate indicators of in-hospital mortality.

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Chest CT, perfusion imaging spots pulmonary embolism in 25% of hospitalized COVID patients

Men and smokers were particularly prone to this condition, which, if left untreated, carries an up to 30% mortality rate.

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Radiologists utilize novel CAD-RADS in 95% of coronary CTA reports

Massachusetts General Hospital doctors analyzed Coronary Artery Disease Reporting and Data System usage in their high-volume cardiac CT services center for the study.

chest pain lung pulmonary embolism

New pulmonary embolism approach could substantially reduce imaging overuse

The pretest probability score produced false-negative rates below 1% and dropped imaging use by about 20%, according to a new JAMA Cardiology study. 

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Society of Cardiovascular Computed Tomography shares new CCTA guidance

The guidance, published in full in the Journal of Cardiovascular Computed Tomography, includes updates to previous CCTA recommendations and was designed to answer common questions.

chest pain lung pulmonary embolism

CCTA is a safe, effective alternative to SPECT in patients with stable chest pain

The findings come by way of the RESCUE Trial, which included more than 1,000 participants from 44 different sites.

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Around the web

Health Imaging
Use of AI opportunistic screening in CT for cardiovascular disease

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Health Imaging
New imaging protocols proposed to curb rise of cardiovascular infections

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.