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.

$Performing CT-derived fractional flow reserve (CT-FFR) before transcatheter aortic valve replacement (TAVR) improves the accuracy of coronary CT angiography (CCTA) and helps limit unneeded invasive coronary angiography (ICA), according to a new study published in JACC: Cardiovascular Interventions. Heartflow$
AI-based CAD assessments dramatically improve vascular surgery outcomes
PAD patients evaluated with HeartFlow's noninvasive FFR_CTAnalysis technology prior to surgery experienced much better outcomes, including a 63% lower risk of all-cause mortality after five years.
AI helps cardiologists track new drug's effect on inflammation
The combination of AI and CT helped Nehal Mehta, MD, and colleagues track the performance of a new drug designed to target coronary inflammation.
AI improves CT assessments, boosts care for real-world heart patients
Automated AI-generated measurements combined with annotated CT images can improve treatment planning and help referring physicians and patients better understand their disease, explained Sarah Jane Rinehart, MD, director of cardiac imaging with Charleston Area Medical Center.
AI predicts cardiovascular risk during CT scans—no invasive tests or contrast required
Two advanced algorithms—one for CAC scores and another for segmenting cardiac chamber volumes—outperformed radiologists when assessing low-dose chest CT scans.
CT procedure shown to reduce need for invasive cardiac testing
In a study, CT-FFR was shown to reduce the need for invasive tests to measure coronary artery blockage from 74.5% to 25.5%.

RSNA21: Deep learning automatically labels coronary arteries to produce structured CCTA reports

The algorithm yielded a 94.4% accuracy for labeling arteries in accordance with the Society of Cardiovascular Computed Tomography guidelines.

December 2, 2021

Imaging group says new guidelines for chest pain contain some ‘troubling recommendations’

The update is meant to help clinicians improve outcomes while reducing costs, but one advocate says certain imaging suggestions may cause unanticipated harm.

October 29, 2021

CAD-RADS a ‘big step in the right direction’ toward improving outcomes for acute chest pain

Korean researchers tested the Coronary Artery Disease Reporting and Data System in nearly 1,500 patients treated across four hospital emergency departments.

July 20, 2021

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.

July 7, 2021

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.

December 8, 2020

Top cardiac society releases new guidelines for training radiology students in cardiovascular CT

The Society of Cardiovascular Computed Tomography recently published its 14-page guidance online.

November 6, 2020

Fasting before contrast-enhanced CT exams is unnecessary, experts say

In some instances, not eating solid foods can actually make patients feel sick, leading to nausea and dehydration, researchers explained recently.

October 23, 2020

Offering imaging exam for free ups utilization by 546%, with key gains in underserved populations

University Hospitals Health System tested the pricing change in a bid to boost outcomes in its service area.

September 23, 2020

Around the web

Cardiovascular Business

AI improves CT assessments, boosts care for real-world heart patients

Automated AI-generated measurements combined with annotated CT images can improve treatment planning and help referring physicians and patients better understand their disease, explained Sarah Jane Rinehart, MD, director of cardiac imaging with Charleston Area Medical Center.

Cardiovascular Business

AI predicts cardiovascular risk during CT scans—no invasive tests or contrast required

Two advanced algorithms—one for CAC scores and another for segmenting cardiac chamber volumes—outperformed radiologists when assessing low-dose chest CT scans.

Radiology Business

Google teams with Bayer to address radiologist burnout via AI

"Gen AI can help tackle repetitive tasks and provide insights into massive datasets, saving valuable time," Thomas Kurian, CEO of Google Cloud, said Tuesday.