Cardiac Imaging

While cardiac ultrasound is the widely used imaging modality for heart assessments, computed tomography (CT), magnetic resonance imaging (MRI) and nuclear imaging are also used and are often complimentary, each offering specific details about the heart other modalities cannot. For this reason the clinical question being asked often determines the imaging test that will be used.

BMI identified as risk factor in asymptomatic diabetic patients with coronary plaque

Body mass index (BMI) has been identified as the primary modifiable risk factor associated with total and soft coronary plaque on coronary CT angiography in asymptomatic diabetic patients, according to a study published online April 22 by Radiology. 

PCI, angiography study may help operators optimize radiation dose

An evaluation of radiation exposure to a large population of patients undergoing PCI and coronary angiography (CA) may help identify methods for optimizing patient safety, according to a study published online April 9 in Catheterization and Cardiovascular Interventions.

CT perfusion, angiogram use for acute ischemic stroke skyrockets

The rates of CT perfusion and CT angiogram for acute ischemic stroke markedly increased from 2006 to 2010 and both modalities were associated with increased reperfusion therapy use, according to a study published in the April issue of Stroke. 

Stress cardiac magnetic resonance effective in obese patients

Use of stress cardiac magnetic resonance in obese patients is feasible and effective in determining prognoses, according to a study published online April 9 in the Journal of the American College of Cardiology: Cardiovascular Imaging. 

Coronary artery plaque prevalent in men with HIV

Noncalcified coronary artery plaque was found to be more prevalent and extensive in HIV-infected men, which suggests an increased risk for cardiovascular events in this population, according to a study published on March 31 by Annals of Internal Medicine. 

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Matters of the heart

While the SGR saga was deservedly the biggest headline this week, a number of the other most read stories came from the area of cardiovascular imaging.

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ACC.14: Recent advances in CT scanner technology, ED research improving care

WASHINGTON, D.C.—An update on trends in cardiac CT, presented March 30 at the American College of Cardiology (ACC) scientific session, focused on improvements in speed and coverage from vendors and highlighted studies showing the utility of CT angiography (CTA) in the emergency department.

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Collaborative technique noninvasively assesses cardiac arrhythmias

Fusing body surface electrocardiographic mapping (BSM) and imaging allows for comprehensive assessment of cardiac arrhythmias, according to a study published in the April issue of Radiology. 

Around the web

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.

The newly cleared offering, AutoChamber, was designed with opportunistic screening in mind. It can evaluate many different kinds of CT images, including those originally gathered to screen patients for lung cancer. 

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