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.

Straight to the Heart: Comparative Effectiveness Research Weighs Merits of Competing Cardiac Imaging Modalities

When a SPECT myocardial perfusion study of a patient with persistent angina produced a normal result, the attending cardiologist at the Medical University of South Carolina in Charleston suspected the study had missed something more serious.

Circ Feature: CCTA correlates with cath angio findings of plaque disruption

In a highly selected group of patients with acute unstable or new-onset angina, coronary CT angiography (CCTA) was able to delineate features of plaque disruption, including ulceration and intraplaque dye penetration, which are specific markers of invasively identified complex plaque, according to a single-center study published in the March 16 Circulation: Cardiovascular Imaging.

AIM: Low-dose CCTA rivals angio for CAD detection

Low-dose coronary CT angiography (CCTA) suggested that the sensitivity of the technique rivals catheter-based angiography and may offer an alternative to invasive angiography in ruling out coronary artery disease (CAD) in symptomatic patients, according to a meta-analysis of 16 studies published March 15 in Annals of Internal Medicine.

JACC: CCO may be new algorithm for functional coronary stenosis

The agreement and operating characteristics of corrected coronary opacification (CCO) differences in identifying abnormal resting coronary flow seem to be very good and indicate its potential role in the assessment of functional coronary stenosis and measurement of stress coronary flow, according to a proof-of-concept study published in the March 15 issue of the Journal of the American College of Cardiology.

Study: Cardiac imaging linked to cancer risk

Exposure to ionizing radiation from cardiac imaging procedures following heart attack is associated with significantly increased rates of cancer, with each 10 mSv of cumulative radiation correlating with a 3 percent increased risk of developing cancer, a study published Feb. 7 in the Canadian Medical Association Journal reported.

Purdue installs MILabs' SPECT/CT

Purdue University's Bindley Bioscience Center has installed U-SPECT-II/CT system, manufactured by MILabs, which will be used by researchers to capture molecular and anatomical images for medical research.

JACC: CT & MRI equally accurate for imaging heart disease

CT and MRI angiography yield similar accuracy in the diagnosis of coronary artery stenosis, with CT demonstrating a nonsignificant advantage and conventional angiography outperforming both, according to a study published in the January issue of the Journal of the American College of Cardiology.

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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