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.

SCCT Feature: Philips VP stresses economic advantage of 128-slice scanner

Philips Healthcare's Brilliance iCT 256-slice CT scanner has been on the market since 2008, and the latest evolution of the Brilliance family--the iCT SP--was featured at the recent 2009 conference of the Society of Cardiovascular Computed Tomography (SCCT) in Orlando, Fla.

SCCT Feature: TeraRecon CEO touts advanced viz strategies for low-dose CT acquisitions

TeraRecon, a developer of advanced image processing and 3D visualization techniques, showcased its latest iteration of Aquarius iNtuition (4.4) software, with a special emphasis on low-dose scanning strategies, at the annual meeting of the Society of Cardiovascular Computed Tomography (SCCT) held last week in Orlando, Fla.

Epix Pharmaceuticals out of business

Epix Pharmaceuticals reported Monday that it has decided to shut down due to a lack of capital and its inability to obtain additional financing or consummate a strategic transaction.

SCCT Feature: CTA-assessed LV metrics correlate with coronary plaque burden

Harvard researchers used CT angiography (CTA) to determine that certain left ventricular (LV) metrics correlate with the degree of coronary plaque burden in patients without LV hypertrophy. The findings could provide an indication to intensify medical therapy in patients with subclinical coronary artery disease and hypertension, according to a study presented at last week's Society of Cardiovascular CT (SCCT) meeting in Orlando, Fla.

JACC: Prospective ECG-triggering detects coronary stenosis with less radiation

Prospective ECG-triggering CT allows an accurate detection of coronary stenosis with a low radiation dose, despite a slight reduction of diagnostic performance, according to a single-center study in the July 21 issue of the Journal of the American College of Cardiology.

AJR: Cardiac CT reduces costs, hospital stay for low-risk patients with chest pain

The use of cardiac CT for low-risk chest pain patients in the emergency department--instead of the traditional standard-of-care workup--may reduce a patient's length of stay and hospital charges, according to a single-center study in the July issue of the American Journal of Roentgenology.

CAD—Closing the Gap on Sensitivity, Specificity: Hurdling PACS Integration & System Learning Curves

Computer-aided detection (CAD) systems have proved their reliability in terms of sensitivity and specificity as a second reader for chest imaging, mammography and breast MRI in standalone studies assessing performance for a selected group. But before you can ask how CAD is impacting diagnosis and proving its value in everyday clinical practice, the interaction (or learning curve) between radiologist and the technology and the balancing act between sensitivity and specificity must be considered.

AIM: Aorta abnormalities aren't recorded in EMR half the time

Clinicians neglect to note a substantial proportion of new aortic dilations in their EMR systems, according to a respective cohort study in the July 7 issue of the Annals of Internal Medicine.

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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