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.

Molecular imaging agent may halt cell suicide after heart attack

A single intravenous dose of the hormone erythropoietin administered immediately after myocardial infarction can drastically reduce or eliminate apoptosis and thereby limit the amount of damage to the heart, according to an article in the October issue of the Journal of Nuclear Medicine.

3D sequence aids rupture-prone plaque detection

Canadian researchers have used 3D MRI to accurately detect bleedingwithin the walls of diseased carotid arteries, suggesting the techniquemay prove to be a useful screening tool for patients at high risk forstroke, according to a study published in this months issue of Radiology.

Acist opens new U.S. headquarters

Acist Medical Systems, part of the Milan, Italy-based Bracco Group anda manufacturer of media injection systems, today opened its new U.S. corporate headquarters in EdenPrairie, Minn.

AngioDynamics posts lower net income, despite sales growth

AngioDynamics, a provider of medical devices used by interventionalradiologists for the minimally invasive treatment ofcancer and peripheral vascular disease, has reported its financialresults for the first quarter of 2009, which ended Aug. 31.

Medtronic, Bos Sci ordered to pay J&J about $1.2B for stent patents

The U.S. District Court in Delaware has awarded Johnson & Johnson(J&J) damages totaling $406.7 million and pre-judgment interesttotaling $296 million from Boston Scientific and $521 million fromMedtronic, in a case involving a stent patent owned by J&J.

CTA is less costly than MPI SPECT

The utilization of CT angiography (CTA) in individuals without knowncoronary artery disease results in lower healthcare costs thanmyocardial perfusion imaging (MPI) with SPECT for this cohort,according to research published this month in Radiology.

Following appropriate criteria can reduce unnecessary cardiac testing

BOSTON—Hospitals that perform cardiac nuclear stress testing under the 2007 Appropriateness Criteria from the American Society of Nuclear Cardiology (ASNC) and American College of Cardiology (ACC) could reduce unnecessary testing and potentially reduce costs, according to a study presented Sept. 12 at the ASNC conference.

"Incidentalomas" present dilemma for cardiac CT

To maximize spatial resolution and anatomic detail, cardiac CT (CCT) studies use a coned-down or limited field of view (FOV) that visualizes the heart and approximately one-third of the chest volume. However, if only limited-FOV images are viewed, more than 66.7 percent of pulmonary nodules larger than 1 cm in diameter and more than 80 percent of nodules smaller than 1 cm would be missed, according to a study published this month in the American Journal of Roentgenology.

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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