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.

PET shows superior sensitivity, specificity for CAD detection

 CHICAGO, Nov. 30—A meta-analysis of myocardial perfusion PET presented this week at the 93rd scientific assembly and annual meeting of the Radiological Society of North America (RSNA) demonstrated that the modality has excellent sensitivity and specificity for detecting coronary artery disease (CAD) compared with other non-invasive myocardial perfusion imaging technologies.

Point and click capability adds multilingual muscle to cardiac CT reporting

 CHICAGO, Nov. 30—Structured reporting (SR) holds the potential to save valuabledictation time, provide complete and accurate reports, and turn aroundreports quickly. It also can be utilized to provide cross-languageinterpretation, as was demonstrated this week in a scientificpresentation at the 93rd scientific assembly and annual meeting of theRadiological Society of North America (RSNA).

Heart problems escalate in HIV patients using anti-retroviral therapy

CHICAGO, Nov. 29—Patients with HIV using an anti-retroviral therapy(ART) seem to have an increased risk of atherosclerosis andcardiovascular disease (CVD) risks, according to a scientific poster,“Cardiac Disease in Patients with HIV: Atherogenesis, CT CoronaryCalcium Assessment, and Spectrum of Extracardiac Findings,” presentedat the 93rd annual meeting of the Radiological Society of North America(RSNA).

64-slice CT can evaluate drug-eluting stent patency, but high BMI complicates visualization

A 64-slice multidetector CT system (MDCT) has the potential to evaluatepatency of drug-eluting stents (DES) with a low incidence ofrestenosis, but when body mass index (BMI) is high, it will bedifficult to accurately evaluate stent patency, according to a studypresented at the 93rd annual meeting of the Radiological Society ofNorth America (RSNA).

CCTA with 64-slice effective in diagnosing three-vessel heart disease

CHICAGO, Nov. 28—Cardiac CT angiography (CCTA) with 64-MDCT is highlyaccurate in diagnosing three-vessel disease, which is one of thepotential candidates for coronary artery bypass surgery (CABG),according to a study presented at the 93rd annual meeting of theRadiological Society of North America (RSNA).

Challenges and opportunities abound for molecular imaging

CHICAGO, Nov. 28—In a session on fusion imaging Tuesday morning at the93rd annual meeting of the Radiological Society of North America(RSNA), David Gilmore, MS, CNMT, NCT, RT, Beth Israel DeaconessHospital in Boston, Mass., discussed the future of the fusion imagingfor molecular medicine. Nuclear cardiology is not going away, he said,and “we have to figure out how to embrace it.”

Siemens unveils new mammography system, to release ultrasound platform

CHICAGO, Nov. 28—Siemens Medical Solutions introduced the MammomatNovation S, a new digital mammography system, and will unveil theAcuson S2000 ultrasound platform, the first system in Siemens' new SClass of ultrasound products at the 93rd annual meeting of theRadiological Society of North America (RSNA).

One Stop Shopping with Cardiac Imaging: CT or MRI?

CHICAGO, Nov. 27—Two radiologists debated the value of MR compared toCT for cardiac imaging. Ricardo Cury, MD, assistant professor ofHarvard Medical School, director of clinical cardiac MRI atMassachusetts General Hospital in Boston, heralded the benefits of CTfor cardiac imaging, while J. Paul Finn, MD, professor of radiology andmedicine at University of California at Los Angeles, supported the useof MR for cardiac imaging.

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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