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.

64-slice SPECT/CT provides cardiac imaging trifecta

CHICAGO, Nov. 27—A prospective study conducted by Zohar Keidar, MD, andcolleagues in the department of nuclear medicine at Rambam Health CareCampus and Faculty of Medicine, Technion, in Haifa, Israel,demonstrated that myocardial perfusion imaging may play an importantrole in determining the need for revascularization in patients withextensive vascular calcifications.

Siemens debuts Somatom Definition AS CT system

Siemens Medical Solutions has expanded its Somatom Definitiondual-source CT system with the addition of the AS model, which will beoffered in 40-, 64-, and 128-slice configurations.

Contrast echo demonstrates nuclear perfusion-level accuracy

Contrast-enhanced echocardiography (echo) imaging was well-toleratedand has similar diagnostic performance compared to nuclear perfusion inchest pain patients being evaluated for inducible ischemia.

MDCT detects cardiac risk profiles as it relates to coronary plaques

Multidetector CT (MDCT) detected that the ratio of noncalcifiedcoronary artery plaque (NCAP) to calcified coronary atheroscleroticplaque (CAP) is not constant but changes with age, and onlyhyperlipoproteinaemia (HLP) was independently associated with theextent of NCAP, according to a poster presentation at the AmericanHeart Association scientific sessions held this week in Orlando, Fla.

MDCT assesses patency of off-pump versus on-pump coronary surgery

Graft patency can be assessed before discharge with 64-multidetector CT(64-MDCT) in 80.8 percent of cases, and when MDCT is performed theability to visualize grafts and assess patency is 98 percent, accordingto a poster presentation at the American Heart Association scientificsessions held this week in Orlando, Fla.

Multidetector CT reduces radiation doses for combined CTP and CTA imaging

With a single rotation, the effective dose for combined CT perfusion(CTP) and CT angiography (CTA) imaging can be reduced to nearlyone-third of the dose, or approximately 7-11 mSv, measured with theprototype 256-slice CT scanner, according to a poster presentation atthe American Heart Association conference held this week in Orlando,Fla.

CT used to measure atherosclerotic plaques subsequent to ACS

The CT characteristics of the lesions responsible for subsequent acutecoronary syndrome (ACS) include larger plaque volume as well as largersoft plaque area and volume, according to a poster presentation at theAmerican Heart Association conference held this week in Orlando, Fla.

Hybrid CT, angiography registration could help with CTO cases

A real-time hybrid CT and angiography image registration can be used tominimize foreshortening and vessel masking to determine stent size andlocation and provide a reference of vessel path and structure in casesof chronic total occlusion (CTO), according to a poster presentation atthe American Heart Association conference held this week in Orlando,Fla.

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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