Clinical Research

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Expert left 'astounded' by gadolinium discovery

New data out of the University of New Mexico suggest that the imaging agent’s physiologic reach may exceed what was previously believed.

CT of coronavirus pneumonia, a solitary rounded ground-glass opacity (GGO) pattern. A 51-year-old woman in China presented in January 2020 without fever, but had close contact with positive patients. Top, baseline axial unenhanced chest CT obtained 6 days before the first positive PCR test. Bottom, chest CT scan 4 days later shows the size increase of the lesion (arrow). Image courtesy of RSNA. #COVID #SARSCoV2

How effective are chest CT severity scores in managing COVID?

While the studies on these systems have proven them to be effective in diagnosing and treating COVID in specific cohorts, the varying settings in which they were used can make it difficult to derive definitive conclusions on their efficacy.

long covid lung CT

Some long COVID patients continue to display multi-organ damage one year after recovery

A new study utilizing multi-organ MRI scans recently identified organ impairment in 62% of COVID long haulers six months after their initial diagnosis; 29% of these individuals continued to display damage in at least one organ at the 12-month mark.

Serial transverse CT scans in a 65-year-old man with severe COVID-19. Image courtesy of Radiology. #longcovid #covidlonghauler #lungdamagecovid

Severe COVID patients continue to evidence lung abnormalities 2 years after initial infection

Scans on these patients show a combination of fibrosis, thickening, honeycombing, cystic changes and dilation of the bronchi, among other imaging features.

A CT coronary calcium scoring exam at Northwestern Medicine's Central DuPage Hospital in the Chicago Suburbs. Dave Fornell

The remaining gaps in evidence for cardiac CT

While the ACC/AHA 2021 Chest Pain Assessment Guidelines included cardiac CT angiography as a top level recommendation, gaps in evidence still need to be filled.

#longcovid #covidlonghauler

New imaging data offers 'positive' news for COVID long haulers

New imaging data indicates that the effects of long COVID may begin to dwindle over time, offering hope for those suffering from the long-term ramifications of the virus. 

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Risk model-based lung cancer screening more cost-effective than USPSTF guidelines

Using risk model-based strategies to determine who should undergo low-dose CT lung cancer screening is more cost effective than current U.S. Preventive Services Task Force guidelines.

Childhood exposure to 'toxic stress,' racial disparities shows up on MRI

Childhood adversity alters regions of the brain responsible for processing threats, according to a new neuroimaging study. 

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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