Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

IVUS Intravascular Ultrasound ACC

ACC urges all interventional cardiologists to use intravascular imaging during PCI

New recommendations from the American College of Cardiology detail how intravascular imaging can help clinicians before, during and after PCI procedures. 

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Older women with breast cancer can safely forego radiation therapy

New data suggest that it may not be necessary for women older than 65 with hormone receptor-positive breast cancer to undergo radiotherapy after breast-conserving surgery and hormone therapy, as it does not impact death rates or metastasis risk.

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.

Around the web

A total of 16 cardiology practices from 12 states settled with the DOJ to resolve allegations they overbilled Medicare for imaging agents used to diagnose cardiovascular disease. 

CCTA is being utilized more and more for the diagnosis and management of suspected coronary artery disease. An international group of specialists shared their perspective on this ongoing trend.

The new technology shows early potential to make a significant impact on imaging workflows and patient care.