Computed Tomography

Computed tomography (CT) is a fast and accurate imaging modality often used in emergency settings and trauma imaging. CT scans, with or without (or both) iodinated contrast are frequently used to image the brain, chest, abdomen and pelvis, but also have post-imaging reconstructive capabilities for detailed orthopedic imaging. It is now a standard imaging modality in emergency rooms to quickly assess patients. CT uses a series of X-ray images shot as the gantry rotates around the patient. Computer technology assembles these into into a dataset volume than can be slices on any access, or advanced visualization software can extract specific parts of the anatomy for study. Find more content specific to cardiac CT.

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No need for updated imaging prior to major surgery in some cases, new data show

Prior chest imaging can sometimes be just as predictive of adverse events after surgery as updated imaging, according to new data set to be presented at the annual conference of the American College of Cardiology on March 5. 

Dual source CT scanners shown to expedite treatment in emergency settings

Dual source CT scanners can eliminate the need for beta blockers to control heart rates during coronary CTA exams.  

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.

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.

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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.

#CTA #acuteischemicstroke #AIS #radiomics

CTA-based radiomics can reliably estimate time since stroke onset

Radiomics features could be especially useful for determining TSS in scenarios where clinical data is lacking or unreliable, such as when patients have altered mental status.

#CTA #photoncountingCT #aortaCT

Photon counting cuts CTA contrast dosage 25%

Not only does the low-volume contrast protocol preserve supplies, it also protects patients who might be vulnerable to adverse reactions and/or side effects from contrast use. 

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A 'clear lack of adherence' in imaging guidelines is impacting lung cancer survival rates

A study published in the January issue of the Journal of Nuclear Medicine reveals that nearly half of Medicare patients with NSCLC in the United States do not complete recommended FDG PET/CT scans prior to treatment.

Around the web

Positron, a New York-based nuclear imaging company, will now provide Upbeat Cardiology Solutions with advanced PET/CT systems and services. 

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.

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