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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Radiology imaging of two wounded civilians with bullet and shrapnel embedded in tissue. Left is a digital X-ray of a patient with shrapnel in the chest and a bullet in the leg who was brought to the National Children's Specialized Hospital in Kyiv. Right, a 3D CT scan reconstruction of a bullet in the chest of a 40-year-old father who as attempting to evaculate his wife and child from the Russian advance near Kyiv when the Russians opened fire on him. Image from the Ukraine Heart Institute in Kyiv.

Radiologists in Ukraine helping the war effort as Russia continues to attack

Many radiologists stepped up to do their part for the war effort by staying at their hospital posts and helping the wounded as they started coming in.

CT scans find prone position increases lung recruitment for COVID-19 patients

Using CT scans and EIT, researchers from an Italian hospital shed light on the specific benefits of the prone position for intubated COVID-19 patients. 

Why cardiologists and radiologists are choosing cardiac CT over invasive angiography for suspected CAD

"A CT-first strategy allows physicians to provide relevant findings without the need for an invasive procedure," one radiologist explained. 

PHOTO GALLERY: Duly Health adopts outpatient cardiac CT as a standard of care

Duly Health and Care in suburban Chicago recently opened a new outpatient cardiac evaluation center equipped with a dedicated cardiac CT system, which will likely be a new business model that will be seen more in the coming years.

Ischemic stroke CT imaging. Images courtesy of RSNA

VA telestroke program prevents unnecessary hospital transfers and improves rural outcomes

A new study of the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) National Telestroke Program shows the program prevents unnecessary hospital transfers for stroke patients and increases outcomes for patients at rural VA clinics.

Leslee Shaw, PhD, and former presidents of both SCCT and ASNC discusses the role of CT and FFR-CT in the 2021 chest pain guidelines.

VIDEO: Cardiac CT now recommended as a front-line chest pain assessment tool

Leslee Shaw, PhD, director of the Blavatnik Family Women’s Health Research Institute at Mount Sinai Hospital in New York and former president of the Society of Cardiovascular Computed Tomography (SCCT) and the American Society of Nuclear Cardiology (ASNC), explains the role of cardiac computed tomography (CT) in the recent 2021 chest pain guidelines.

Experts highlight 'suboptimal' rates of CMS-required shared decision making encounters prior to LDCT

These findings underscore the need for better implementation of shared decision-making (SDM) models, as well as more thorough counseling documentation, as low-dose CT (LDCT) lung screen coverage is dependent on these factors, experts suggested.

The ASNC is one of several medical imaging societies asking Congress to repeal the appropriate use criteria (AUC) criteria mandate. They say it poses issues for clinicians and is becoming outdated by changes in CMS payment systems. The AUC requirements call for documentation using CVMS authorized software in order to show advanced imaging such as nuclear and CT is justified, or else Medicare payments might be withheld.

American Society of Nuclear Cardiology urges Congress to speed prior authorizations, repeal AUC mandate 

Over the past few weeks, members of ASNC’s Health Policy Committee have held meetings with their members of Congress.

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Around the web

Cardiovascular Business
Positron partners with Upbeat Cardiology Solutions to improve cardiac PET/CT access

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

Cardiovascular Business
Global shortage of nuclear imaging isotopes may be over

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.

Cardiovascular Business
‘A huge win’: CMS significantly increases Medicare payments for cardiac CT

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.