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.

Example of spectral, or dual-energy CT, confirming a pulmonary embolism (PE). Image courtesy of Philips Healthcare

MRA vs CTA for evaluating pulmonary embolism: Does the chosen modality impact downstream imaging utilization?

MR angiography (MRA) is a relatively new alternative to CT angiography (CTA) for the evaluation of suspected pulmonary embolism (PE) and it even has one major advantage over CTA: it does not expose patients to ionizing radiation.

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James K. Min named editor-in-chief of Journal of Cardiovascular Computed Tomography

James K. Min, MD, has been chosen to be the new editor-in-chief of the Journal of Cardiovascular Computed Tomography (JCCT), the official journal of the Society of Cardiovascular Computed Tomography (SCCT). He will serve a five-year term.
Example of pulmonary embolism (PE) detection on CT and confirmed using spectral CT. Image courtesy of Philips Healthcare

Researchers 'concerned' CT angiography topped MRA in follow-ups for pulmonary embolism

A recent study found whether a patient received MR angiography (MRA) instead of CT angiography (CTA) for a pulmonary embolism (PE) had little effect on the rate of follow-up chest CT or MRI one year later.

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Non-hospital-based facilities offering cardiac imaging services a rarity in Massachusetts

In 2017, Anthem implemented a new policy that requires outpatient MR and CT scans not considered medically necessary to be completed at a freestanding imaging facility to receive coverage. This went into effect in several states, sparking its fair share of controversy along the way, and a team of Boston-based researchers wanted to know how such a policy could impact patient care in Massachusetts.

Emergency CT for head trauma may be overused

New research suggests emergency patients are often given unwarranted CT scans to check for skull fractures and brain hemorrhage, resulting in wasted healthcare dollars and increasing exposure to radiation, according to an American Roentgen Ray Society (ARRS) press release.

Treatment costs of CT-related cancers could reach $2.6 billion over 10 years

Despite the many benefits of CT imaging—early diagnosis, enhanced diagnostic accuracy, improved outcomes, etc.—a small number of cancers resulting from patient exposure to radiation from CT scans can have a big financial impact on treatment costs, according to results of a study recently presented at the annual meeting of the American Roentgen Ray Society.

Budoff wins SCCT’s 2016 gold medal award

The Society of Cardiovascular Computed Tomography (SCCT) announced that Matthew J. Budoff, MD, had won its 2016 Gold Medal Award.

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CT-based Mobile Stroke Care

Germany's ground-breaking use of CT scanners in ambulances to assess for possible stroke inspired one program in Houston to follow suit. Supporters predict it will transform care in the future. 

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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