Computed Tomography

Cardiac computed tomography (CT) has become a primary cardiovascular imaging modality in the past 20 years, and was recommended as a 1A recommendation in the 2021 chest pain assessment guidelines. CT calcium scoring has became a primary risk assessment for coronary artery disease and whether patients should be on statins. Coronary CT angiography (CCTA) is used to for anatomical assessment of the arteries for plaque burden and to identify areas of blockage that may cause ischemia and heart attacks. Additional use of contrast CT perfusion or fractional flow reserve CT (FFR-CT) can offer physiological information on the function of the heart. CT plays a primary role in structural heart assessments for heart valves, repair of congenital defects and left atrial appendage occlusion (LAAO) for both pre-procedure planning and procedural guidance. Find more news on general radiology CT use.

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

Trends in the number of radiology studies and a decline in radiation dose

A special report in Radiology offers a rare overview of the number of radiology exams performed each year worldwide and focuses on the decline of associated radiation doses patients receive.

A stack deep silicon photon counting CT detector components. The University of Wisconsin is working with GE Healthcare to develop the new PCD technology. The system and the deep silicon technology was unveiled at RSNA 2022. #RSNA22 #PCCT

VIDEO: Photon-counting CT development at the University of Wisconsin

Tim Szczykutowicz, PhD, DABR, associate professor of radiology at the University of Wisconsin-Madison, is helping develop a new type of photon-counting CT detector that was shown as a work-in-progress by GE Healthcare at RSNA 2022.

Canon to open new subsidiary, Canon Healthcare USA, in Cleveland

“The U.S. market is more and more important for our business,” the company's president and CEO said during a press conference at RSNA 2022. 

James Udelson, MD, from Tufts and an investiogator in the PRECISE trial, explains how FFR-CT combined with coronary CT outperformed the standard of care in patients with stable chest pain, or low-risk patients with suspected coronary involvement.

VIDEO: PRECISE trial shows cardiac CT with FFR-CT significantly improves patient outcomes

James Udelson, MD, an investigator involved with the PRECISE trial, explained how patient outcomes were improved by 70% from the current standard of care.

Ricardo Cury, MD, MBA, MSCCT, chairman of radiology, direct of cardiac imaging, Baptist Health South Florida and Miami Cardiac and Vascular Institute, discusses the new CAD-RADS 2.0 cardiac imaging reporting criteria at the 2022 SCCT meeting. Interview with Radiology Business Editor Dave Fornell.

VIDEO: What is new with CAD-RADS 2.0 cardiac imaging reporting?

Ricardo Cury, MD, chairman of radiology and director of cardiac imaging, Baptist Health South Florida and Miami Cardiac and Vascular Institute, discusses the new CAD-RADS 2.0 cardiac imaging reporting criteria.

VIDEO: Cardiac CT as a front-line chest pain exam in the ED

Harold Litt, MD, explains the use of cardiac CT as a primary imaging exam for chest pain at his emergency department over the past decade.

Fat attenuation index (FAI) CT imaging of coronary artery fat can show inflammation and can help pin-point vulnerable plaques, or show the reversal of inflammation due to drug therapies. The technology is being developed by the vendor Caristo, which has European CE mark and the company is seeking FDA clearance. #SCCT #SCCT2022

VIDEO: New Technologies in Cardiac CT Imaging

Ron Blankstein, MD, Brigham and Women's Hospital, explains recent advances in coronary computed tomography angiography (CCTA) technology. 

Cardiac CT now in the spotlight thanks to chest pain guidelines

With the elevation of cardiac CT to a 1A indication in the 2021 Chest Pain Guidelines, there has been a large amount of interest in starting coronary artery CT angiography (CCTA) programs. 

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 all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.