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.   

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Chest CT for suspected pulmonary embolism in the ED: Utilization is up, diagnostic yield is down

CT utilization in the emergency department (ED) has increased significantly in the last few decades, a fact often cited as one of the major reasons healthcare costs and radiation exposure are on the rise. So what can be done to reverse that trend?

pulmonary embolism on CT pulmonary angiography

Feel free to reduce CT dose when diagnosing pulmonary embolism

Clinicians can reduce the “tube voltage” (kVp) in CT pulmonary angiography without reducing image quality, according to a study published in the Journal of the American College of Radiology. Researchers conducted a retrospective study to measure CT pulmonary angiography image quality as tube voltage was lowered, taking into account patient size as well as the benefits of simple image post-processing.

Architectural distortion seen in the breast of a 67-year-old woman who presented for screening mammography. Surgical pathology revealed invasive ductal adenocarcinoma. Image from AJR

When does worrisome architectural distortion signal malignancy on mammography?

Architectural distortion, the non-mass but potentially ominous clinical feature observed in many breast imaging procedures, is less likely to signal malignancy when it’s detected on screening mammography rather than diagnostic mammography or when it does not correlate with a subsequent targeted ultrasound exam.

Intrinsic Imaging awarded interventional medical device trial for prevention of pulmonary emboli

Intrinsic Imaging, an FDA audited, ISO 9001:2008 and ISO 13485:2003 certified, GAMP 5 compliant medical imaging core lab specializing in providing services for clinical trials, announced today that it has been awarded a clinical trial to study an interventional medical device designed for the prevention of pulmonary emboli.

CDS leads to reduction in CPTA imaging for pulmonary embolism

The use of evidence-based clinical decision support (CDS) results in a significant reduction in CT pulmonary angiographic imaging in patients suspected of having a pulmonary embolism, according to a study published online in Radiology. 

Additional MR Techniques Improve Detection of Pulmonary Embolism

According a study published in the March issue of the journal Radiology, radiologists now have a comparable, non-ionizing option to CT for the detection of pulmonary embolism.

Around the web

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.

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.