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.

Annual lung cancer screening adherence drops after initial exam, underlining need for intervention
“Focusing on programmatic resources in the first follow-up period may provide a significant return on investment," experts write in JAMA Network Open.
Launching a CT colorectal cancer screening program: 4 barriers and how to overcome them
CT for CRC screening is at an “inflection point” following the Centers for Medicare & Medicaid Services’ recent decision to cover the exam, experts say.
American College of Radiology announces significant expansion of Lung Cancer Screening Registry
The ACR hopes these changes, including the addition of diagnostic performance feedback, will help reduce the number of patients with incidental nodules lost to follow-up each year.
Building a successful CCTA program: Physicians and healthcare executives to share advice
CCTA continues to grow more and more important in the day-to-day treatment of heart patients. Hospitals and health systems that fail to embrace the modality risk falling behind.
Using CT imaging to opportunistically screen for osteoporosis could save Medicare upward of $2.5B
Only about 11% to 18% of eligible patients receive recommended bone density scans, but CT images gathered for other purposes could fill this gap.

VIDEO: Example of photo-counting cardiac CT with calcified coronaries

Siemens Healthineers showed examples at ACC 2022 of cardiac computed tomography (CT) from its new Naeotom Alpha photon-counting CT scanner cleared by the FDA in 2021.

‘Virtual colonoscopy’ still struggling for mindshare

Two-thirds of U.S. adults eligible to get screened for colorectal cancer have recently completed an exam, but only 1.4% of them opted for CT colonography over optical colonoscopy or sigmoidoscopy.

Statin reduces risk for non-obstructive CAD patients but no significant risk reduction for aspirin

The results of a study published in Radiology: Cardiothoracic Imaging call into question the value of initiating aspirin therapy in certain instances.

Heartflow FFR-CT allows noninvasive assessment of a patient'c coronary arteries without the need for a diagnostic angiogram.

VIDEO: HeartFlow FFR-CT sees increased interest after inclusion in the 2021 Chest Pain Guidelines

HeartFlow’s non-invasive cardiac computed tomography derived fractional flow reserve (FFR-CT) technology enables FFR values for the entire coronary tree of a patient using just a CT scan. This can show the significance of any coronary plaque lesions and if a patient needs to be sent to the cath lab for revascularization, or if they can be treated medically.

Imaging shows COVID vaccines effective at warding off pulmonary embolism

Researchers have found the condition significantly less among patients who received at least two doses of a COVID vaccine.

AI aids coma prognostics, potentially averting withdrawal of care

Deep learning has bested experienced neurosurgeons at predicting poor outcomes, including mortality, among patients admitted comatose with severe traumatic brain injuries.

Ischemic stroke CT scan showing color coded blood flow for early and later arterial and venous contrast phases and areas of blocked blood flow. Image courtesy of RSNA

Disparities evident as CT stroke imaging rises sharply over 7-year period

Utilization of head CT perfusion (CTP) for imaging stroke patients spiked 428% between 2012 and 2019. Curiously, the uptrend was associated with higher mortality up to a year after discharge.

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.

Around the web

Health Imaging

American College of Radiology announces significant expansion of Lung Cancer Screening Registry

The ACR hopes these changes, including the addition of diagnostic performance feedback, will help reduce the number of patients with incidental nodules lost to follow-up each year.

Health Imaging

AI reduces CT lung cancer screening workload by nearly 80%

And it can do so with almost 100% accuracy as a first reader, according to a new large-scale analysis.

Health Imaging

Nearly $800,000 settlement offered to family of man who died during MRI exam

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