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.

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New-look imaging technique could change the way we see blood vessels

The new method, still being tested with mouse models, could help clinicians see blood vessels with improved clarity. 

An example of a noninvasive coronary CT scan on the left and an invasive angiogram of the same patient on the right from a recent RSNA study. The CT shows more information on the calcified nature of the plaque and shows more anatomical information beyond what the angiogram provides.

CT a low-risk imaging alternative to invasive coronary angiography for suspected CAD

The new analysis focused on data from 16 different European countries. 

RSNA21: Deep learning automatically labels coronary arteries to produce structured CCTA reports

The algorithm yielded a 94.4% accuracy for labeling arteries in accordance with the Society of Cardiovascular Computed Tomography guidelines.

chest pain lung pulmonary embolism

Imaging group says new guidelines for chest pain contain some ‘troubling recommendations’

The update is meant to help clinicians improve outcomes while reducing costs, but one advocate says certain imaging suggestions may cause unanticipated harm.

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‘A watershed moment’: HeartFlow praises new chest pain guidelines

The company showed its support for the guidelines in a new statement. 

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Radiologists should watch for these 3 pulmonary findings linked to increased COVID mortality

Experts looked beyond common pulmonary consolidations, finding a handful of accurate indicators of in-hospital mortality.

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CAD-RADS a ‘big step in the right direction’ toward improving outcomes for acute chest pain

Korean researchers tested the Coronary Artery Disease Reporting and Data System in nearly 1,500 patients treated across four hospital emergency departments.

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Chest CT, perfusion imaging spots pulmonary embolism in 25% of hospitalized COVID patients

Men and smokers were particularly prone to this condition, which, if left untreated, carries an up to 30% mortality rate.

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