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.

#ACC23 #ACC #Heartflow

HeartFlow announces US launch of AI-powered solution for evaluating coronary arteries

The AI-powered tool gained FDA clearance back in October 2022. 

April 18, 2023
An example of the FFR-CT technology from Heartflow. The vendor's AI can take a patient's cardiac CT scan and non-invasively assess FFR hemodynamic flow for all the coronary arteries to determine if blockages are significant enough to require revascularization. Photo by Dave Fornell

HeartFlow raises $215M to keep up with growing demand

The company is still riding the momentum of its technology being included in the 2021 American College of Cardiology/American Heart Association chest pain guidelines.

April 7, 2023
Example of an FFR-angio image-derived hemodynamic flow model performed tableside in the cath lab reconstructed using three different C-arm contract image acquisitions. This technology from CathWorks, which was recently acquired by Medtronic, can eliminate the need for pressure wires and adenosine to assess FFR pressures. These measurements are used to determine the hemodynamic significance of a stenosis and determine if a stent is necessary or if a patient can be treated medically.

PHOTO GALLERY: ACC.23 in New Orleans

Browse a selection of photos from the American College of Cardiology's annual meeting in New Orleans. The pictures highlight key moments, new technologies and much more from the big show. 

March 20, 2023
Ed Nicol, MD, consultant cardiologist and honorary senior clinical lecturer with Kings College London and president-elect of the Society of Cardiovascular Computed Tomography (SCCT), explained artificial intelligence (AI) in cardiac CT is here to stay and its use is expanding. He noted that one AI-based algorithm is already included in recent cardiology guidelines and more will likely follow. #SCCT

Cardiac imagers need to understand AI as it enters clinical use and ACC guidelines

Most FDA-cleared AI algorithms are related to radiology and cardiology, meaning radiologists and cardiologists need to make an effort to learn how these technologies work.

February 15, 2023
A CT coronary calcium scoring exam at Northwestern Medicine's Central DuPage Hospital in the Chicago Suburbs. Dave Fornell

The remaining gaps in evidence for cardiac CT

While the ACC/AHA 2021 Chest Pain Assessment Guidelines included cardiac CT angiography as a top level recommendation, gaps in evidence still need to be filled.

February 10, 2023

Increased use of CCTA improves CAD outcomes without raising costs

Researchers examined data from nearly 2 million patients, sharing their full findings in JACC: Cardiovascular Imaging.

January 23, 2023
Blood pressure

‘Revolutionary’ new CT scans identify the most common cause of high blood pressure

Primary aldosteronism (PA) is one the single most common causes of hypertension, but identifying patients with PA—and knowing which ones may benefit from a surgical treatment—can be quite challenging.

January 17, 2023
An example of virtual pulmonary valve implant planning software showing a virtual transcatheter pulmonary valve with measurements implnated in the virtual anatomy of a congenital heart patient. This was part of a training class at the Society of Cardiovascular Computed Tomography (SCCT) 2022 meeting.

FDA makes clearance easier for cardiac device implant simulation software

The FDA is reclassifying interventional cardiovascular implant simulation software into the class II (special controls) regulatory category, which will make it easier for the technology to pass regulatory approval. 

January 4, 2023

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

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