Cardiac MRI

Radiologists were urged at the RSNA meeting to combat distortedreports about cardiac CT radiation exposure that raiseunreasonable public anxiety about the risk of medical imaging.

Most radiologists know about the medical risks associated with patient exposure to ionizing radiation, but many are still in the dark about basic steps they can take to reduce patient exposure. A University of Michigan survey presented at the RSNA meeting found that a surprising percentage were unaware of methods to adjust mA and kVp during CT procedures.

More stringent criteria to evaluate emergency room patients under 40 years of age with suspected pulmonary embolism could decrease radiation exposure while also saving time and money, according to research presented at the RSNA meeting.

The imminent publication of eagerly anticipated new international guidelines promises to transform the complex area of lung cancer staging.

There is nothing like a little momentum to help the RSNA organizers present the latest developments in imaging research in the meeting’s scientific sessions. Everyone associated with imaging sciences from Beijing to New York City understands that presenting research in Chicago is an essential requirement for membership in this unique community.

The attention of the medical imaging community looks set to turn to Seoul later in October, when the 12th Asian Oceanian Congress of Radiology will be held. This is the first time the congress has been staged in Korea since its debut event in 1971, and, given the high quality of radiological practice within the country and its strong educational links with the U.S., the conference is bound to attract plenty of interest. The number and expertise of the invited speakers from North America are certainly impressive.

Coronary artery anomalies are rare, occurring in 0.3% to 1% of the general population. But the clinical importance of these anomalies is significant. Coronary artery anomalies have been found to be a major contributing factor in sudden cardiac deaths in young adults.

Oxford University researchers have established that aortic regurgitation fraction, measured with cardiac MR, accurately singles out patients who need aortic valve replacement.

With piles of accumulated evidence demonstrating the ability of multislice CT to diagnose coronary artery disease, researchers are expanding clinical application of the modality to the measurement of myocardial viability following infarction.

Interest in cardiac imaging with multislice CT is growing, as evidenced by the large number of studies that have been published on this topic. Advances in cardiac MSCT have also been aided by the introduction of extremely fast, user-friendly scanners.

Coronary heart disease is one of the leading causes of morbidity and mortality in developed countries.1 Accurate detection of early cardiac disease is of utmost importance for the delivery of appropriate treatment.

The clinical impact of new technology is often difficult to quantify. In cardiac CT, however, the connection between diagnostic performance and latest generation scanning technology is crystal clear.

Molecular imaging researchers have shown that coronary vascular dysfunction uncovered with PET may be diagnostically more powerful than vascular ultrasound or CT calcium tests for identifying early coronary artery disease in type 2 diabetes patients.

The RSNA is without doubt the big Kahuna of radiology medical meetings. With 60,000+ attendees and a program book that spans nearly 1000 pages in small type, the fall RSNA meeting sets the agenda for much of what goes on in radiology.

Recent advancements in electrocardiogram recording and encryption allow digital storage and secure e-mail transmission, reducing report turnaround time by two to three weeks.

Bedside ultrasound can be a valuable diagnostic tool for monitoring pulmonary congestion in patients with acute decompensated heart failure. As the heart weakens, fluid backs up into the lungs, and critical patients could benefit greatly by being monitored for their condition without having to be moved for radiographs or other diagnostic tests.

With piles of accumulated evidence demonstrating the ability of multislice CT to diagnose coronary artery disease, researchers are expanding clinical application of the modality to the measurement of myocardial viability following infarction.

Excitement is never in short supply in Las Vegas. But a new session at the 2008 Stanford International Multidetector-Row CT Symposium may give the casinos, cocktail lounges, and Canadian circus acts a run for their money.

Most interpreters of cardiac SPECT use any of three software packages provided by vendors of gamma cameras and PACS: the Quantitative Gated SPECT algorithm from the Cedars-Sinai Medical Center, Emory Cardiac Tool Box from Emory University Hospital, or 4D-MSPECT from the University of Michigan Medical Center.

Preoperative cardiac stress tests in hip fracture patients lead to unnecessary surgical delays and prolonged hospital stays, according to Mayo Clinic researchers.

Medicare's decision against a national coverage determination for coronary CT angiography is not the end of conflict for the modality. It is just the beginning. The next battle involves fulfilling the promises the multisociety alliance made to assure the Centers for Medicare and Medicaid Services that its acceptance of coronary CT will not turn into a multibillion-dollar debacle.

A preliminary study indicates that first-pass and delayed-enhancement myocardial CT correlate well with measures of infarction size gathered with equivalent cardiac MR procedures.

Calcium deposits in coronary arteries provide a strong predictor for incidence of heart attack and cardiac disease, and detecting such deposits via CT scanning can help promote overall cardiac health in racially and ethnically diverse populations, according to a new study in March 28 issue of The New England Journal of Medicine.

Medicare’s decision against a national coverage determination for cardiac CT is not the end of conflict for the modality. It is just the beginning.

Traditional reliance on physical symptoms leads to surgery after heart has already been damaged

Cardiac CT supporters are crediting a multisociety lobbying effort and solid scientific evidence for the Centers for Medicare and Medicaid Services decision Wednesday to not move forward with a national coverage policy for coronary CT angiography.

The enhanced spatial resolution and speed afforded by 64-slice CT scanning could enable the accurate assessment of right ventricular function in patients with cardiovascular disease, according to researchers in China and the U.S.

The enhanced spatial resolution and speed afforded by 64-slice CT scanning could enable the accurate assessment of right ventricular function in patients with cardiovascular disease, according to researchers in China and the U.S.

Cardiac imaging is at a crossroads, according to next year’s ECR president. He’s not alone in holding such an opinion.