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VIDEO: Use of FFR-CT to Non-invasively Evaluate Coronary Lesion Severity

FFR Technologies | March 26, 2020

James Udelson, M.D., chief of the division of cardiology, Tufts Medical Center, explains how cardiac computed tomography (CT) scans are being used to create image-derived fractional flow reserve (FFR) values to determine if a coronary lesion is flow limiting. The FFR-CT can help determine if the patient needs a stent, or if the disease can be treated with medication. Tufts uses FFR-CT evaluations on non-emergency chest pain patients to reduce the need for diagnostic catheterizations. 

 

Related FFR-CT Content:

Image-based FFR May Replace Pressure Wires and Adenosine

New Technology Directions in Fractional Flow Reserve (FFR)

8 Cardiovascular Technologies to Watch in 2020

VIDEO: Using FFR-CT in Everyday Practice

FFR-CT is Ready for Prime-time Evaluation of Coronary Disease

6 Hot Topics in Interventional Cardiology at TCT 2019

FFR-CT: Is It Radiology or Cardiology?

 

Find more news and video from Tufts Medical Center

 

 

Cardiac Imaging

RSNA 2016 | December 19, 2016

A post-game roundup by Imaging Technology News (ITN) Contributing Editor Greg Freiherr and Diagnostic and Interventional Cardiology (DAIC) and ITN Editor Dave Fornell on the trends and new tech seen on the show floor at the Radiological Society of North America (RSNA) 2016 meeting.

Angiography | December 07, 2016

Shimadzu's latest generation interventional lab angiography imaging system, the Trinias, enables advanced imaging capabilities, including reduced patient dose, 3-D rotation angiography acquisitions table side, and stent enhancement software. This video tour of the system was created at the 2016 Transcatheter Cardiovascular Therapeutics (TCT) meeting.  For more information: www.shimadzu.com/med/products/angio/index.html.

Heart Valve Technology | November 18, 2016

A discussion with Juan Granada, M.D., about transcatheter mitral valve advancements and device challenges at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Granada is executive director and chief scientific officer of the Cardiovascular Research Foundation's Skirball Center for Innovation. There is a big movement toward transcatheter interventions for the mitral valve after the major success of and rapid expansion of transcatheter aortic valve replacement (TAVR) technology. However, he said the mitral valve anatomy is much more complex and it is not as simple as using a TAVR valve in the mitral position. 

 

 

Related TMVR Content:

VIDEO: Transcatheter Mitral Valve Replacement Planning — Interview with Joao Cavalcante, M.D.

Advances and Future Directions for Transcatheter Valves

Transcatheter Mitral Valve Replacement Devices in Development

Interventional Imagers: The Conductors of the Heart Team Orchestra

VIDEO: The Importance of the Neo-LVOT in Transcatheter Mitral Valve Replacement  — Interview with Dee Dee Wang, M.D.

VIDEO: Transcatheter Structural Heart Procedure Navigation Technology Advances  — Interview with Stephen Little, M.D.

Recent Advances in Transcatheter Valve Technology

Abbott Begins Tendyne Transcatheter Mitral Valve U.S. Pivotal Trial

VIDEO: The Essentials of CT Transcatheter Valve Imaging — Interview with Jonathon Leipsic, M.D.,

New LAMPOON Technique Reduces LVOT Obstruction in Transcatheter Mitral Valve Replacement

Heart Valve Technology | November 18, 2016

A discussion with Torsten Vahl, M.D., about advancements in transcatheter valve repair technology, including new devices for the aortic, mitral and tricuspid valves.  Vahl is director of experimental and translational research and assistant professor of medicine, Columbia University Medical Center, Center for Interventional Vascular Therapy. The interview took place at the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting.

Watch an updated 2019 interview with Vahl in the VIDEO: The Expansion of TAVR Following the FDA Clearing its Use in All Patients.

 

Related Transcatheter Valve Content:

Advances and Future Directions for Transcatheter Valves

Transcatheter Mitral Valve Replacement Devices in Development

 

Advances in Transcatheter Tricuspid Valve Technologies

VIDEO: Update of Mitral Valve Repair and Replacement Technologies at TCT 2017 — Interview with Ted Feldman, M.D.,

TAVR Operator and Hospital Requirements Outlined in 2018 AATS/ACC/SCAI/STS Expert Consensus

VIDEO: Tricuspid Device Clinical Trial Overview — Interview with Ori Ben-Yehuda, M.D.

Recent Advances in Transcatheter Valve Technology

VIDEO: Tricuspid Valve Imaging and Interventions Developing Hand-in-hand at ASE 2018— Interview with Rebecca Hahn, M.D.

Hospital Consolidation May Increase Access to TAVR, New Cardiac Technologies

VIDEO: TAVR for Degenerated Surgical Valves - 2017 Update— Valve-in-Valve TAVR Procedures — Interview with Sammy Elmariah, M.D.

How to Perform Transcaval TAVR Access

VIDEO: The Essentials of CT Transcatheter Valve Imaging — Interview with Jonathon Leipsic, M.D.

Advances in Heart Valve Technology in 2017

VIDEO: TAVR For Asymptomatic Severe Aortic Stenosis — Interview with Philippe Genereux, M.D.

VIDEO: Conscious Sedation for TAVR Procedures — Interview with Mario Goessl, M.D.

VIDEO: Overview of the Henry Ford Hospital Structural Heart Program

 

 

CT Angiography (CTA) | November 18, 2016

A discussion with Simon Dixon, M.D., MBChB, on the use of fractional flow reserve-computed tomography (FFR-CT) to evaluate chest pain patients in the emergency department. He is chairman of the Department of Cardiovascular Medicine at Beaumont Health System and a professor of Medicine at the Oakland University William Beaumont School of Medicine. He discussed the first year of experience with FFR-CT at Beaumont Hospital in Royal Oak, Mich., during the Transcatheter Cardiovascular Therapeutics (TCT) 2016 annual meeting. Read the article “Clinical Applications of FFR-CT.”

 

Structural Heart | November 09, 2016

Brijeshwar Maini, M.D., and Brian Bethea, M.D., from Tenet Florida’s structural heart program, explain the importance of building a good heart team and how that team should interact. They gave a presentation on image guidance for structural heart procedures at TCT 2016, but focused repeatedly on the need for close collaboration to be successful. Read more in the article "Requirements for Interventional Echocardiographers."

Computed Tomography (CT) | July 08, 2016

Interview with Claudio Smuclovisky, M.D., FACC, FSCCT, director of South Florida Imaging Cardiovascular Institute, Holy Cross Hospital, at the Society of Cardiovascular Computed Tomography (SCCT) 2016 annual meeting. Smuclovisky explains what imaging departments need to know about advances in computed tomography (CT) systems when purchasing the newest generation of CT scanners. He explains there is more to scanners than slices, offering information beyond the hype over 64-, 128-, 256-, 320-, and 640-slice CT scanners. For more information, read "Costs vs. Benefits: Comparing 64-Slice to 256, 320-Slice CT."
 

Read the article "What to Consider When Buying a New CT Scanner."
 

 

CT Angiography (CTA) | July 08, 2016

Interview with Patricia Dickson, LRT (CT), assistant director, diagnostic and outpatient services, Capital Cardiology Associates, Albany, N.Y., at the Society of Cardiovascular Computed Tomography (SCCT) 2016 annual meeting. She explains what technologists need to know when prepping patients and imaging during cardiac CT exams.  For trends in cardiac CT, watch the VIDEO "The Future of Cardiac CT in the Next Decade."

 

Related Tips to Improve CT Imaging Content:

VIDEO: Tips and Tricks to Aid Cardiac CT Technologist Workflow

VIDEO: 10 Tips to Improve Cardiac CT Imaging

Find more SCCT news and videos

Computed Tomography (CT) | July 08, 2016

An interview with Jonathan Leipsic, M.D., FSCCT, chairman of the department of radiology, St. Paul’s Hospital, Vancouver, Canada, at the Society of Cardiovascular Computed Tomography (SCCT) 2016 meeting. Leipsic is heavily involved with the procedural planning and anatomical assessments for TAVR and clinical trials for new transcatheter mitral valves and annulus repairs. 

Read the related article "The Essentials of Structural Heart Imaging."

Watch the related VIDEO "The Essentials of CT Transcatheter Valve Imaging."
 

 

Computed Tomography (CT) | July 07, 2016

DAIC/ITN editor Dave Fornell shows some of the most innovative new cardiac CT and angiography technologies from sessions and the expo floor at the Society of Cardiovascular Computed Tomography (SCCT) 2016 annual meeting. Read the article "Advances in Cardiac CT Technology."

Computed Tomography (CT) | July 07, 2016

An interview with Matthew Budoff, M.D., FACC, director of cardiac CT, Harbor-UCLA Medical Center, Torrance, Calif., at the Society of Cardiovascular Computed Tomography (SCCT) 2016 meeting. Budoff explains how CT calcium scoring can be used to assess patients risk for coronary disease and if they should be on statin therapy.  Read the 2017 article "Screening for Heart Disease May Lead to Prevention, Better Treatments."

 

Related CT Calcium Scorining Content:

VIDEO: New Cholesterol Guidelines Support CT Calcium Scoring for Risk Assessment — Interview with Matthew Budoff, M.D.

CT Calcium Scoring Becoming a Key Risk Factor Assessment

ACC and AHA Release Updated Cholesterol Guidelines for 2018

VIDEO: CT Calcium Scoring to Screen For Who Should Take Statins — Interview with Matthew Budoff, M.D.

VIDEO: The History of CT Calcium Scoring — Interview with Arthur Agatston, M.D.

 

 

Computed Tomography (CT) | July 06, 2016

An interview with Leslee Shaw, Ph.D, FACC, FASNC, FAHA, co-director of the Emory Clinical Cardiovascular Research Institute at the Society of Cardiovascular Computed Tomography (SCCT) 2016 meeting. Read the related article “Advances in Cardiac CT Technology."

Watch the VIDEO: Editor's Choice of Most Innovative New Cardiac CT Technology at SCCT 2017.
 

 

 

CT Angiography (CTA) | July 06, 2016

An interview with Ricardo Cury, M.D., director of cardiac imaging, Miami Cardiac and Vascular Institute, at the Society of Cardiovascular Computed Tomography (SCCT) 2016 meeting. Cury was instrumental in the development of the new Coronary Artery Disease — Reporting and Data System (CAD-RADS) scoring system now used to help standardize the radiological assessment of coronary artery disease.  The scoring system is similar to other radiology standard assessment scoring systems, including BI-RADS used for breast imaging and LUNG-RADS use for assessment of lung diseases. The goal of the CAD-RADS is to make radiology coronary plaque assessments in computed tomography (CT) scans more uniform and reproducible. 

Read the article "Multi-Society Group Releases CAD-RADS for Standardized Coronary CT Angiography Reporting." 

Link to the CAD-RADS Coronary Artery Disease e Reporting and Data System expert consensus document of the Society of Cardiovascular Computed
Tomography (SCCT), the American College of Radiology (ACR) and the North American Society for Cardiovascular Imaging (NASCI), and endorsed by
the American College of Cardiology (ACC).

ACC link to a table outlining the CAD-RADS scoring system:
http://imaging.onlinejacc.org/content/9/9/1099/T2

ASE | June 30, 2016

DAIC/ITN editor Dave Fornell shares some of the innovative new technologies on the show floor of the American Society of Echocardiography (ASE) 2016 annual meeting. Read the article "Top Trends in Cardiac Ultrasound."

 

 

Structural Heart | June 30, 2016

Interview with Stephen Little, M.D., medical director of the Valve Clinic at the Houston Methodist DeBakey Heart and Vascular Center, at the American Society of Echocardiography (ASE) 2016 annual meeting. He explains the technologies his center is using to aid transcatheter structural heart procedure navigation, including TAVR, transcatheter mitral valve replacement (TMVR), LAA occlusion, and septal defect occlusions. Read the article “Requirements for Interventional Echocardiographers.” Also, watch the VIDEO "What is Required for Interventional Echo - Discussion With Rebecca Hahn."

 

Cardio-oncology | June 30, 2016

Interview with Federico Asch, M.D., FACC, FASE, associate director of the echocardiography core lab at Medstar Health Research Institute and assistant professor of medicine (cardiology) at Georgetown University, at the American Society of Echocardiography (ASE) 2016 annual meeting. Asch discusses the technology used for cardio-oncology cardiotoxcity assessments and how to set up these types of collaborative programs between oncology and cardiology. For more information, read the article Assessing Cardiotoxicity Due to Cancer Therapy.

 

Related Cardio-oncology Content:

VIDEO: Linking Breast Cancer Treatment to Cardiac Issues

VIDEO: Echocardiography Strain Fundamentals Made Easy 

Strain Imaging Improves Cardiac Surveillance of Certain Breast Cancer Patients

Assessing Cardiotoxicity Due to Cancer Therapy

VIDEO: An Overview of Echo Strain Imaging — Interview with Marielle Scherrer-Crosbie, M.D.

New Echo Protocol Aids Monitoring Children’s Heart Abnormalities Due to Chemotherapy

Strain Imaging Improves Cardiac Surveillance of Certain Breast Cancer Patients

VIDEO: Characterization of Cardiac Structural Changes and Function Following Radiation Therapy
 

 

Cardiovascular Ultrasound | June 28, 2016

Interview with MD Buyline clinical analysts Jon Brubaker and Sabrina Newell at the American Society of Echocardiography (ASE) 2016 annual meeting. They highlighted trends they have seen in cardiac  strain imaging, 3-D echo, bubble contrast, interventional echo, structural heart, and point-of-care ultrasound.  Read the article on trends from Brubaker and Newell - "Top Trends in Cardiac Ultrasound at ASE 2016."

Cardiovascular Ultrasound | June 28, 2016

Interview with Rebecca Hahn, M.D., FASE, Columbia University Medical Center, New York, at the American Society of Echocardiography (ASE) 2016 meeting. She is an expert in the new subspecialty of interventional echo and discussed considerations for hospitals thinking of creating interventional echo programs to help guide complex transcatheter structural heart procedures in the cath lab or hybrid OR. Read the article “Requirements for Interventional Echocardiographers.”  Also, watch the related VIDEO "Transcatheter Structural Heart Procedure Navigation Technology Advances."

 

HIMSS | May 13, 2016

ITN/DAIC Editor Dave Fornell takes a tour of some of the most innovative new trends and health information technologies (IT) on the expo floor of the Healthcare Information and Management Systems Society (HIMSS) 2016 meeting. Technologies include radiation dose management, wearables, patient engagement, admission kiosks, analytics software and imaging workflow aids.

ACC | April 15, 2016

DAIC Editor Dave Fornell takes a tour of some of the trends and interesting new technologies from the vendor booths on the expo floor at the 2016 meeting of the American College of Cardiology (ACC). 

CT Angiography (CTA) | April 12, 2016

A discussion on the adoption rate of FFR-CT with Dr. Campbell Rogers, chief medical officer of HeartFlow. It is the first vendor to gain FDA approval for noninvasive, virtual fractional flow reserve measurements derived from cardiac computed tomography scans. Read the article "Clinical Applications of FFR-CT."
 

 

Clinical Decision Support | March 24, 2016

Examples of clinical decision support software currently on the market that might be leveraged to address Stage 3 Meaningful Use from the expo floor of HIMSS 2016. Ascendian Healthcare Consulting CEO Shawn McKenzie also discusses how and why CDS should be integrated into the radiology workflow. Read the April 2017 article “CMS to Require Appropriate Use Criteria Documentation for Medical Imaging Orders.”

 

Patient Engagement | March 21, 2016

Examples of patient engagement technologies for medical imaging to meet health IT Stage 3 Meaningful Use requirements. Discussion includes examples from the expo floor at HIMSS 2016 and Ascendian Healthcare Consulting CEO Shawn McKenzie explaining ways radiology can leverage technology to engage patients with images, reports and radiation dose records. 

Cardiac Imaging | December 11, 2015

ITN/DAIC Editor Dave Fornell shows his choices for some of the most innovative new imaging technologies on the expo floor at Radiological Society of North America (RSNA) 2015 meeting.

Cardiovascular Ultrasound | December 11, 2015

Interview with Jon Brubaker, MBA, RCVT, ultrasound technology analyst, MD Buyline, explains the trends and new technology he saw at the Radiological Society of North America (RSNA) 2015 meeting.

RSNA 2015 | December 11, 2015

Video discussion of new technology and trend highlights at the Radiological Society of North America (RSNA) 2015 meeting with DAIC/ITN editor Dave Fornell and ITN contributing editor Greg Freiherr.

TCT | November 05, 2015

DAIC Editor Dave Fornell offers his choices for the most innovative new interventional cardiovascular technologies presented on the expo floor and in sessions at the 2015 Transcatheter Cardiovascular Therapeutics (TCT) meeting. 

Cath Lab | November 03, 2015

Guillaume Baillaird, CEO of ControlRad Systems, described how his company's technology can significantly reduce radiation dose to staff and patients during angiography procedures.

Computed Tomography (CT) | August 07, 2015

DAIC Editor Dave Fornell shares some of the most innovative new technologies shown on the expo floor and discusses in sessions at the Society of Cardiovascular Computed Tomography (SCCT) 2015 annual meeting.

Computed Tomography (CT) | August 05, 2015

Interview with James Min, M.D., Professor of Radiology and Medicine and Director of Dalio Institute of Cardiovascular Medicine, Weill Cornell, New York Presbyterian Hospital.  Watch the VIDEO “Early U.S. Experience With FFR-CT in Evaluating ED Chest Pain Presentation.” A discussion with Simon Dixon, M.D., MBChB, on the use of fractional flow reserve-computed tomography (FFR-CT) to evaluate chest pain patients in the emergency departmenat Beaumont Hospital in Royal Oak, Mich. Read the article "What is New in FFR Technology."
 

Computed Tomography (CT) | August 05, 2015

Interview with Daniel Berman, M.D., FACC, chief of cardiac imaging and nuclear cardiology and professor of imaging, Cedars-Sinai Medical Center, at the Society of Cardiovascular Computed Tomography (SCCT) 2015 meeting. 

Watch the VIDEO: The Value of the Cardiovascular Service Line, an interview with Linda Gillam, M.D., Atlantic Health System, who suggests how cardiology-related services can demonstrate their value to providers and patients. 

Watch the VIDEO: Role of Cardiac CT in Value-based Medicine — Interview with Leslee Shaw, Ph.D.
 

 

 

More SCCT news and video.

 

Computed Tomography (CT) | August 05, 2015

Interview with Harold Litt, M.D, Ph.D., chief of cardiovascular imaging section and associate professor of radiology, University of Pennsylvania. He also served as co-principal investigator of the ACRIN-PA study of cardiac CT use in the ED. He also served as co-principal investigator of the ACRIN-PA study of cardiac CT use in the emergency department (ED). Litt spoke in sesveral sessions on how to begin using cardiac CT to evaluate chest pain to quickly rule in or rule out heart attacks.

 

Related ACRIN-PA Study Content:

VIDEO: CT for Chest Pain Evaluation in The Emergency Department — Interview with Harold Litt, M.D.

VIDEO: ACRIN-PA Trial Showed Benefit of CT in Assessing Chest Pain — Litt explaining the trial

Coronary CT Angiography is Effective to Evaluate Chest Pain Patients
 

Medical 3-D Printing | August 05, 2015

Interview with Dee Dee Wang, M.D., FACC, FASE, advanced structural heart imaging staff cardiologist, Henry Ford Hospital, Detroit, about the use of 3-D printing to aid procedural planning and guidance in complex structural heart cases. Read the article “Henry Ford Hospital Study Shows 3-D Imaging Improves Fixing Broken Hearts.”     Read the article “The Future of 3-D Printing in Medicine.”
 

Computed Tomography (CT) | August 05, 2015

Interview with Ricardo Cury, M.D., FAHA, FSCCT, FACC, president of the Society of Cardiovascular Computed Tomography (SCCT) and chairman of radiology, director of cardiac imaging, Baptist Health of South Florida, Miami. He explains recent key trials, radiation dose and perfusion imaging. For more information on cardiac CT advances, read the article “New Technology Supports CT as Prime Cardiac Imaging Modality.”
 

 

Cardiovascular Ultrasound | June 29, 2015

Interview at the American Society of Echocardiography (ASE) annual meeting with Federico Asch, M.D., M.D., FACC, FASE, associate director of the echocardiography core lab at Medstar Health Research Institute and assistant professor of medicine (cardiology) at Georgetown University.

Cardiovascular Ultrasound | June 26, 2015

DAIC Editor Dave Fornell shares his choices for the most innovative new echocardiography technologies and trends at the 2015 American Society of Echocardiography (ASE) annual meeting.

Cardiovascular Ultrasound | June 26, 2015

Interview at the American Society of Echocardiography (ASE) annual meeting with Federico Asch, M.D., M.D., FACC, FASE, associate director of the echocardiography core lab at Medstar Health Research Institute and assistant professor of medicine (cardiology) at Georgetown University. He explains some of the new analytic software advances that offer new ways to assess cardiac function.

Cardiovascular Ultrasound | June 26, 2015

Interview at the American Society of Echocardiography (ASE) annual meeting with Federico Asch, M.D., M.D., FACC, FASE, associate director of the echocardiography core lab at Medstar Health Research Institute and assistant professor of medicine (cardiology) at Georgetown University. He explains how ultrasound might have a roll in the future for breaking up clots and targeted delivery of gene and drug therapies.

Structural Heart | June 26, 2015

Interview with Steve Goldstein, M.D., director, noninvasive lab, Medstar Washington Heart Institute, Washington, D.C., on the uses of echo guidance for interventional procedures in the cath lab.

Cardiovascular Ultrasound | June 17, 2015

Role of Interventional Echcardiography in Transcatheter Structural Heart Procedures — Rebecca Hahn, M.D., Columbia University Medical Center, is an expert in the new subspecialty of interventional echo and shares her insights at the Cardiovascular Research Foundation's (CRF) Transcatheter Valve Therapies (TVT) conference in Chicago in June.

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