ITN and DAIC Editor Dave Fornell takes a tour of some of the most interesting new medical imaging technologies on the expo floor at the 2017 Radiological Society of North America (RSNA) meeting. Watch the editor’s choice video for new health IT technologies at HIMSS 2017, new advances in cardiac ultrasound at ASE 2017, and CT advances at the SCCT 2017 meeting.
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VIDEO: Example of In-Stent restenosis Visualized Using Spectral CT
Computed Tomography (CT) | August 07, 2019
This is an example of in-stent restenosis shown using spectral CT imaging. This example was demonstrated by Philips Healthcare at the 2019 meeting of the Society Of Cardiovascular Computed Tomography (SCCT). It can sometimes be difficult to determine if showing inside a stent of CT is artifact or real. Spectral CT can definitely help make a diagnosis. This example shows Philips’ Effective Z visualization, where the image is created based on the atomic number of the elements present in the image. After removal of iodine from the image, it shows the shadow in the stent has the same atomic composition as the vessel intima.
This example is from a Philips IQon dual-energy CT scanner. This system has spectral imaging always on without any need to change protocols. This allows the spectral to be used when needed for additional information without need to rescan a patient.
VIDEO: Applications of Spectral CT — Interview with Suhny Abbara, M.D.
Conference Videos
Magnetic Resonance Imaging (MRI) | December 13, 2017
Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains the new mobile application he developed, which lets users visually model the forces at work during an MRI exam on patients with implanted medical devices, at the 2017 Radiological Society of North America (RSNA) meeting.
Read the related article “The Changing Relationship Between MRIs and Pacemakers.”
Advanced Visualization | December 07, 2017
Dianna Bardo M.D., director of body MR and co-director of the 3-D Innovation Lab at Phoenix Children's Hospital, discusses how 3-D printing and other advanced imaging modalities can help improve outcomes in complex cases. Read the article “The Use of 3-D Printing in Cardiology.” Watch the WEBINAR “Innovation and Success in 3D-inspired Development of the Business and Clinical Practice,” presented by Bardo.
Angiography | November 22, 2017
Shimadzu demonstrated its Trinias Interventional X-ray System at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. The system offers several features to enable improved patient access and procedural guidance at a lower radiation dose than previous generation angiography systems. For more information visit www.shimadzu.com/med/products/angio.
Radial Access | November 22, 2017
Mladen I. Vidovich, M.D., FACC, FSCAI, chief, section of cardiology, Jesse Brown VA Medical Center, Chicago, and associate professor of medicine at the University of Illinois at Chicago, discusses some of the current techniques and issues involved with radial artery access. DAIC spoke to him at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Read articles he authored, including “Radiation Exposure Related to Transradial Access” and “Vascular Closure Devices Aid Closure of Large Access Sites.”
Medical 3-D Printing | November 17, 2017
Dee Dee Wang, M.D., director, structural heart imaging at Henry Ford Hospital, Detroit, explains how her center uses 3-D printing and computer aided design (CAD) software to improve patient outcomes. She spoke to DAIC at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read the articles “The Use of 3-D Printing in Cardiology” and “Henry Ford Hospital Study Shows 3-D Imaging Improves Fixing Broken Hearts.”
Stents Bifurcation | November 15, 2017
Philippe Genereux, M.D., co-director of the structural heart program at the Gagnon Cardiovascular Institute at Morristown Medical Center, part of Atlantic Health System, explains his experience with the Tryton Side Branch stent in both clinical practice and as an investigator in the Tryton Pivotal IDE Trial. Read the article “Data Published for Pivotal Trial for Tryton Side Branch Stent,” and about the regulatory clearance “FDA Clears First Dedicated Coronary Bifurcation Stent.”
TCT | November 15, 2017
DAIC Editor Dave Fornell shows some of the innovations displayed on the expo floor at the 2017 Transcatheter Cardiovascular Therapeutics (TCT). Hear what Cardiovascular Research Foundation (CRF) President and CEO Juan Granada, M.D., feels are the hottest technologies to watch.
FFR Technologies | November 15, 2017
A discussion with William Fearon, M.D. director of interventional cardiology, Stanford University Medical Center, about the FAST-FFR Trial he is heading. It is comparing wire-based fractional flow reserve (FFR) to angiography image-derived FFR. The technology may open the door to wider use of FFR by eliminating costs, disruption and extra time in the cath lab workflow, the use of pressure wires and eliminate the need for adenosine.
Related FFR-Angio Content:
CathWorks Receives CPT Code for Non-invasive FFRangio Measurements During PCI
Heart Valve Technology | November 15, 2017
Ted Feldman, M.D., MSCAI FACC FESC, director of the cardiac cath lab, Evanston Hospital, is the principal investigator for the Lotus valve’s U.S. pivotal trial. He explains what the clinical data to date has been for this new transcatheter aortic valve replacement (TAVR) device, which will likely become the third available on the U.S. market. Read the article "Lotus TAVR System Shows Superior Efficacy to CoreValve in Global REPRISE III Trial."
Left Atrial Appendage (LAA) Occluders | November 14, 2017
Vivek Reddy, M.D., director of cardiac arrhythmia services and professor of medicine, cardiology, Mount Sinai Hospital, N.Y., explains the latest Watchman left atrial appendage (LAA) occluder study data presented at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Watch the VIDEO “Post-FDA Approval Experience of LAA Occluders,” with David Holmes, M.D. Watch a VIDEO interview with Reddy at Heart Rhythm Society (HRS) 2017 on leadless pacing technologies.
Cardiovascular Business | November 09, 2017
A discussion with Peter L. Duffy, M.D., MMM, FACC, FSCAI CPE, interventional cardiologist and former director of quality for the cardiovascular service line at FirstHealth of the Carolinas Reid Heart Institute, at Moore Regional Hospital in Pinehurst, N.C. Read the article with Duffy “Interventional Cardiologist Redefines Value for Everyday Medical Practice.” Read the article “Preparing Hospitals for Mandatory Medicare Cardiac Bundled Payments.”
Hemodynamic Support Devices | November 09, 2017
A discussion with William W. O’Neill, M.D., medical director, Center for Structural Heart Disease, Henry Ford Hospital, Detroit, about the creation of a national initiative to start percutaneous hemodynamic support first before beginning revascularization. O’Neill started the Detroit Cardiogenic Shock Initiative with several hospitals in 2016 and saw a 50 percent drop in mortality. Read the article “Detroit Cardiogenic Shock Initiative Goes National at TCT 2017.” Watch the VIDEO “Cardiogenic Shock Supported With Impella Shows Good Outcomes.”
Structural Heart Occluders | November 08, 2017
John Rhodes, M.D., co-director of the adult congenital heart program, Medical University of South Carolina, is the principal investigator for the REDUCE Trial, the FDA pivotal study using the Cardioform for PFO closure to prevent cryptogenic stroke. He discusses some of the data showing benefit for patients and debate around all the trials for PFO closure.
The FDA cleared the additional indication for PFO in April 2018.
Read about the results of the REDUCE trial in the article “PFO Closure Shows Positive Results from REDUCE Clinical Study.” Read about the approval of the first PFO closure device in 2016. Watch the VIDEO "Addressing Adult Congenital Heart Referrals."
Related PFO Closure Content:
SCAI Offers Recommendations for Safe Use of PFO Closure Technologies
VIDEO: An Overview of PFO Closure to Treat Cryptogenic Stroke — Interview with Karen Orjuela, M.D.
VIDEO: Transcatheter Closure of Holes in the Heart — Interview with Ziyad Hijazi, M.D.
VIDEO: Demonstration of a Transcatheter PFO Occluder Implantation
VIDEO: Addressing Adult Congenital Heart Referrals — Interview with Ami Bhatt, M.D.
Cath Lab | November 08, 2017
Juan Granada, M.D., Cardiovascular Research Foundation president and chief executive officer, shares his insights on what technologies he predicts will become main stream therapies in the coming years. DAIC spoke to him at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) conference. Read the article “The Future of Cardiology: 17 Technologies to Watch.” Watch other VIDEOS with Granada, “Transcatheter Mitral Valve Therapies in Development.” “The Evolution of TAVR Technology,” and “Bioresorbable Stent Failure Modes, Technique, Patient Selection and Future Development.”
Heart Valve Technology | November 08, 2017
Stephen Worthley, MB, BS, Ph.D., director of cardiac catheterization, University of Adelaide, Australia, presents the MAVERIC Trial six-month outcomes using the Arto System at a press conferences at the 2017 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. Read more about the trial in the article “Arto System Shows Promise as Less-Invasive Therapy for Heart Failure Patients.” Watch a VIDEO interview with Worthley on “Drug-Filled Stents as an Alternative to Polymer Drug Carriers.”
Heart Valve Technology | November 08, 2017
Philippe Genereux, M.D., co-director of the structural heart program at the Gagnon Cardiovascular Institute at Morristown Medical Center, part of Atlantic Health System, explains the EARLY TAVR trial evaluating the use of transcatheter aortic valve replacement compared to surveilLance for patients With asymptomatic severe aortic stenosis. Genereux is the principal investigator for the trial. Read more about the EARLY TAVR trial.
Stents Bioresorbable | November 07, 2017
A discussion with Ajay Kirtane, M.D., SM, director of the cardiac catheterization laboratories at New York-Presbyterian Hospital/Columbia University Medical Center, on the ABSORB III 3-year outcomes and other Absorb data presented at TCT 2017. He explains more on the poor outcomes for the bioresorbable stent compared to the Xience metallic stent and procedural issues based on operator technique and experience. Read the article “Abbott Will End Sales of Absorb Bioresorbable Stent.” Watch the VIDEO “Bioresorbable Stent Comparable to Xience at Two Years, With Concerns,” with Stephen Ellis, M.D. Watch the VIDEO “Poor Outcomes for Bioresorbable Stents in Small Coronary Arteries,” with Gregg Stone, M.D.
Heart Valve Technology | November 07, 2017
Ted Feldman, M.D., MSCAI FACC FESC, director of the cardiac cath lab, Evanston Hospital, explains the current state of transcatheter mitral valve technologies in development and in trials. He is involved in some of these trials and was the principal investigator for the pivotal MitraClip trial. Watch the VIDEO “Transcatheter Mitral Valve Technology, Anatomical Challenges” with Juan Granada, M.D.. Read the articles “Advances and Future Directions for Transcatheter Valves,” and “Transcatheter Mitral Valve Replacement Devices in Development.”
Heart Valve Technology | October 27, 2017
Adam Greenbaum, M.D., co-director of the structural heart program at Henry Ford Health System in Detroit, discusses the innovative approach to transcatheter aortic valve replacement (TAVR) being pioneered at HFHS. Read the article "How to Perform Transcaval TAVR Access."
Heart Valve Technology | October 23, 2017
A discussion with Mario Goessl, M.D., Ph.D., director of research and education at the Minneapolis Heart Institute. He presented research at the American College of Cardiology (ACC) 2017 meeting on the cost savings and reduced patient recovery time achieved by using conscious sedation during transcatheter aortic valve repair (TAVR) procedures.
Learn more about the different aspects of the structural heart team at Minneapolis Heart Institute in these videos:
VIDEO: Transcatheter Mitral Valve Replacement Planning — Interview with Joao Cavalcante, M.D., director of structural heart CT and cardiac MRI
VIDEO: Minneapolis Heart Institute Saves With Analytics Software — Interview with Pam Rush, RN, clinical program director, cardiovascular service line, and Craig Strauss, M.D., MPH, medical director,
Related Articles on TAVR Conscious Sedation:
Conscious Sedation TAVR Reduced Length-of-Stay and Hospital Costs
Moderate Sedation Shows Promise for TAVR Patients
Cardiovascular Ultrasound | October 12, 2017
Sharon Mulvagh, M.D., FRCPC, FACC, FAHA, FASE, professor, Division of Cardiology, Department of Medicine, Dalhousie University, Nova Scotia Health Authority, Halifax, Canada, and emeritus professor at Mayo Clinic, discusses how ultrasound can be used to assess plaque burden at the 2017 American Society of Echocardiography (ASE) annual meeting. Read the article highlighting new technologies at ASE 2017 "A Glimpse Into the Future of Cardiac Ultrasound." Watch her presentation on the use of point-of-care echo for plaque burden risk assessment from ASE 2017.
Chronic Total Occlusion (CTO) | October 09, 2017
Bill Lombardi, M.D., director of complex coronary artery interventions at the University of Washington, discusses the principles, training and technologies required for treating chronic total occlusions (CTOs) at the American College of Cardiology (ACC) 2017 meeting. Lombardi is an expert in CTOs and is among the top speakers in this area at cardiology conferences.
Related Chronic Total Occlusion Content:
VIDEO: New Technology to Treat Chronic Total Occlusions (CTOs), an interview with Farouc Jaffer, M.D., Ph.D.
When to Consider Revascularization of Coronary Chronic Total Occlusions
VIDEO: Treating Chronic Total Occlusions, an interview with Bill Lombardi, M.D.
Understanding the Design and Function of Guidewire Technology
VIDEO: Basics of Interventional Guidewire Design and Function, an interview with Dimitri Karmpaliotis, M.D., Ph.D., FACC
Study Examines Use of CrossBoss Catheter for Chronic Total Occlusion PCI
VIDEO: The Evolution of Complex PCI at University of Colorado — Interview with John Messenger, M.D., and Kevin Rogers, M.D.
VIDEO: How to Treat CTOs and Complex PCI Cases — Interview with Khaldoon Alaswad, M.D.
Chronic Total Occlusion (CTO) | September 28, 2017
Farouc Jaffer, M.D., Ph.D., director of coronary interventions at Massachusetts General Hospital, discusses the newest advances and technologies for treating chronic total occlusions (CTOs) at ACC.17. Read the article "When to Consider Revascularization of Coronary Chronic Total Occlusions."
Structural Heart Occluders | September 13, 2017
Ziyad Hijazi, M.D., MPH, MSCAI, FACC, director of the cardiac program and chair of the Department of Pediatrics at Sidra Medical and Research Center in Doha, Qatar, discusses the latest technologies for ASD and PFO closure at ACC.17. Read the article “Closing Holes in the Heart.”
Related PFO Closure Content:
VIDEO: How Transcatheter PFO Closure Can Reduce Cryptogenic Stroke — Interview with John Rhodes, M.D.
SCAI Offers Recommendations for Safe Use of PFO Closure Technologies
VIDEO: An Overview of PFO Closure to Treat Cryptogenic Stroke — Interview with Karen Orjuela, M.D.
VIDEO: Demonstration of a Transcatheter PFO Occluder Implantation
VIDEO: Addressing Adult Congenital Heart Referrals — Interview with Ami Bhatt, M.D.
Cardiovascular Ultrasound | August 30, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Vascular Ultrasound in Subclinical Disease." It is presented by Valentin Fuster, M.D., Ph.D., chief of the Division of Cardiology and director of Mount Sinai Heart, the Zena and Michael A. Wiener Cardiovascular Institute, and the Marie-Josée and Henry R. Kravis Center for Cardiovascular Health at Icahn School of Medicine at Mount Sinai.. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
Cardiovascular Ultrasound | August 30, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Future of Strain Imaging." It is presented by James Thomas, M.D., FASE, FACC, director, Center for Heart Valve Disease, Bluhm Cardiovascular Institute, professor of medicine, Feinberg School of Medicine, Northwestern University, Chicago. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
Cardiovascular Ultrasound | August 30, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Atherosclerosis Assessment by Ultrasound in Everyday Practice." It is presented by Sharon Mulvagh M.D., FASE, FACC, FRCPC, professor of medicine, Dalhousie University, Halifax, Nova Scotia, Canada, and Mayo Clinic. This is one of the sessions presented at the ASE 2017 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
Cardiovascular Ultrasound | August 30, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "What is Myocardiac Strain Imaging?" It is presented by Steven Lester M.D., FRCP(C), FASE, FACC, Mayo Clinic, Phoenix, Arizona. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
Heart Valve Technology | August 30, 2017
Azeem Latib, M.D., MBBCh, FCP, interventional cardiologist at Columbus Hospital in Milan, Italy, discusses the latest innovations in mitral and tricuspid valve repair technologies at ACC.17. Read an article by Latib, “Transcatheter Annuloplasty For Repair Versus Replacement in Functional Mitral Regurgitation.” Watch the related VIDEO with Rebecca Hahn, M.D., "Transcatheter Tricuspid Valve Repair and Replacement Technologies."
Cardiovascular Ultrasound | August 28, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Predicting Right Ventricular (RV) Failure: 2D? 3D? Strain?" It is presented by James Kirkpatrick, M.D., FASE, FACC, director, echocardiography laboratory, ethics consultation service, University of Washington Medical Center. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
Cardiovascular Ultrasound | August 28, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Strain Imaging - Common Errors and Artifacts." It is presented by Zoran Popovic M.D., Ph.D., staff, cardiovascular imaging section, Heart and Vascular Institute, Cleveland Clinic. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
For more educational videos on echocardiography, visit the DAIC education channel.
Nuclear Imaging | August 24, 2017
Prem Soman, M.D., director of nuclear cardiology at the Heart and Vascular Institute, University of Pittsburgh, and president-elect of the American Society of Nuclear Cardiology (ASNC), explained advances in PET and SPECT imaging and the learning curve involved in reading scans from the new CZT SPECT cameras. Watch the VIDEO: Trends in Nuclear Cardiology Imaging, an iknterview with David Wolinsky, M.D., director of nuclear cardiology at Cleveland Clinic Florida. Read the related article "Advances in Cardiac Nuclear Imaging."
Nuclear Imaging | August 24, 2017
Randy Thompson, M.D., attending cardiologist, St. Luke’s Mid-America Heart Institute, Kansas City, explains protocols and what to consider when working with the newer generation CZT-SPECT camera systems for nuclear cardiology. He spoke during the 2017 American Society of Nuclear Cardiology (ASNC) Today technology update meeting. Watch the related VIDEO "PET vs. SPECT in Nuclear Cardiology and Recent Advances in Technology." Read the related articles "Managing Dose in PET and SPECT Myocardial Perfusion Imaging," and "Advances in Cardiac Nuclear Imaging."
CT Angiography (CTA) | July 21, 2017
DAIC and ITN Editor Dave Fornell discusses some of the most innovative new computed tomography (CT) technology and trends at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Read the article "Advances in Cardiac CT Technology" and watch VIDEO: Advances in Cardiac CT Imaging.
Cardiovascular Surgery | July 19, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Surgical Options for Right Ventricular (RV) Dysfunction and Tricuspid Regurgitation (TR) in Left Ventricular Assist Device (LVAD) Patients." It is presented by Nahush Mokadam, M.D., FACC, FACS, LeRoss Endowed Professor of cardiovascular surgery, director of heart transplant and mechanical circulatory support, program director cardiothoracic residency, University of Washington. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org.
Cardiovascular Ultrasound | July 19, 2017
This video educational session, provided in partnership with the American Society of Echocardiography (ASE), is titled "Ramping it Up: Left Ventricular Assist Device (LVAD) Echo Assessment in the ICU." It is presented by Jerry Estep, M.D., FASE, FACC, associate professor of clinical medicine, section head of heart transplant and mechanical circulatory support, division of heart failure, medical director of the Heart Transplant and LVAD Program, Houston Methodist Debakey Heart and Vascular Center. This is one of the sessions presented at the ASE 2016 annual scientific sessions, one of the premier meetings for cardiac ultrasound education. For more information, visit asescientificsessions.org. Estep was involved in the ROADMAP LVAD Study of the HeartMate II. Read the article “Leading Cardiovascular Societies Release New Guidance on Use of Heart Pumps.”
Cardiac Imaging | July 18, 2017
Leslee Shaw, Ph.D., director of clinical research and professor of medicine at Emory University, Atlanta, and past-president of the Society of Cardiovascular Computed Tomography (SCCT), discusses how cardiac computed tomography angiography (CTA) offers value in today's cost-conscience environment at the SCCT 2017 meeting.
Watch the VIDEO: Value–based Imaging, an interview with Daniel Berman, M.D., Cedars-Sinai Medical Center.
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.
CT Angiography (CTA) | July 18, 2017
Matthew Budoff, M.D., FACC, professor of medicine, David Geffen School of Medicine at UCLA, endowed chair of preventive cardiology, Harbor-UCLA Medical Center, discusses the PROMISE and PICTURE trials at the Society of Cardiovascular Computed Tomography (SCCT) 2017 meeting. Watch the VIDEO "The Role of Cardic CT in Value-based Medicine."
Cardiovascular Business | July 13, 2017
Randall Thompson, M.D., outlines three new CPT codes for FFR-CT, a smart phone-based single-lead ECG system and PET nuclear perfusion imaging. Thompson is a professor of medicine at the University of Missouri, Kansas City, attending cardiologist, Mid-America Heart Institute, St. Luke’s Health, and member of the Society of Cardiovascular Computed Tomography (SCCT) Advocacy Committee, American College of Cardiology (ACC) Coding Taskforce and the American Society of Nuclear Cardiology (ASNC) treasurer, speaks at the SCCT 2017 annual meeting. Read the story "FFR-CT Gains CPT Code for Reimbursement."
