Mark Michalski, M.D., director of the Center for Clinical Data Science at Massachusetts General Hospital, explains the basis of the utilization of artificial intelligence (aka deep learning and machine learning) in radiology. He also explains where things are at in development of these neuro networks at RSNA 2016. Watch the VIDEO “Examples of Artificial Intelligence in Medical Imaging Diagnostics.”
Videos
DAIC Thought Leadership Series: Collaboration Challenges in Complex Cardiology Settings
In this segment of our DAIC Thought Leadership Series, which features one-on-one conversations with cardiovascular leaders, we're talking with Dr. Jeffrey Soble. He serves both as a practicing cardiologist at Rush University Medical Group’s Cardiology Intensive Care Unit, and CEO of Ascend Cardiovascular. in this video he addresses some of the challenges related to collaborating in complex cardiology settings, and provides insight into ways telepresence and augmented reality can be used — from a clinical perspective, using a holistic approach to structured reporting.
Cardiac Imaging
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.
At RSNA 2016, the key buzzwords were “deep learning,” “machine learning” and “artificial intelligence.” Vendors and major academic centers are developing a wide array of artificial intelligence neuro networks to aid radiologists in clinical diagnosis and clinical decision support. Here are two examples of how the IBM Watson system examines a mammography and cardiac patient imaging studies. Watch the VIDEO “Development of Artificial Intelligence to Aid Radiology,” an interview with Mark Michalski, M.D., director of the Center for Clinical Data Science at Massachusetts General Hospital, explaining the basis of artificial intelligence in radiology.
Emanuel Kanal, M.D., director of MRI services and professor of radiology and neuroradiology at the University of Pittsburgh Medical Center, explains what is known about MRI contrast retention in the brain and other MRI safety concerns. He spoke to ITN at RSNA 2016. Read the article "Gadolinium May Remain in Brain after Contrast MRI."
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.
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
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
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.”
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."
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."
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
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."
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."
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.
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.
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
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."
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."
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
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."
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."
ITN/DAIC Editor Dave Fornell takes a tour of some of the most innovative new healthcare technology trends in health information technologies (IT) on the expo floor of the massive 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.
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).
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."
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.”
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.
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.
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.
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.
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.
Guillaume Baillaird, CEO of ControlRad Systems, described how his company's technology can significantly reduce radiation dose to staff and patients during angiography procedures.
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.
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."
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
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.”
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.
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.”
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.
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.
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.