Ahmad El Yaman , Alaaeddine El Ghazawi , Ahmed Sayed , Maria Alwan , Asim Shaikh , Mahmoud Al Rifai , Leslee J. Shaw , Maros Ferencik , Mouaz H. Al-Mallah
{"title":"Geographical distribution and accessibility to cardiac CT readers in the United States: A snapshot from the 2022 medicare analysis","authors":"Ahmad El Yaman , Alaaeddine El Ghazawi , Ahmed Sayed , Maria Alwan , Asim Shaikh , Mahmoud Al Rifai , Leslee J. Shaw , Maros Ferencik , Mouaz H. Al-Mallah","doi":"10.1016/j.jcct.2025.06.011","DOIUrl":"10.1016/j.jcct.2025.06.011","url":null,"abstract":"<div><h3>Background</h3><div>Cardiac computed tomography (CCT) is an increasingly important modality for the diagnosis and management of cardiovascular diseases. However, disparities in the availability of trained CCT readers across the United States limit equal access.</div></div><div><h3>Objective</h3><div>This study examined the geographical distribution and characteristics of CCT readers who billed Medicare for CCT in 2022.</div></div><div><h3>Methods</h3><div>Data from the 2022 Medicare Part B and Medicare Doctors and Clinicians datasets were analyzed to determine the number, specialties, gender, year of graduation, and geographical locations of CCT readers, and the volume of scans.</div></div><div><h3>Results</h3><div>A total of 242,538 scans were billed in 2022, of which 194,895 (80.4 %) were performed by 3,179 CCT readers interpreting 11 or more studies. Sixty-eight percent of readers were radiologists and 32 % were cardiologists. Significant geographic disparities were observed in reader density, with some regions such as Puerto Rico having as few as 1.31 readers per million Medicare beneficiaries, while the District of Columbia had the highest density (147.99 per million). Female representation among CCT readers remained low, with women accounting for 14 % of readers. In addition, approximately 15.7 million US residents were located more than 50 miles away from the nearest CCT reader.</div></div><div><h3>Conclusion</h3><div>The findings highlight significant geographical disparities in access to qualified CCT readers, with millions of citizens living more than 50 miles from the nearest reader. Additionally, there is a marked imbalance in female representation among CCT readers.</div></div>","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 4","pages":"Pages 466-473"},"PeriodicalIF":5.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Fram, M. Mohammed, L. Obeidat, M. Saleem, H. Alrayes, L. Lai, S. Parikh, B. Zweig, J. Alter, K. Lai, T. Song, M. Pantelic, N. Bowerman, P. Engel Gonzalez, P. Villablanca, T. Frisoli, B. O'neill, J. Lee, J. Dawdy
{"title":"Cardiac Computed Tomography To Predict Transesophageal Echocardiographic Acoustic Windows In Transcatheter Tricuspid Valve Replacement","authors":"G. Fram, M. Mohammed, L. Obeidat, M. Saleem, H. Alrayes, L. Lai, S. Parikh, B. Zweig, J. Alter, K. Lai, T. Song, M. Pantelic, N. Bowerman, P. Engel Gonzalez, P. Villablanca, T. Frisoli, B. O'neill, J. Lee, J. Dawdy","doi":"10.1016/j.jcct.2025.05.064","DOIUrl":"10.1016/j.jcct.2025.05.064","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 4","pages":"Page S26"},"PeriodicalIF":5.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact Of Coronary Ct Angiography And Ffr-ct On Survival Outcomes In Diabetic Patients: A Retrospective Analysis Using Trinetx","authors":"F. Annie , S. Rinehart","doi":"10.1016/j.jcct.2025.05.033","DOIUrl":"10.1016/j.jcct.2025.05.033","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 4","pages":"Pages S13-S14"},"PeriodicalIF":5.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Krishnan , A. Narashim , J. Stark , P. Alapati , B. Montano , S. Kambalapalli , K. Ichikawa , B. Iskander , N. Punnanithinont , V. Manubolu , A. Kinninger , S. Roy , S. Lakshmanan , M. Budoff , R. Karlsberg
{"title":"Validation Of AI-driven Automated Coronary Segmentation And Plaque Quantification Against Expert Ccta Interpretation","authors":"S. Krishnan , A. Narashim , J. Stark , P. Alapati , B. Montano , S. Kambalapalli , K. Ichikawa , B. Iskander , N. Punnanithinont , V. Manubolu , A. Kinninger , S. Roy , S. Lakshmanan , M. Budoff , R. Karlsberg","doi":"10.1016/j.jcct.2025.05.036","DOIUrl":"10.1016/j.jcct.2025.05.036","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 4","pages":"Pages S14-S15"},"PeriodicalIF":5.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Ganigara, A. Chandra, S. Pophal, N. Hibino, M. Earing, W. Cossor
{"title":"Incremental Value Of Cardiac Ct Scan For Pre-surgical Planning Of Combined Heart And Liver Transplants For Complex Congenital Heart Disease","authors":"M. Ganigara, A. Chandra, S. Pophal, N. Hibino, M. Earing, W. Cossor","doi":"10.1016/j.jcct.2025.05.068","DOIUrl":"10.1016/j.jcct.2025.05.068","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 4","pages":"Page S28"},"PeriodicalIF":5.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Doman, A. Ramirez, S. Howes, E. Martinez, E. Fentanes
{"title":"Temporal Trends In The Utilization Of Coronary Artery Calcium Scoring Among Cardiologists And Primary Care Physicians At The Largest Military Training Facility.","authors":"E. Doman, A. Ramirez, S. Howes, E. Martinez, E. Fentanes","doi":"10.1016/j.jcct.2025.05.048","DOIUrl":"10.1016/j.jcct.2025.05.048","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 4","pages":"Page S19"},"PeriodicalIF":5.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144665787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}