{"title":"Predictive Value of the Relationship Between Age and Calcium Score for the Diagnosis of Obstructive Coronary Disease","authors":"I. Lala , I. Groza","doi":"10.1016/j.jcct.2024.12.068","DOIUrl":"10.1016/j.jcct.2024.12.068","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 1","pages":"Page S26"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429428","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":"Coding and coverage for cardiac CT in the era of algorithm-based healthcare procedures and services","authors":"Cara Santillo , Kirsten Tullia , Richard A. Frank","doi":"10.1016/j.jcct.2024.08.006","DOIUrl":"10.1016/j.jcct.2024.08.006","url":null,"abstract":"<div><div>In order for patients to gain the benefit of innovation in cardiac CT, it is necessary for coding, coverage, and payment to adapt to the novelty of algorithm-based healthcare procedures and services (ABHS). Appendix S to the CPT Code Set, the “AI Taxonomy”, enables creation of discrete and differentiable codes for reimbursement of ABHS which has been clinically validated and FDA-labeled. Payment policy in OPPS and PFS is evolving to take account of the unique opportunities and issues arising from the clinical adoption of ABHS.</div></div>","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 1","pages":"Pages 93-96"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304921","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}
Yoshito Kadoya, Mehmet Onur Omaygenc, Benjamin Chow, Gary R. Small
{"title":"Reproducibility of myocardial extracellular volume quantification using dual-energy computed tomography in patients with cardiac amyloidosis","authors":"Yoshito Kadoya, Mehmet Onur Omaygenc, Benjamin Chow, Gary R. Small","doi":"10.1016/j.jcct.2024.09.011","DOIUrl":"10.1016/j.jcct.2024.09.011","url":null,"abstract":"<div><h3>Background</h3><div>Quantifying myocardial extracellular volume (ECV) using computed tomography (CT) has been shown to be useful in the evaluation of cardiac amyloidosis. However, the reproducibility of CT measurements for myocardial ECV, is not well-established in patients with proven cardiac amyloidosis.</div></div><div><h3>Methods</h3><div>This prospective single-center study enrolled cardiac amyloidosis patients to undergo dual-energy CT for myocardial fibrosis assessment. Delayed imaging at 7 and 8 min post-contrast and independent evaluations by two blinded cardiologists were performed for ECV quantification using 16-segment (ECV<sub>global</sub>) and septal sampling (ECV<sub>septal</sub>). Inter- and intraobserver variability and test-retest reliability were measured using Spearman's rank correlation, Bland-Altman analysis, and intraclass correlation coefficients (ICC).</div></div><div><h3>Results</h3><div>Among the 24 participants (median age = 78, 67 % male), CT ECV<sub>global</sub> and ECV<sub>septal</sub> showed median values of 53.6 % and 49.1 % at 7 min, and 53.3 % and 50.1 % at 8 min, respectively. Inter- and intraobserver variability and test-retest reliability for CT ECV<sub>global</sub> (ICC = 0.798, 0.912, and 0.894, respectively) and ECV<sub>septal</sub> (ICC = 0.791, 0.898, and 0.852, respectively) indicated good reproducibility, with no evidence of systemic bias between observers or scans.</div></div><div><h3>Conclusions</h3><div>Dual-energy CT-derived ECV measurements demonstrated good reproducibility in patients with proven cardiac amyloidosis, suggesting potential utility as a repeatable imaging biomarker for this disease.</div></div>","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 1","pages":"Pages 74-80"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin J.W. Chow , Saad Balamane , Anahita Tavoosi , Lucas Dirienzo , Yeung Yam , Li Chen , Aun Yeong Chong
{"title":"Racial referral bias in cardiac computed tomography: Differences, disparities or discrimination?","authors":"Benjamin J.W. Chow , Saad Balamane , Anahita Tavoosi , Lucas Dirienzo , Yeung Yam , Li Chen , Aun Yeong Chong","doi":"10.1016/j.jcct.2024.09.016","DOIUrl":"10.1016/j.jcct.2024.09.016","url":null,"abstract":"<div><h3>Background</h3><div>Disparities exist in medicine and can affect patient care. We sought to understand influences of racial biases in diagnostic testing within a Cardiac CT (CCT) population.</div></div><div><h3>Methods</h3><div>Race of CCT patients, referring physicians and the population in the catchment area were captured between February 2006 and November 2021. The frequency of CCT referrals for each race was indexed to the catchment population.</div></div><div><h3>Results</h3><div>Of 21,241 CCT patients, 17,514 (82.5 %) patients were White. The Non-White population was comprised of 467(2.2 %) Indigenous, 656(3.1 %) Black, 932(4.4 %) Asian, 276(1.3 %) South Asian, 1100(5.2 %) Middle Eastern and 296(1.4 %) Latin American races. The catchment population was 907,675, with 619,514 individuals of whom 69.7 % identified as White. Compared to the catchment population, there was a disproportionately higher referral rate for Whites than Non-Whites. The referral index for Whites was higher than Non-Whites (1.2 versus 0.6, p < 0.001)). This pattern was consistent across all racial minorities and age categories. A total of 356 physicians (236(66.3 %) White, 4(1.2 %) Black, 39(12.0 %) Asian, 30(9.2 %) South Asian, 43(13.2 %), Middle Eastern and 4 (1.2 %) Latin American) made referrals to CCT. The racial difference in referral patterns was independent of physician race and was independent of their years in practice.</div></div><div><h3>Conclusions</h3><div>Racial differences exist in CCT referrals. These differences are independent of prevalence of disease, physician race or years in practice. This study supports the need to better understand reasons for disparity and strategies to mitigate potential bias.</div></div>","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 1","pages":"Pages 26-31"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inter-Observer Agreement Of The Coronary Artery Disease-Reporting And Data System (CAD-RADSTm) 2.0","authors":"J. Erley, J. Lund, E. Tahir, I. Molwitz, M. Meyer","doi":"10.1016/j.jcct.2024.12.057","DOIUrl":"10.1016/j.jcct.2024.12.057","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 1","pages":"Page S21"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428869","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}
A. Boehner, B. Salam, A. Isaak, C. Pieper, J. Luetkens, D. Kuetting
{"title":"Impact Of Pre-examination Preparation On Reducing In-room Time For Coronary Ct Angiography","authors":"A. Boehner, B. Salam, A. Isaak, C. Pieper, J. Luetkens, D. Kuetting","doi":"10.1016/j.jcct.2024.12.049","DOIUrl":"10.1016/j.jcct.2024.12.049","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 1","pages":"Pages S18-S19"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428964","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}
K. Miyashita , P. C Reviah , A. Oshima , D. Andreini , S. Mushtaq , G. Pontone , K. Tanaka , J. De Mey , U. Teichgräber , V. Agarwal , H. Gupta , J. Narula , Y. Onuma , P. Serruys
{"title":"Comparative Analysis of Coronary Computed Tomography Angiography Auantitative Flow Ratio and Angio-derived Quantitative Flow Ratio at Sequential Side Branches","authors":"K. Miyashita , P. C Reviah , A. Oshima , D. Andreini , S. Mushtaq , G. Pontone , K. Tanaka , J. De Mey , U. Teichgräber , V. Agarwal , H. Gupta , J. Narula , Y. Onuma , P. Serruys","doi":"10.1016/j.jcct.2024.12.041","DOIUrl":"10.1016/j.jcct.2024.12.041","url":null,"abstract":"","PeriodicalId":49039,"journal":{"name":"Journal of Cardiovascular Computed Tomography","volume":"19 1","pages":"Page S15"},"PeriodicalIF":5.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429031","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}