B Kelly Han, Cynthia K Rigsby, Tarique Hussain, Anthony Hlavacek, Anjali Chelliah, Kanwal M Farooqi, Jennifer Cohen, Timothy Slesnick, Rajesh Krishnamurthy, Taylor Chung, Prachi P Agarwal, Ashwin Prakash, Sunil Ghelani, Aurelio Secinaro, Brian Ghoshhadra, Shazia Mohsin, Aloha Maeve, Mahesh Kappanayil, Renee P Bullock-Palmer, Cristina Fuss, James Shambrook, Thomas Semple, Angela M Kelle, Li San Lynette Teo, Lorna P Browne, Edward D Nicol
{"title":"Proposed resources required for a comprehensive program for CCT CHD imaging.","authors":"B Kelly Han, Cynthia K Rigsby, Tarique Hussain, Anthony Hlavacek, Anjali Chelliah, Kanwal M Farooqi, Jennifer Cohen, Timothy Slesnick, Rajesh Krishnamurthy, Taylor Chung, Prachi P Agarwal, Ashwin Prakash, Sunil Ghelani, Aurelio Secinaro, Brian Ghoshhadra, Shazia Mohsin, Aloha Maeve, Mahesh Kappanayil, Renee P Bullock-Palmer, Cristina Fuss, James Shambrook, Thomas Semple, Angela M Kelle, Li San Lynette Teo, Lorna P Browne, Edward D Nicol","doi":"10.1016/j.jcct.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.jcct.2025.01.003","url":null,"abstract":"<p><strong>Background: </strong>Cardiac Computed Tomography (CCT) is increasingly used for evaluation of congenital heart disease (CHD) in patients of all ages. Pediatric and adult congenital heart disease (ACHD) surgical programs require high quality CCT imaging as part of the multimodality imaging support expected of comprehensive care centers. Despite these expectations, there are no benchmarks or defined programmatic elements specific to the performance of CCT in patients with CHD. To address this deficit, this manuscript is written by a group of current CHD CCT practitioners and provides a collective opinion regarding the clinical components required, and essential resources needed, to deliver a comprehensive CCT CHD imaging program. Resource allocation was divided into CCT technology, imaging technologist, physician and programmatic support. The group is inclusive of pediatric and adult cardiologists and radiologists and includes practitioners from high and lower resourced programs and countries. Imaging settings are inclusive of academic and private practice, heart centers and combined radiology/cardiology service lines. Challenges and areas for future advocacy to support this growing specialty are proposed to improve performance standards that will consider the expected widespread variation in technical and staffing resources, skillsets, and practice settings for CT in CHD.</p><p><strong>Summary: </strong>High quality cardiovascular computed tomography is an essential component of pediatric and adult congenital programs and surgical centers. Program growth outpaces resource allocation in most institutions. This opinion paper outlines essential components for technical, technologist and physician resources and programmatic support to develop and maintain a successful CCT in CHD program. Although a small component of most cardiac imaging programs, it is an essential component particularly in complex cases. Institutional and imaging societal commitment is essential to support this emerging field at highest quality.</p>","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pakaparn Kittichokechai, Shanique Sterling-Lovy, Stuart R Lipsitz, Nao Sasaki, Christopher W Baird, Peter Chiu, Benjamin Zendejas, Robert J Smalley, Daniel A Castellanos
{"title":"Anatomic characteristics of the right aortic arch with aberrant left subclavian artery in patients who do and do not undergo vascular ring repair.","authors":"Pakaparn Kittichokechai, Shanique Sterling-Lovy, Stuart R Lipsitz, Nao Sasaki, Christopher W Baird, Peter Chiu, Benjamin Zendejas, Robert J Smalley, Daniel A Castellanos","doi":"10.1016/j.jcct.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.12.001","url":null,"abstract":"<p><strong>Introduction: </strong>It is unclear if certain anatomic characteristics in patients with a right aortic arch with aberrant left subclavian artery (RAA ALSCA) are associated with undergoing surgical repair.</p><p><strong>Methods: </strong>This was a single-center retrospective study of patients with RAA ALSCA and computed tomography or cardiovascular magnetic resonance from July 2013-September 2023. The size of the proximal ALSCA or diverticulum of Kommerell (DoK), thoracic inlet index, angle of the proximal ALSCA/DoK from the aortic arch, the position of descending aorta, location of the DoK, and tracheal size were compared between patients who did or did not undergo surgery.</p><p><strong>Results: </strong>Of 163 patients meeting inclusion criteria, 56 % underwent surgery. Surgical patients had a larger indexed proximal ALSCA/DoK diameter and area, a higher indexed distance between the tip of the DoK and the opposite aortic wall, a greater proximal-to-distal LSCA ratio, a less acute angle of the proximal ALSCA/DoK from the aortic arch, a more leftward DoK location, and a lower thoracic inlet index compared to non-surgical patients. A larger indexed proximal ALSCA/DoK diameter, with an optimal threshold of ≥13.78 mm/m<sup>2</sup>, and a more leftward DoK location were independently associated with surgery. The reoperation rate was 11 %, and was associated with a less acute angle of the proximal ALSCA from the aortic arch.</p><p><strong>Conclusions: </strong>A larger proximal ALSCA/DoK size and a more leftward DoK location were associated with surgical repair of RAA ALSCA, while a less acute angle of proximal ALSCA from the aortic arch was associated with reoperation.</p>","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Erbay, S. Susarla, D. Lee, V. Manubolu, A. Kinninger, H. Sandhu, D. Behjatnia, O. Bikhazi, K. Ngo, A. Jung, I. Yusufu, T. Ahmad, Budoff M
{"title":"Distribution Of Coronary Plaque Subtypes Among Races Quantified By Automated Coronary Plaque Analysis","authors":"M. Erbay, S. Susarla, D. Lee, V. Manubolu, A. Kinninger, H. Sandhu, D. Behjatnia, O. Bikhazi, K. Ngo, A. Jung, I. Yusufu, T. Ahmad, Budoff M","doi":"10.1016/j.jcct.2024.05.169","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.05.169","url":null,"abstract":"","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":"130 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Krishnan, D. Li, S. Mao, F. Flores, Y. Gao, S. Luo, M. Budoff
{"title":"Comprehensive Assessment Of CT Hounsfield Unit Variation Within Patients, Scanners, And Integrated Measures","authors":"S. Krishnan, D. Li, S. Mao, F. Flores, Y. Gao, S. Luo, M. Budoff","doi":"10.1016/j.jcct.2024.05.150","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.05.150","url":null,"abstract":"","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":"136 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Chamie, R. Okubo, Y. Sobue, U. Kaneko, H. Sato, S. Fujimoto, Y. Nozaki, T. Kajiya, T. Miyoshi, K. Ichikawa, M. Abe, T. Kitagawa, H. Ikenaga, K. Osawa, M. Saji, N. Iguchi, G. Nakazawa, K. Takahashi, T. Ijich, H. Mikamo, A. Kurata, M. Moroi, R. Iijima, A. Lansky, A. Demuyakor, H. Matsuo, U. Hoffmann, J. Min, J. Earls, R. Nakanishi
{"title":"Optimal Threshold For Characterizing Calcified Plaque On Ccta As Determined By Correlation With Oct","authors":"D. Chamie, R. Okubo, Y. Sobue, U. Kaneko, H. Sato, S. Fujimoto, Y. Nozaki, T. Kajiya, T. Miyoshi, K. Ichikawa, M. Abe, T. Kitagawa, H. Ikenaga, K. Osawa, M. Saji, N. Iguchi, G. Nakazawa, K. Takahashi, T. Ijich, H. Mikamo, A. Kurata, M. Moroi, R. Iijima, A. Lansky, A. Demuyakor, H. Matsuo, U. Hoffmann, J. Min, J. Earls, R. Nakanishi","doi":"10.1016/j.jcct.2024.05.189","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.05.189","url":null,"abstract":"","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":"22 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Tremamunno, A. Varga-Szemes, U. Schoepf, E. Zsarnóczay, G. Aquino, J. O'Doherty, M. Vecsey-Nagy, T. Emrich
{"title":"Fully Automated Functional Assessment Of Pre-procedural Cardiac Ct Predicts Outcome In Transcatheter Aortic Valve Replacement Candidates","authors":"G. Tremamunno, A. Varga-Szemes, U. Schoepf, E. Zsarnóczay, G. Aquino, J. O'Doherty, M. Vecsey-Nagy, T. Emrich","doi":"10.1016/j.jcct.2024.05.202","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.05.202","url":null,"abstract":"","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141708713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Atlas, C. Zhang, A. Reeves, D. Li, T. Atlas, M. Budoff, M. Naghavi
{"title":"AI-enabled Bone Mineral Density Measurement In Coronary Artery Calcium Scans Associated With High Coronary Artery Calcium Independently Of Conventional Risk Factors: Multi-ethnic Study Of Atherosclerosis (mesa)","authors":"K. Atlas, C. Zhang, A. Reeves, D. Li, T. Atlas, M. Budoff, M. Naghavi","doi":"10.1016/j.jcct.2024.05.139","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.05.139","url":null,"abstract":"","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":"11 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative Analysis Of Coronary Calcium Scoring Using True Non-contrast And Photon-counting Detector Ct Virtual Non-contrast Reconstructions","authors":"A. Alatoum, S. Pryia","doi":"10.1016/j.jcct.2024.05.137","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.05.137","url":null,"abstract":"","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":"4 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Onuegbu, J. Weber, C. Sarpong, J. Orozco Diaz, E. Wolff, Z. Ali, O. Khalique
{"title":"The Diagnostic Accuracy Of Photon Counting Detector CT Scan In The Detection Of Obstructive Coronary Artery Disease In Comparison To Invasive Coronary Angioraphy In Patients With Agatston Coronary Artery Calcium Score Of Greater Than 1000.","authors":"A. Onuegbu, J. Weber, C. Sarpong, J. Orozco Diaz, E. Wolff, Z. Ali, O. Khalique","doi":"10.1016/j.jcct.2024.05.164","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.05.164","url":null,"abstract":"","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":"16 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Sultana, D. Paneitz, B. Badreldin, M. Randhawa, J. Arminder, S. Hedgire
{"title":"Measuring Aortic Root On CTA: A Comparative Study On Different Measurement Techniques","authors":"S. Sultana, D. Paneitz, B. Badreldin, M. Randhawa, J. Arminder, S. Hedgire","doi":"10.1016/j.jcct.2024.05.123","DOIUrl":"https://doi.org/10.1016/j.jcct.2024.05.123","url":null,"abstract":"","PeriodicalId":94071,"journal":{"name":"Journal of cardiovascular computed tomography","volume":"94 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}