This course on Functional CT Imaging of Coronary Heart Disease aims to teach learners about the accuracy and benefits of using CT imaging for diagnosing coronary artery disease. The course covers topics such as standard and reduced dose CCTA, radiation protection measures, iterative image reconstruction, and the use of dual-energy CT for myocardial perfusion imaging. The teaching method includes lectures on various CT modalities, case studies, and discussions on the prognostic value of CT imaging in cardiac patients. This course is intended for radiologists, cardiologists, medical imaging professionals, and healthcare providers interested in advanced imaging techniques for evaluating coronary heart disease.
Functional CT Imaging of Coronary Heart Disease
Overview
Syllabus
Intro
Disclosures
Standard Dose CCTA - Accuracy
Core 64
Accuracy - CT vs Other Non-Invasive Tests for CAD DX
Improving on the Baseline
Reduced Dose - Prospective ECG Triggering
Radiation Protection - Low kV
Simple Measures Go a Long Way
Iterative Image Reconstruction
Reduced Calcium Blooming Artifacts
Improved Specificity for Stenosis
Gentle Techniques - TAVR Workup with 40cc Contrast
Prognostic Value
Prognosis: MUSC Outcomes in 458 Patients
Anatomical vs. Functional Testing: PROMISE
CT of Cardiac Function (not that)
Perfusion CT: An Old Idea...
CT Modalities for MPI
CT Myocardial Perfusion Protocols: DECT
Dual-Source CT Based DECT
DECT for Myocardial Ischemia
Morphology and Function: DECT
DECT Post-processing
3rd Gen. DSCT-Based DECT: Radiation-Dose
DECT Can Detect Subtle Pathology
Delayed Enhancement DECT
Extracellular Volume Fraction (ECVF), Novel CT marker for fibrosis
Adenosine vs Regadenoson
Automated Evaluation Software
Quantitative DECT Perfusion
Dynamic Time Resolved Perfusion
Structure / Function: Comprehensive Dx
Absolute MBF Quantification
Solving Clinical Dilemmas...
Monitoring Therapeutic Effects...
3-Vessel Disease: Balanced Ischemia
CT Perfusion vs SPECT - Cost Effectiveness
CT-FFR: Current Approaches - CFD
CT-FFR: The PLATFORM Trial
Cost-Effectiveness & Quality of Life
CT-FFR: AI - Deep Machine Learning
Summary
Thank you!
Taught by
Yale Radiology and Biomedical Imaging
