The only journal dedicated to cardiovascular computed tomography. Official journal of the Society of Cardiovascular Computed Tomography.
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Post-hoc substudy of the FASTTRACK CABG trial, Miyashita et al show that while FFRCT, QFR, & μFR show moderate agreement overall, they diverge in lesion classification & phenotype (diffuse v focal). Understanding these differences is key in complex CAD. ow.ly/Pz8550YQRAr
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This study by Nabeta et al of 1,746 patients with suspected CAD shows that CCTA-derived AI-based ischemia may help refine downstream testing but is best when integrated with clinical CCTA interpretation. #AIinImaging
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CABG targets flow-limiting lesions—but what about plaque biology? This study by Revaiah et al shows high-risk plaques are most prevalent proximal to graft anastomoses, with residual HRPs in non-grafted vessels. Important for long-term risk assessment.
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In this study by Carvalho et al, AI-based quantitative CT (AI-QCT) aids in detecting CTO lesions and quantifies occlusion length, helping with of CTO PCI planning #AIinImaging
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Yap et al demonstrate that in a head-to-head comparison with NIRS-IVUS, an intermediate-strength IR (ADMIRE 2), 0.50 mm slice thickness, and fixed HU thresholds provided the most accurate plaque characterization.
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Batteux et al demonstrated that a standardized 3D evaluation of sinus venosus defect (SVD) provided a new anatomical classification that should prove useful for tailoring transcatheter correction of SVD strategies.
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The study from Vogl et al showed that Flow dynamics vary significantly across dilation morphologies in Kawasaki disease. Patients with coronary artery aneurysms present hemodynamic data associated with the highest likelihood of thrombosis.
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Patel et al shows that in congenital heart disease patients single-source CCT measures higher RV volumes & lower EF compared to CMR, mainly because of inferior stretch due to differences in breathing-instruction & misidentification of end-systole.
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The study from Hyun Woo Goo demonstrated that CCT can be used to quantitatively evaluate RV remodeling after RV outflow tract reconstruction using a conduit in patients with pulmonary atresia and ventricular septal defect.
Read more: doi.org/10.1016/j.jcct.2025.….
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The study from Farooqi et al showed that CT-FFR values are lower in patients with anomalous right coronary artery (ARCA) from the left or noncoronary sinus and anatomic characteristics considered high-risk.
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The study from Javalkar et al highlights a marked increase in CCT use in pediatric cardiac imaging between 2010 and 2023. The growing role of CCT underscores the need for tailored training programs for pediatric cardiologists.
Learn more: ow.ly/Qt7c50YuRuZ.
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This opinion paper from Han et al outlines essential components for technical, technologist and physician resources and programmatic support to develop and maintain a successful CCT in congenital heart disease program.
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This retrospective study from Kittichokechai et al shows that CCT can differentiate patients with a right aortic arch with aberrant left subclavian artery (RAA ALSCA) who do and do not undergo surgical repair.
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Parikh et al found in adults >70 undergoing CCTA, PCD-CT was linked to ↓ ICA referrals, ↑ diagnostic accuracy & fewer indeterminate scans vs EID-CT—with similar overall accuracy. Potential to reduce unnecessary invasive procedures in older CAD patients
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In this systematic review and meta-analysis, Kyriakoulis et al review the roles of CCTA and CACS in their preoperative cardiovascular risk of MACE stratification in patients undergoing noncardiac surgery.
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The new ACC Advanced Training Statement defining competencies for the advanced cardiovascular imager—establishing integrated expertise across CT, MR, echo & nuclear imaging to advance multimodality cardiovascular care.
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Jukema et al show CAC performance in patients with non-typical symptoms is age- and sex-dependent. A CAC=0 is more reassuring >55, with better performance in men and those on lipid-lowering therapy.
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Kravchenko et al demonstrate that AI-assisted coronary CTA reading on photon-counting CT cut interpretation time by 54% while boosting specificity to 97% over EID-CT. Automated analysis expert oversight may improve clinical workflow.
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Sillett et al show CT-derived 3D LA strain is feasible and clinically meaningful in TAVI candidates. 3D PALS from gated CT agrees well with 2D STE—without atrial foreshortening.
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Spontaneous coronary artery dissection (SCAD) predominantly affects middle-aged women. In this study by Pagonis et al, CCTA detected fewer than half of acute SCAD lesions seen on ICA, especially in distal vessels. ICA remains the diagnostic standard.
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