Journal of Cardiovascular CT

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. doi.org/10.1016/j.jcct…

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. doi.org/10.1016/j.jcct…

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 doi.org/10.1016/j.jcct…

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. doi.org/10.1016/j.jcct…

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. doi.org/10.1016/j.jcct…

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. doi.org/10.1016/j.jcct…

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. ow.ly/cf8O50XJJgS

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. doi.org/10.1016/j.jcct…

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. ow.ly/KoWf50XJJ4R

As SCCT enters a new chapter, incoming SCCT President Chinnaiyan reflects on the foundations that built our field, & the promise that lies ahead: The View from Here: Vision, Responsibility & the Future of Cardiovascular CT. Join us in wishing her success! ow.ly/vsxz50XJIxu

Gray et al showed that CTCA is key for assessing paravalvular complications in prosthetic valve endocarditis — improving vegetation detection and surgical planning — and should be integrated with standard echocardiography. ow.ly/wHMi50XA1vr

Miller et al found that discrete non-calcified plaque on CCTA independently predicts future cardiovascular events in patients with CAC 0–100, underscoring the need for more comprehensive risk assessment. doi.org/10.1016/j.jcct…

Zheng et al showed that the coronary geometry has clear phase-dependency, thus the phase dependency should not be ignored when CCT is used to quantify computational fluid dynamics-derived parameters. ow.ly/jvVr50XA1mU

This study from Kisohara et al shows that 5 mm-thick non-contrast body CT aortic-valve Agatston score (AVAS) is a quantitatively feasible tool for evaluating severe aortic stenosis. ow.ly/fC8850XA15J.

A study from Fujito et al shows the role of AI-based Roadmap from HeartFlow in supporting accurate management of patients with coronary artery stenoses addressed to TAVR procedures. ow.ly/BM3750XA0PO

CCT is evolving in the context of TAVR procedure. A review from Lorenzatti et al summarize role of CCT for patient selection, therapy optimization and long-term follow-up refinition. doi.org/10.1016/j.jcct….

Tremamunno et al show that ultra–high-resolution photon-counting CT (PCD-CT) detects more plaques but less stenosis than EID-CT, reclassifying >50% of patients to lower CAD-RADS. PCD-CT doesn’t just sharpen images—it changes interpretation. doi.org/10.1016/j.jcct…

A survey of 2022 Medicare data by Yaman et al reveals that in 2022, over 240,000 cardiac CT (CCT) scans were billed to Medicare, but access isn’t equal: Some U.S. regions have <2 CCT readers per million beneficiaries. Women represent only 14% of readers. ow.ly/gaUe50XlXYk

Tapley et al show that in post-ACS patients, low endothelial shear stress (ESS) on CCTA is linked to higher 18F–NaF plaque activity and high-risk plaque features—suggesting CCTA-derived ESS may help predict plaque progression. doi.org/10.1016/j.jcct…

New study by Meer et al finds that in adults with type 2 diabetes, medial (not intimal) arterial calcification is independently linked to higher arterial stiffness—potentially connecting peripheral vascular changes to heart disease risk. doi.org/10.1016/j.jcct…