Discover and read the best of Twitter Threads about #scct2021

Most recents (14)

#SCCT2021 "Chance Favors the Prepared: Exam Prep & Safety" #YesCCT All in due process by Dr. Quynh Truong @cardioQT @WeillCornell
🧵
#SCCT2021 #YesCCT
1) QA/QI is a team effort: rads, cards, physicist, technologist
- quality control of equipment
- image acquisition: radiation ALARA, "right protocol, right dose - right patient"
- image interpretation: inter-reader agreement, correlation to cor angio/surg/path
#SCCT2021 #YesCCT
2) QC of🍩scanner:
model specs, test reports, maintenance logs, radiation exposure
Read 4 tweets
#SCCT2021 "Chance Favors the Prepared: Exam Prep & Safety" #YesCCT We need to talk by Dr. Jill Jacobs @nyulangone
🧵:
#SCCT2021 #YesCCT
1) Information Transfer & Direct Lines of Communication are 🗝️🔑
#SCCT2021 #YesCCT
2) Info for 👩‍🔬👩‍⚕️👨‍🔬👨‍⚕️:
- having dedicated info page useful/helps
- tips on maneuvering preauthorization
- where to direct ?'s
- contact info
Read 9 tweets
#SCCT2021 "Chance Favors the Prepared: Exam Prep & Safety" #YesCCT Why you gotta be so complicated? by Dr. Christopher Maroules @ChrisMaroules
🧵:
#SCCT2021 #YesCCT
1) Always consider the risk:benefit ratio
#SCCT2021 #YesCCT
2) Anticipating and managing adverse rxns to medications
Read 5 tweets
#SCCT2021 "Chance Favors the Prepared: Exam Prep & Safety" #YesCCT Rad to the 🦴(🫁 🫀) by Dr. Andrew Einstein @AndrewEinstein7 @CU_Cardiology
🧵:
#SCCT2021 #YesCCT
1) Dosimetry
☢️effects: Deterministic & Stochastic
Deterministic (AKA tissue reactions): rad-induced cell☠️, practical threshold dose, severity ⬆️w/ dose
Stochastic: rad-induced mutations, risk proport to dose (@ low doses), typical effects in DX imaging
#SCCT2021 #YesCCT
2) Dose
- Absorbed: average E imparted to matter vol by ionizing☢️/ mass of matter in vol
- wR:🧬effect of given absorb. dose based on type/quality of☢️emitted
- Equivalent = Absorbed✖️wR
- wT: prob of stochastic effects of equiv. dose based on tissue irradiatd
Read 6 tweets
Now up, growing your program through modern media by @purviparwani. In current era, #SoMe is a powerful tool for growing your program. #SCCT2021 ImageImageImageImage
Strategies for growing your growing your advanced imaging program through modern media. Great talk by @purviparwani #SCCT2021 ImageImageImageImage
5 tips for growing #CardiacCT program @purviparwani #SCCT2021. Tip 1: Make imaging relevant to clinical problem. Tip 2: Imaging content on #SoMe. Tip 3: 80/20 rule of original content/promotion. Tip 4: 360 degree Marketing ImageImageImageImage
Read 4 tweets
#YesCCT : Clinical reporting & understanding finance by @docjuanb at #SCCT2021 . There are reimbursement challenges . #Cardiac CT is in the wrong Ambulatory Payment Classification (APC). Bill also must be supported by clinical symptom & diagnostic ICD10 codes. Not a “rule out”. ImageImageImageImage
Reimbursement tracks with the CPT used so use the right CPT code and make sure language in report supports that code. All CTA assumes 3D, thus need to mention 3D in report. Have your reporting align with @Heart_SCCT guidelines. @docjuanb at #SCCT2021 ImageImageImage
Unfortunately #cardiacCT often lumped into CT not cardiac. Hospitals should update cost charges to accurately reflect true cost of work, align w/ other cardiac testing. With costs underreported, CMS bases APC & reimbursement on these historically lower costs @docjuanb #SCCT2021 ImageImageImage
Read 4 tweets
Lessons learned in training your #yesCCT team by @appropriateuse #SCCT2021 : Step 1: Learn the current set-up. ImageImageImageImage
Lessons learned in training your #yesCCT team by @appropriateuse #SCCT2021 : Step 2: Expand the service. Step 3: Educating the team. ImageImageImageImage
Lessons learned in training your #yesCCT team by @appropriateuse #SCCT2021 : Step 4: Quality Assurance; Step 5: feedback; step 6: Management ImageImageImageImage
Read 4 tweets
Will #AI enhance care of patients?
Yes!
How?
-Improved reliability
-Atherosclerosis guided Rx
-Risk prediction
-Requires validation ✅

Proud to share my #SCCT2021 talk (1/5)
AI & ML in #YesCCT: New Frontiers in Atherosclerosis
@mirvatalasnag @HeartOTXHeartMD @DrIanWeissman
#SCCT2021 (2/5)
AI & ML in #YesCCT: New Frontiers in Atherosclerosis

-The field of #YesCCT has evolved rapidly
-Current CV risk prediction models are inadequate – can AI help?
-Average imager may read > 1 billion pixels per day
#SCCT2021 (3/5)
#AI & ML in #YesCCT: Atherosclerosis

-Be mindful of caveats, ensure validity & avoid hype
-Opportunity to improve #CCT reproducibility (in conjunction w/ education!)
-#CLARIFY - algorithm validation
-#CLARIFY– high accuracy for %stenosis

@mirvatalasnag
Read 5 tweets
Great session on Artificial Intelligence and Machine learning with session chairs @imagingmedsci, Dr. Bratt, @michael_t_lu, @ivanaisgum, Dr. Al'Aref and @DeCeccoCN at #SCCT2021!

#ICYMI - Here's a brief tweetorial from the #YesCCT session (1/7)
@mirvatalasnag @HeartOTXHeartMD
#AI & ML in #YesCCT: #SCCT2021 #Tweetorial (2/7)
1⃣: The big picture & black box by Dr. Michael Lu
-Multiple “black box” definitions
-Explainability
-Predictability
-More accurate than SOC, visualizes output (& modifiable), communicates uncertainty (eg grey-zone FFR-CT)
3⃣#AI & ML in #YesCCT #SCCT2021: New frontiers in atherosclerosis @AChoiHeart

-Use of #CNN for whole heart stenosis & atherosclerosis
-Improved reproducibility of stenosis to enhance guideline adherence
-Individualized risk prediction
-New Rx paradigm!
Read 7 tweets
Obstructive CAD is just one etiology of ischemia. If no obstructive disease, consider coronary microvascular dysfunction #CMD. So what is best imaging modality for CMD? @VTaqMD #SCCT2021 ImageImageImageImage
How to evaluate for #CMD? A multidimensional cardiac stress PET test can evaluation for perfusion, function, and coronary blood flow. @VTaqMD #SCCT2021 ImageImageImage
Distribution of risk by coronary flow reserve #CFR. Even in absence of inducible ischemia or obstructive lesions, impaired CFR is associated with increased CVD risk. When severely impaired, CFR more prognostically significant in women. @VTaqMD #SCCT2021 ImageImageImageImage
Read 6 tweets
Patients with #MINOCA were more likely to be women and have fewer traditional CV risk factors. Heterogenous pathophysiology – etiology is of great importance to guide treatment. Inge van den Hoogen #SCCT2021 ImageImageImageImage
#MINOCA diagnosis. Overt non-cardiac disorders need to be excluded. Also need to rule out missed obstruction and non-ischemic causes of myocardial injury. Then after MINOCA diagnosed, need to workup etiology. Inge van den Hoogen #SCCT2021 ImageImageImageImage
Plaque disruption and plaque erosion cause some cases of #MINOCA – diagnose with OCT or IVUS, but not CCTA. Inge van den Hoogen #SCCT2021 ImageImageImage
Read 5 tweets
Women are not smaller men! #Atherosclerosis genesis, progression & sequelae different in women. Plaque erosion causing ACS more common in women. Women have unique #SDOH, are undertreated with #cvPrev therapies & #GDMT, leads to worsening outcomes in women. @lesleejshaw #SCCT2021 ImageImageImage
Women’s CVD risk can be underestimated. Female specific risk enhancers help. #CAC if risk uncertain. Women have lower #CAC prevalence than men but prevalence increases after menopause. CAC when present confers greater risk of incident CVD in women than men. @lesleejshaw #SCCT2021 ImageImageImage
Prevalence of non-obstructive #CAD is higher in women but is prognostic of risk. @lesleejshaw #SCCT2021 ImageImageImage
Read 6 tweets
Top 10 paper in #yesCCT by @ToddVillinesMD

1st paper

📝 Italian COVID 19 registry
N=1625
📝 Increasing #CAC associated with worse covid 19 outcomes of hospital death, MI and CVA
#YesCCT
2nd paper #Top10 papers #yesCCT
#SCCT2021
danish heart registry
📝 Plaque burden, not stenosis the main predictor of MACE
📝 patients with a comparable calcified atherosclerosis burden generally carry a similar risk for CVD events
jacc.org/doi/abs/10.101…
3rd paper #Top10 papers #yesCCT
#SCCT2021

CREDENCE trial
📝 Stress MPI vs #yesCCT for diagnosis of coronary physiology
📝 #yesCCT superior to stress MPI in the diagnosis of invasive FFR
jamanetwork.com/journals/jamac…

@lesleejshaw @RonBlankstein @AChoiHeart @ghoshhajra
Read 10 tweets

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