On Demand: Maximizing the Impact of Cardiac CT Across Clinical and Operational Workflows-Webinar Recording

Video Transcription

Video Summary

The webinar, hosted by Dr. Joe Sasson of MedAxium, focused on the expanding role of cardiac CT, particularly coronary computed tomography angiography (CCTA), in cardiology. Dr. Wesley O’Neill from Cone Health highlighted the pivotal shift in guidelines favoring CCTA over stress testing for stable chest pain evaluation, emphasizing CCTA’s ability to detect both obstructive and non-obstructive coronary artery disease, enabling better preventive and immediate intervention strategies. He detailed the importance of advanced technologies like large-volume CT scanners with motion correction and AI-driven coronary plaque analysis to improve image quality, throughput, and clinical decision-making. Dr. O’Neill stressed that a successful CCTA program requires a multidisciplinary team including trained physicians, nurses, and technologists, and noted challenges such as scanner selection, workforce shortages, and IT integration. <br /><br />Dr. Yadir Sandoval of Minneapolis Heart Institute discussed the emerging practice of CT-guided percutaneous coronary intervention (PCI), underscoring its growing adoption and the need for high-quality image acquisition. He described how CT imaging is transforming PCI planning by facilitating detailed assessment of lesion complexity, plaque morphology, calcium distribution, and vessel anatomy to optimize stent placement and procedural efficiency. He referenced ongoing trials like the P4 trial, which is assessing outcomes of CT-guided PCI compared to intravascular imaging-guided approaches. Dr. Sandoval emphasized collaborative programs bridging imaging and interventional cardiology and previewed advanced software tools enabling interactive 3D visualization in the catheterization lab.<br /><br />In Q&A, both experts highlighted the necessity of high-end, efficient CT technology and multidisciplinary partnerships, noted evolving reimbursement landscapes for FFR-CT, and acknowledged that CT-guided PCI is increasingly integral to patient triage and procedural planning in contemporary cardiology practice.

Keywords

cardiac CT

coronary computed tomography angiography

CCTA

stable chest pain evaluation

coronary artery disease detection

large-volume CT scanners

AI-driven plaque analysis

CT-guided percutaneous coronary intervention

P4 trial

multidisciplinary cardiology team