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From a priori to evidence and advocacy: The evolving paradigm of CCT competency for structural heart disease

  • David J. Hur
    Affiliations
    Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
    VA Connecticut Healthcare System, West Haven, CT, USA
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  • Dee Dee Wang
    Affiliations
    Center for Structural Heart Disease, Division of Cardiology, Department of Medicine, Henry Ford Health System, Detroit, MI, USA
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  • Andrew D. Choi
    Correspondence
    Corresponding author. Division of Cardiology, The George Washington University School of Medicine, 2150 Pennsylvania Ave NW Suite 4-417, Washington, DC, 20037, USA.
    Affiliations
    Division of Cardiology and Department of Radiology, The George Washington University School of Medicine, Washington, DC, USA
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      Since 2005, the technological advances of multidetector-row cardiovascular computed tomography (MDCT) have fostered a new, modern era of multimodality imaging in cardiovascular medicine, and maturation of coronary CT is now supported by multi-guideline
      • Narula J.
      • Chandrashekhar Y.
      • Ahmadi A.
      • et al.
      SCCT 2021 expert consensus document on coronary computed tomographic angiography: a report of the society of cardiovascular computed tomography.
      ,
      • Gulati M.
      • Levy P.D.
      • Mukherjee D.
      • et al.
      2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR guideline for the evaluation and diagnosis of chest pain: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
      recommendations for first-line imaging testing for patients with suspected stable and acute forms of coronary artery disease. During the evolution of application of coronary CT to clinical practice, the field of structural heart imaging concomitantly arose with the requirement of MDCT as a prerequisite standard for structural and valvular heart disease planning for transcatheter interventions.
      • Blanke P.
      • Weir-McCall J.R.
      • Achenbach S.
      • et al.
      Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR): an expert consensus document of the Society of Cardiovascular Computed Tomography.

      Keywords

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      References

        • Narula J.
        • Chandrashekhar Y.
        • Ahmadi A.
        • et al.
        SCCT 2021 expert consensus document on coronary computed tomographic angiography: a report of the society of cardiovascular computed tomography.
        J Cardiovasc Comput Tomogr. 2021; 15: 192-217
        • Gulati M.
        • Levy P.D.
        • Mukherjee D.
        • et al.
        2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR guideline for the evaluation and diagnosis of chest pain: a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
        J Cardiovasc Comput Tomogr. 2022; 16: 54-122
        • Blanke P.
        • Weir-McCall J.R.
        • Achenbach S.
        • et al.
        Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI)/transcatheter aortic valve replacement (TAVR): an expert consensus document of the Society of Cardiovascular Computed Tomography.
        J Cardiovasc Comput Tomogr. 2019; 13: 1-20
        • Kapadia S.R.
        • Leon M.B.
        • Makkar R.R.
        • et al.
        5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial.
        Lancet. 2015; 385: 2485-2491
        • Mack M.J.
        • Leon M.B.
        • Smith C.R.
        • et al.
        5-year outcomes of transcatheter aortic valve replacement or surgical aortic valve replacement for high surgical risk patients with aortic stenosis (PARTNER 1): a randomised controlled trial.
        Lancet. 2015; 385: 2477-2484
        • Leon M.B.
        • Smith C.R.
        • Mack M.J.
        • et al.
        Transcatheter or surgical aortic-valve replacement in intermediate-risk patients.
        N Engl J Med. 2016; 374: 1609-1620
        • Reardon M.J.
        • Van Mieghem N.M.
        • Popma J.J.
        • et al.
        Surgical or transcatheter aortic valve replacement in intermediate-risk patients.
        N Engl J Med. 2017; 376: 1321-1331
        • Mack M.J.
        • Leon M.B.
        • Thourani V.H.
        • et al.
        For the PARTNER 3 Investigators. Transcatheter or surgical aortic-valve replacement in low-risk patients.
        N Engl J Med. 2019; 380: 1695-1705
        • Popma J.J.
        • Deeb G.M.
        • Yakubov S.J.
        • et al.
        Evolut Low Risk Trial Investigators. Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients.
        N Engl J Med. 2019; 380: 1706-1715
        • Choi A.D.
        • Thomas D.M.
        • Lee J.
        • et al.
        SCCT guideline for training cardiology and radiology trainees as independent practitioners (level II) and advanced practitioners (level III) in cardiovascular computed tomography: a statement from the society of cardiovascular computed tomography.
        J Cardiovasc Comput Tomogr. 2020; 15: 2-15
        • Paolisso P.
        • Gallinoro E.
        • Andreini D.
        • et al.
        Prospective evaluation of the learning curve and diagnostic accuracy for Pre-TAVI cardiac computed tomography analysis by cardiologists in training: the LEARN-CT study.
        J Cardiovasc Comput Tomogr. 2022; 16: 404-411
        • Goenka A.H.
        • Schoenhagen P.
        • Bolen M.A.
        • et al.
        Multidimensional MDCT angiography in the context of transcatheter aortic valve implantation.
        AJR Am J Roentgenol. 2014; 203: 749-758
        • Madan N.
        • Gannon M.
        • Gupta S.
        • et al.
        Contemporary description of cardiovascular computed tomography training and clinical utilization: a survey by SCCT-first committee.
        J Cardiovasc Comput Tomogr. 2020; 14: S28
        • Zimmerman M.E.
        • Batlle J.C.
        • Biga C.
        • et al.
        The direct costs of coronary CT angiography relative to contrast-enhanced thoracic CT: time-driven activity-based costing.
        J Cardiovasc Comput Tomogr. 2021; 15: 477-483
        • Choi A.D.
        • Blankstein R.
        Becoming an expert practitioner: the lifelong journey of education in cardiovascular imaging.
        JACC Cardiovasc Imaging. 2021; 14: 1594-1597