2020 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

Choi, Andrew D.; Thomas, Dustin; Lee, James; Abbara, Suhny; Cury, Ricardo C.; Leipsic, Jonathon; Maroules, Christopher D.; Nagpal, Prashant; Steigner, Michael L.; Wang, Dee Dee; Williams, MBChB Michelle C.; Zeb, Irfan; Villines, Todd C.; Blankstein, Ron

doi:10.1016/j.jcct.2020.08.003

Cited by 32 publications

(6 citation statements)

References 64 publications

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“…Personnel: There are published standards related to cardiac imaging by CT by the Society of Cardiovascular Computed Tomography with regard to training; however, there is no specific training for pediatric and CHD. 122 At Comprehensive Care Centers, the committee recommended having a pediatric radiologist dedicated in part to congenital cardiac imaging and/or a pediatric cardiologist with expertise and experience in CT imaging. This individual would serve as the director of this branch of CT imaging and be directly involved in the planning, scanning, and reporting of these studies.…”

Section: Structure-cmr Modality and Technologiesmentioning

confidence: 99%

Recommendations for Centers Performing Pediatric Heart Surgery in the United States

Backer,

Overman,

Dearani

et al. 2023

World J Pediatr Congenit Heart Surg

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Care and outcomes for the more than 40,000 patients undergoing pediatric and congenital heart surgery in the United States annually are known to vary widely. While consensus recommendations have been published across numerous fields as one mechanism to promote a high level of care delivery across centers, it has been more than two decades since the last pediatric heart surgery recommendations were published in the United States. More recent guidance is lacking, and collaborative efforts involving the many disciplines engaged in caring for these children have not been undertaken to date. The present initiative brings together professional societies spanning numerous care domains and congenital cardiac surgeons, pediatric cardiologists, nursing, and other healthcare professionals from diverse programs around the country to develop consensus recommendations for United States centers. The focus of this initial work is on pediatric heart surgery, and it is recommended that future efforts focus in detail on the adult congenital population. We describe the background, rationale, and methodology related to this collaborative effort, and recommendations put forth for Essential Care Centers (essential services necessary for any program), and Comprehensive Care Centers (services to optimize comprehensive and high-complexity care), encompassing structure, process, and outcome metrics across 14 domains.

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Section: Structure-cmr Modality and Technologiesmentioning

confidence: 99%

Recommendations for Centers Performing Pediatric Heart Surgery in the United States

Backer,

Overman,

Dearani

et al. 2023

World J Pediatr Congenit Heart Surg

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“…This applies also to situations in which referring physicians prefer to perform image-guided interventional procedures themselves rather than requesting radiologists to do so. In many European countries, non-radiologic clinical specialists routinely use ultrasonography, interpret standard radiography, or perform procedures under imaging guidance, and some specialties even claim to “co-own” computed tomography (CT) and magnetic resonance imaging (MRI) by including these imaging modalities into their own postgraduate training curricula and offering individual accreditation [ 41 , 42 ]. Even when “owning” the imaging infrastructure for CT and MRI or interventional angiography, the only way for radiologists to remain competitive in many turf issues is through subspecialisation according to the mainly organ-based clinical disciplines.…”

Section: Enhancing the Value And The Recognition Of The Radiologist’s...mentioning

confidence: 99%

How to prepare for a bright future of radiology in Europe

Becker

2023

Insights Imaging

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Because artificial intelligence (AI)-powered algorithms allow automated image analysis in a growing number of diagnostic scenarios, some healthcare stakeholders have raised doubts about the future of the entire radiologic profession. Their view disregards not only the role of radiologists in the diagnostic service chain beyond reporting, but also the many multidisciplinary and patient-related consulting tasks for which radiologists are solicited. The time commitment for these non-reporting tasks is considerable but difficult to quantify and often impossible to fulfil considering the current mismatch between workload and workforce in many countries. Nonetheless, multidisciplinary, and patient-centred consulting activities could move up on radiologists’ agendas as soon as AI-based tools can save time in daily routine. Although there are many reasons why AI will assist and not replace radiologists as imaging experts in the future, it is important to position the next generation of European radiologists in view of this expected trend. To ensure radiologists’ personal professional recognition and fulfilment in multidisciplinary environments, the focus of training should go beyond diagnostic reporting, concentrating on clinical backgrounds, specific communication skills with referrers and patients, and integration of imaging findings with those of other disciplines. Close collaboration between the European Society of Radiology (ESR) and European national radiologic societies can help to achieve these goals. Although each adequate treatment begins with a correct diagnosis, many health politicians see radiologic procedures mainly as a cost factor. Radiologic research should, therefore, increasingly investigate the imaging impact on treatment and outcome rather than focusing mainly on technical improvements and diagnostic accuracy alone.Critical relevance statement Strategies are presented to prepare for a successful future of the radiologic profession in Europe, if AI-powered tools can alleviate the current reporting overload: engaging in multidisciplinary activities (clinical and integrative diagnostics), enhancing the value and recognition of radiologists’ role through clinical expertise, focusing radiological research on the impact on diagnosis and outcome, and promoting patient-centred radiology by enhancing communication skills.Key points • AI-powered tools will not replace radiologists but hold promise to reduce the current reporting burden, enabling them to reinvest liberated time in multidisciplinary clinical and patient-related tasks.• The skills and resources for these tasks should be considered when recruiting and teaching the next generation of radiologists, when organising departments and planning staffing.• Communication skills will play an increasing role in both multidisciplinary activities and patient-centred radiology.• The value and importance of a correct and integrative diagnosis and the cost of an incorrect imaging diagnosis should be emphasised when discussing with non-medical stakeholders in healthcare.• The radiologic community in Europe should start now to prepare for a bright future of the profession for the benefit of patients and medical colleagues alike. Graphical Abstract

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“…The recent 2021 American Heart Association/American College of Cardiology/Multisociety Guideline for the Evaluation and Diagnosis of Chest Pain redefines the presence of coronary artery disease as obstructive (≥50% stenosis) and non-obstructive (<50%) stenosis ( 23 ). In the realm of invasive and non-invasive coronary angiography ( via CCTA), the evaluation of coronary artery stenosis requires visual analysis by a trained provider ( 18 , 24 ). However, there can be inter-provider variability in interpretation of these studies in real world practice.…”

Section: Coronary Stenosismentioning

confidence: 99%

Artificial Intelligence Advancements in the Cardiovascular Imaging of Coronary Atherosclerosis

Covas

Guzman

Barrows

et al. 2022

Front. Cardiovasc. Med.

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Coronary artery disease is a leading cause of death worldwide. There has been a myriad of advancements in the field of cardiovascular imaging to aid in diagnosis, treatment, and prevention of coronary artery disease. The application of artificial intelligence in medicine, particularly in cardiovascular medicine has erupted in the past decade. This article serves to highlight the highest yield articles within cardiovascular imaging with an emphasis on coronary CT angiography methods for % stenosis evaluation and atherosclerosis quantification for the general cardiologist. The paper finally discusses the evolving paradigm of implementation of artificial intelligence in real world practice.

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2020 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

Cited by 32 publications

References 64 publications

Recommendations for Centers Performing Pediatric Heart Surgery in the United States

Recommendations for Centers Performing Pediatric Heart Surgery in the United States

How to prepare for a bright future of radiology in Europe

Artificial Intelligence Advancements in the Cardiovascular Imaging of Coronary Atherosclerosis

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