How to Report a Coronary CT Angiography Michael Poon, MD, FACC

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Optimal Report Generation•Indication•Clinical History•Procedure•Findings•Impression
ProcedureCT Angiography of the coronaries with and without contrast was performedusing a 16/32/40/64/128/256detector CT scanner. Axial images were obtainedfrom the level of the subclavian artery/aortic arch/ascending aorta through tothe diaphragm at 0.6 collimation mm section thickness during breath hold withor without ECGgated current modulation. 65 110 ml of intravenous contrastwas injected via a right/left antecubital intravenous catheter at 47 ml/sec with50 ml of (dual flow (30C/70S) or 50 ml of saline saline) infused immediatelyafterward. Image reconstructions were performed at 0.6 mm thickness/0.4interval mm using retrospective cardiac gating. 3D and multiplanarreconstructions were performed. 040 mg of Lopressor (+/ additional calciumchannel blocker) was given intravenously and the heart rate at the time ofimage acquisition was approximately 65 bpm. One dose of 0.4 mgsublingual/sublingual nitroglycerin was given ~5 min prior to the CTA. Theheart rhythm was regular/irregular with/without frequent atrial orventricular premature beats.
Page 1 and 2: How to Report a Coronary CT Angiogr
Page 3 and 4: DukeACC Think Tank Meeting (2006)
Page 5 and 6: Optimal Report Generation•Indicat
Page 7 and 8: New Category III CPT Codes for Coro
Page 9 and 10: Indications•Model LCD(WWW.SCCT.OR
Page 11 and 12: Report generation•1. Indication =
Page 15 and 16: Model LCD• 4. Coronary CTA to eva
Page 17 and 18: Model LCD9. Quantitative evaluation
Page 19: CCT Coverage• As of December 1, 2
Page 23 and 24: Respiratory Artifacts
Page 25 and 26: Metal Artifacts
Page 31 and 32: Quantitative Analysis Using CMPR
Page 33 and 34: Final Impression:1. Normal Study2.
Page 35 and 36: Anomalous Coronary ArteryCurved MPR
Page 37 and 38: The Prevalence of Anomalous Origin
Page 39 and 40: AV FistulaConus br to Anterior Card
Page 41 and 42: ASD
Page 43 and 44: NonCardiac Incidental FindingsCon
Page 45 and 46: SCCT Action ItemQuality Task Force:
Page 50 and 51: CT function: Left VentricleA B CSim
Page 52 and 53: 0151T: Normal Values (CMR)Eike Nage

How to Report a Coronary CT Angiography Michael Poon, MD, FACC

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