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The Future of Cardiovascular Computed Tomography: Advanced Analytics and Clinical Insights.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Nicol, Edward D 
Norgaard, Bjarne L 
Blanke, Philipp 
Ahmadi, Amir 
Weir-McCall, Jonathon 

Abstract

Cardiovascular computed tomography (CCT) has undergone rapid maturation over the last decade and is now of proven clinical utility in the diagnosis and management of coronary artery disease, in guiding structural heart disease intervention, and in the diagnosis and treatment of congenital heart disease. The next decade will undoubtedly witness further advances in hardware and advanced analytics that will potentially see an increasingly core role for CCT at the center of clinical cardiovascular practice. In coronary artery disease assessment this may be via improved hemodynamic adjudication, and shear stress analysis using computational flow dynamics, more accurate and robust plaque characterization with spectral or photon-counting CT, or advanced quantification of CT data via artificial intelligence, machine learning, and radiomics. In structural heart disease, CCT is already pivotal to procedural planning with adjudication of gradients before and following intervention, whereas in congenital heart disease CCT is already used to support clinical decision making from neonates to adults, often with minimal radiation dose. In both these areas the role of computational flow dynamics, advanced tissue printing, and image modelling has the potential to revolutionize the way these complex conditions are managed, and CCT is likely to become an increasingly critical enabler across the whole advancing field of cardiovascular medicine.

Description

Keywords

FFR(CT), TMVR, atherosclerosis, cardiac CT, machine learning, radiomics, Computed Tomography Angiography, Coronary Angiography, Diffusion of Innovation, Forecasting, Heart Diseases, Humans, Models, Cardiovascular, Patient-Specific Modeling, Predictive Value of Tests, Printing, Three-Dimensional, Prognosis, Tomography Scanners, X-Ray Computed

Journal Title

JACC Cardiovasc Imaging

Conference Name

Journal ISSN

1936-878X
1876-7591

Volume Title

12

Publisher

Elsevier BV