CAR and CSTR Cardiac Computed Tomography (CT) Practice Guidelines: Part 2-Non-Coronary Imaging

Area of Science:

• Radiology and Imaging
• Cardiovascular Medicine
• Medical Technology

Background:

• The Canadian Association of Radiologists (CAR) first published cardiac CT practice guidelines in 2009.
• Significant technological advancements have occurred in cardiac CT since 2009.
• Updated guidelines are necessary to reflect current practices and evidence.

Purpose of the Study:

• To provide an updated review of technological improvements in cardiac CT.
• To present current evidence supporting cardiac CT in common clinical scenarios.
• To outline standards for patient preparation, safety, and image quality.

Main Methods:

• Review of technological advancements in cardiac CT.
• Synthesis of current clinical evidence for cardiac CT applications.
• Development of practice standards for cardiac CT procedures.

Main Results:

• Part I focuses on coronary CT angiography (CCTA).
• Part II covers non-coronary indications including valvular, pericardial, tumor, pulmonary vein, and congenital heart disease imaging.
• Guidelines address patient preparation, safety protocols, and image quality optimization.

Conclusions:

• The updated guidelines offer a comprehensive overview of cardiac CT practice.
• They are relevant for both community hospitals and large academic centers.
• These guidelines aim to optimize the use of cardiac CT for diagnosis and treatment monitoring.