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Advanced techniques

EuroEcho-Imaging 2017

It was a truly comprehensive session on cardiac computed tomography imaging of ischemic heart disease. The attendees had the chance to learn practical tips and tricks from world-renowned experts.

Dr. Alexia Rossi thought us how to tackle challenging patient populations such as patients with stents and coronary artery bypass grafts.

The intricate relationship between anatomy and function, coronary stenosis grade and ischemia was discussed in great details by Dr. Gianluca Pontone.

We have learnt about the latest techniques in computational fluid dynamics based CT applications, such as CT-FFR simulation or the assessment of adverse hemodynamic plaques features.

Furthermore, it was emphasised that static and dynamic CT myocardial perfusion in combination with coronary CTA holds the possibility to achieve one-stop-shop coronary artery disease assessment.

Dr. Oliver Gaemperli noted that hybrid imaging, by fusing SPECT or PET with coronary CTA may greatly improve the way we intervene and revascularise patients with obstructive coronary arteries. 

Finally, Dr Pál Maurovich-Horvat provided a glimpse into the future. We learned that the images generated by CT scanners contain much more information that we can comprehend visually. Radiomics is a novel tool to translate CT images into ‘big data’ and perform advanced image pattern analysis. Radiomics may greatly improve coronary plaque assessment.

The session provided a broad perspective on coronary artery disease, from the current practice to future applications.

The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.