Cutting Edge Mini-Symposia Daily Programs

Cutting Edge Mini-Symposia Session Highlights

High Impact CT: Outcomes and Value Creation

As U.S. healthcare costs continue to rise and payment reforms take hold around the world, radiology is increasingly being asked to justify its value in the broader health care value chain. This session focuses establishing the value of CT from the perspectives of patients and payers. Engaging leaders in health services research, the session delves into how overall value and the key elements of quality and costs are defined, the rationale for measuring and documenting the value of CT, and an examination of the current evidence base for CT’s impact beyond the radiology department. The significance of waste and over-utilization in CT, the translation of research findings into clinical practice, and the use of value information in designing care bundles and associated revenue distributions are additionally addressed. Finally, the session focuses on CT technology and investigates the relationships between value and investment in new CT technologies.

Topics to be debated include, who should be responsible for funding the evidence of CT’s value? and Are new CT technologies high value or hype?

CT in 2017: What's New? What's Trending?

While the slice wars of the early 2000s are well behind us, CT is not standing still. Many innovations are being introduced that impact image quality, safety, and care delivery. Topics to be discussed include:

  • Mobile CT
  • Point-of-care cone beam CT
  • High end features in low and mid-range scanners
  • Photon counting detectors
  • Ultra-high resolution imaging
  • The impact of metal artifact educational to improve outcomes
  • Low dose CT as a replacement for bone surveys
  • Automatic exposure control for one-beat cardiac CT
  • Novel workflows for multi-energy CT
  • Novel workflows for the busy CT technologist
  • Advanced volume rendering
  • Texture analysis and morphologic biomarkers in CT
  • 3D Printing

Machine Learning & Imaging Informatics

Machine learning, deep learning, and artificial intelligence have all been prominently featured in the lay press and in the writings and presentations of influential healthcare leaders. Radiologists and would-be radiologists have been left wondering whether they will be replaced by machines or if machines will finally help us to be better and happier interpreters of CT scans. This session welcomes the world’s top experts in the application of artificial intelligence and informatics to CT, image interpretation, and image reporting to discuss this timely topic. Specific topics include the prospects of fully automated CT interpretation, fundamentals of deep learning, value creation through informatics, automated tracking of report recommendations, and patient-oriented results reporting.

New Ways to Manage Radiation

With the revelation of increasing radiation dosages to the worldwide population from the growth of CT scanning, CT manufacturers have taken extraordinary steps to implement tools to manage and substantially reduce radiation dose. Jointly presented by medical physicists and radiologists, this session focuses on current trends in radiation dose across the U.S. and methods for monitoring and tracking radiation dose. A variety of specific tools for dose mitigation will be discussed along with the challenge of balancing diagnostic quality against dose reduction across a variety of CT applications and patient types.

Topics to be debated include: “Referral of repeat abdominal CT exams to MRI is better for the patient” and “It's time to stop worrying about dose and focus on diagnostic performance”

Understanding & Maximizing CT's Internal Value Chain

From accepting referrals to image patients through imaging, reporting, and informed decision making from CT scanning, the delivery of CT services and interpretations is a complex endeavor involving a diverse team of radiologists, technologists, and administrators. Pressured by declining reimbursements, radiology practices and departments are consistently challenged to assure that internal resources are applied as effectively and efficiently as is possible. This session focuses upon building the value of CT from the perspective of the CT practice and department by articulating the radiology value chain and navigating through it to derive value across each element. Topics include costing, radiology’s role in determining appropriateness, protocol standardization, patient intake, imaging workflow, the patient journey, monitoring quality and safety, post processing and quantitation, peer review, actionable reporting and communication, data mining, direct patient consultation, and the impact of revenue sources.

Interventional CT

For the first time, the ISCT introduces a session dedicated to interventional procedures in the CT scanner. Jointly presented by interventional radiologists and radiologists who perform interventions but are primarily imagers, the session covers topics that span a spectrum of CT techniques applied for the performance of biopsies, drainages, and ablations in the chest, abdomen, and pelvis.

Hot Clinical Topics

Four hot topic sessions will focus on CT applications with important updates in the evidence base and guidelines. Unlike the case review presentations in the “Read-out with the Professor” sessions. These hot topic sessions will focus on the evolving clinical data and its impact on CT practice

Contrast Material Usage

This session highlights recent data on the existence of iodinated contrast-induced nephropathy, CT tools for minimizing iodine dosing, evolving methods for iodine delivery, the necessity of oral contrast, the value of corticosteroid prophylaxis, and joint commission rules on contrast handling and delivery.

Multi-Energy CT Applications

Whether it is called multi-energy, dual-energy, or multi-spectral CT, evidence is mounting in favor of its use in a spectrum of CT applications. This evidence will be presented and discussed across CT for pulmonary embolism, liver lesions, renal masses, bone edema, gout, and aorto-iliac CT angiography. Whether to invest in multi-energy CT technology is the debate topic.

Lung Nodules & Cancer

Lung nodules are ubiquitous and their impact is growing with the development of lung cancer screening centers. This session encompasses topics related to the development of lung cancer screening programs, evolving evidence from lung cancer screening trials, the first revision and major update to the 2005 Fleischner Society Guidelines for incidental nodules to be published in 2017, evolving concepts regarding sub-solid nodules, and the emerging application of radiomics and radogenomics in lung cancer.

Cardiac CT

No area of CT has seen more evidence growth than cardiac CT. Topics include the acquisition and interpretation of coronary CT angiography in acute and stable chest pain, imaging myocardial perfusion, the use of CT-FFR, transarterial aortic valve replacement (TAVR), guidance for atrial appendage closure, assessment of prosthetic valves and ventricular assist devices. Debates include “Coronary CT angiography is underused versus overused for stable coronary disease” and “The way forward is CT-FFR versus CT perfusion imaging”.

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