Advertisement

Cardiac Computed Tomography: A Team Sport

  • Sheldon E. LitwinEmail author
Chapter
Part of the Contemporary Medical Imaging book series (CMI)

Abstract

As one would expect, the initially empty space surrounding the rapidly expanding use of cardiac CT strongly attracted enterprising individuals with a variety of backgrounds and training. The sudden realization that we could noninvasively image coronary arteries at high spatial resolution was a powerful draw for cardiologists who have always been fascinated by coronary anatomy. The striking views of the heart and vasculature that could be created using newer approaches such as curved multiplanar reconstructions and three-dimensional volume rendering also proved irresistible to radiologists. Given a history of struggles over ownership of other cardiac imaging modalities such as invasive or catheter-based coronary angiography and nuclear cardiology, it is not altogether surprising that tensions also developed in this new landscape. The term “tribalism” refers to a strong cultural or ethnic identity that separates one group from another. In medicine, tribes are most often defined by specialty or departmental affiliations. The conflicts that exist regarding the modern practice of cardiac CT generally relate to debates over which medical specialty is best suited to oversee the equipment and technologists, the interpretation of the images, communications with referring providers, and the financial aspects of the service being rendered.

Keywords

Cardiac computed tomography Collaboration in CT imaging Cardiac CT and teamwork Cardiac CT turf wars Cardiologist and radiologist collaboration 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Hounsfield GN. Historical notes on computerized axial tomography. J Can Assoc Radiol. 1976;27(3):135–42.PubMedGoogle Scholar
  2. 2.
    Sagel SS, et al. Gated computed tomography of the human heart. Investig Radiol. 1977;12(6):563–6.CrossRefGoogle Scholar
  3. 3.
    Douglas PS, et al. Developing an action plan for patient radiation safety in adult cardiovascular medicine. Proceedings from the Duke University Clinical Research Institute/American College of Cardiology Foundation/American Heart Association Think Tank Held on February 28, 2011. J Nucl Cardiol. 2012;19(3):534–50.CrossRefGoogle Scholar
  4. 4.
    Douglas PS, et al. The future of cardiac imaging: report of a think tank convened by the American College of Cardiology. JACC Cardiovasc Imaging. 2016;9(10):1211–23.CrossRefGoogle Scholar
  5. 5.
    Marwick TH, Chandrashekhar Y, Narula J. Training in multimodality CV imaging: is there an inclusive model? JACC Cardiovasc Imaging. 2016;9(10):1235–7.CrossRefGoogle Scholar

Copyright information

© Humana Press 2019

Authors and Affiliations

  1. 1.Division of Cardiology, Department of MedicineMedical University of South CarolinaCharlestonUSA

Personalised recommendations